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Resource Profile: Encounter

Contactmoment tussen patiënt en zorgverlener. Maturity Level: 0 Draft. Open issues see Github.

Usages:

• This 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.

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	ContactType Binding: ActEncounterCode (required) ele-1: All FHIR elements must have a @value or children
serviceType	SΣ	1..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (required) ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children 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() ele-1: All FHIR elements must have a @value or children
participant:All Slices				Content/Rules for all slices
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children per-1: If present, start SHALL have a lower value than end
start	SΣC	0..1	dateTime	StartDateTime ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	EndDateTime ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
reasonCode:deviatingResult	ΣN	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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() ele-1: All FHIR elements must have a @value or children 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
extension:commentContactReason	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
admitSource	S	0..1	CodeableConcept	Origin Binding: HerkomstCodelijst (extensible): From where the patient was admitted. ele-1: All FHIR elements must have a @value or children
dischargeDisposition	S	0..1	CodeableConcept	Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition. ele-1: All FHIR elements must have a @value or children
location		0..1	BackboneElement	List of locations where the patient has been ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children 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()
per-1	error	Encounter.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
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'))

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	PatternNlCoreHealthProfessionalReference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another
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	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    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
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(PractitionerRoleWithSpecialty | 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	SΣC	0..1	dateTime	StartDateTime
end	SΣC	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
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	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
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	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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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: 12 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)
• 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	ContactType Binding: ActEncounterCode (required) ele-1: All FHIR elements must have a @value or children
serviceType	SΣ	1..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (required) ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children 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() ele-1: All FHIR elements must have a @value or children
participant:All Slices				Content/Rules for all slices
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children per-1: If present, start SHALL have a lower value than end
start	SΣC	0..1	dateTime	StartDateTime ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	EndDateTime ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
reasonCode:deviatingResult	ΣN	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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() ele-1: All FHIR elements must have a @value or children 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
extension:commentContactReason	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
admitSource	S	0..1	CodeableConcept	Origin Binding: HerkomstCodelijst (extensible): From where the patient was admitted. ele-1: All FHIR elements must have a @value or children
dischargeDisposition	S	0..1	CodeableConcept	Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition. ele-1: All FHIR elements must have a @value or children
location		0..1	BackboneElement	List of locations where the patient has been ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children 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()
per-1	error	Encounter.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
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'))

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	PatternNlCoreHealthProfessionalReference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another
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	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

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
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(PractitionerRoleWithSpecialty | 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	SΣC	0..1	dateTime	StartDateTime
end	SΣC	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
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	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
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	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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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: 12 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)
• 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