Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zib Encounter - Detailed Descriptions

Active as of 2025-09-22

Definitions for the zib-Encounter resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Encounter
ShortEncounter
Alternate NamesContact
2. Encounter.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
4. Encounter.class
Definition

The type of contact.

ShortContactType
Control1..?
BindingUnless not suitable, these codes SHALL be taken from ContactTypeCodelijst
(extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000)

ContactTypeCodelijst

Alternate NamesContactType
6. Encounter.subject
Control1..?
TypeReference(nl-core-patient)
8. Encounter.episodeOfCare
TypeReference(nl-core-episodeofcare)
10. Encounter.participant
12. Encounter.participant.type
14. Encounter.participant.type.coding
SlicingThis element introduces a set of slices on Encounter.participant.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ $this
  • 16. Encounter.participant.type.coding:healthProfessionalRole
    Slice NamehealthProfessionalRole
    Definition

    The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.

    ShortHealthProfessionalRole
    BindingThe codes SHALL be taken from ZorgverlenerRolCodelijst
    (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000)
    Alternate NamesZorgverlenerRol
    18. Encounter.participant.individual
    Definition

    The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well.

    ShortContactWith
    TypeReference(nl-core-relatedperson, nl-core-practitioner)
    Alternate NamesContactMet
    20. Encounter.participant.individual.extension
    SlicingThis element introduces a set of slices on Encounter.participant.individual.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 22. Encounter.participant.individual.extension:practitionerRole
      Slice NamepractitionerRole
      Control0..1
      TypeExtension(PractitionerRole Reference) (Extension Type: Reference)
      24. Encounter.period
      26. Encounter.period.start
      Definition

      The date and time at which the contact took place.

      ShortStartDateTime
      Control1..?
      Alternate NamesBeginDatumTijd
      28. Encounter.period.end
      Definition

      The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.

      If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

      ShortEndDateTime
      Alternate NamesEindDatumTijd
      30. Encounter.reason
      Definition

      A deviating result which serves as the reason for the contact.

      ShortDeviatingResult
      Alternate NamesAfwijkendeUitslag
      32. Encounter.reason.text
      Definition

      A deviating result which serves as the reason for the contact.

      ShortDeviatingResult
      Alternate NamesAfwijkendeUitslag
      34. Encounter.diagnosis
      36. Encounter.diagnosis.condition
      Definition

      The problem that led to the contact or the procedure carried out during the contact.

      Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

      ShortContactReason
      TypeReference(HCIM Procedure, HCIM Problem)
      Alternate NamesProbleem, Procedure
      38. Encounter.hospitalization
      40. Encounter.hospitalization.admitSource
      Definition

      Location from which the patient came before the encounter. In most cases this will only be used when the patient is admitted.

      ShortOrigin
      BindingUnless not suitable, these codes SHALL be taken from HerkomstCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000)

      HerkomstCodelijst

      Alternate NamesHerkomst
      42. Encounter.hospitalization.dischargeDisposition
      Definition

      Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.

      ShortDestination
      BindingUnless not suitable, these codes SHALL be taken from BestemmingCodelijst
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000)

      BestemmingCodelijst

      Alternate NamesBestemming
      44. Encounter.serviceProvider
      Definition

      The physical location at which the contact took place.

      ShortLocation
      TypeReference(nl-core-organization)
      Alternate NamesLocatie

      Guidance on how to interpret the contents of this table can be foundhere

      0. Encounter
      Definition

      An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

      ShortEncounterAn interaction during which services are provided to the patient
      Control0..*
      Alternate NamesVisit, Contact
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      2. Encounter.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. Encounter.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Alternate Namesextensions, user content
      6. Encounter.identifier
      Definition

      Identifier(s) by which this encounter is known.

      ShortIdentifier(s) by which this encounter is known
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      8. Encounter.status
      Definition

      planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

      Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
      Comments

      Note that internal business rules will detemine the appropraite transitions that may occur between statuses (and also classes).

      This element is labeled as a modifier because the status contains codes that mark the encounter as not currently valid.

      Control1..1
      BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|3.0.2
      (required to http://hl7.org/fhir/ValueSet/encounter-status|3.0.2)

      Current state of the encounter

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      10. Encounter.class
      Definition

      The type of contact.


      inpatient | outpatient | ambulatory | emergency +.

      ShortContactTypeinpatient | outpatient | ambulatory | emergency +
      Control10..1
      BindingUnless not suitable, these codes SHALL be taken from ContactTypeCodelijsthttp://hl7.org/fhir/ValueSet/v3-ActEncounterCode|2014-03-26
      (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000)

      ContactTypeCodelijst


      Classification of the encounter

      TypeCoding
      Summarytrue
      Alternate NamesContactType
      12. Encounter.subject
      Definition

      The patient ro group present at the encounter.

      ShortThe patient ro group present at the encounter
      Comments

      While the encounter is always about the patient, the patient may not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).

      Control10..1
      TypeReference(nl-core-patient, Patient, Group)
      Summarytrue
      Alternate Namespatient
      14. Encounter.episodeOfCare
      Definition

      Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).

      ShortEpisode(s) of care that this encounter should be recorded against
      Control0..*
      TypeReference(nl-core-episodeofcare, EpisodeOfCare)
      Summarytrue
      16. Encounter.participant
      Definition

      The list of people responsible for providing the service.

      ShortList of participants involved in the encounter
      Control0..*
      TypeBackboneElement
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      18. Encounter.participant.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Summarytrue
      Alternate Namesextensions, user content, modifiers
      20. Encounter.participant.individual
      Definition

      The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well.


      Persons involved in the encounter other than the patient.

      ShortContactWithPersons involved in the encounter other than the patient
      Control0..1
      TypeReference(nl-core-relatedperson, nl-core-practitioner, Practitioner, RelatedPerson)
      Summarytrue
      Alternate NamesContactMet
      22. Encounter.participant.individual.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional Content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      SlicingThis element introduces a set of slices on Encounter.participant.individual.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 24. Encounter.participant.individual.extension:practitionerRole
        Slice NamepractitionerRole
        Definition

        Optional Extension Element - found in all resources.

        ShortOptional Extensions Element
        Control0..1
        TypeExtension(PractitionerRole Reference) (Extension Type: Reference)
        26. Encounter.period
        Definition

        The start and end time of the encounter.

        ShortThe start and end time of the encounter
        Comments

        If not (yet) known, the end of the Period may be omitted.

        Control0..1
        TypePeriod
        28. Encounter.period.start
        Definition

        The date and time at which the contact took place.


        The start of the period. The boundary is inclusive.

        ShortStartDateTimeStarting time with inclusive boundary
        Comments

        If the low element is missing, the meaning is that the low boundary is not known.

        Control10..1
        This element is affected by the following invariants: per-1
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Alternate NamesBeginDatumTijd
        30. Encounter.period.end
        Definition

        The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.

        If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.


        The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

        ShortEndDateTimeEnd time with inclusive boundary, if not ongoing
        Comments

        The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

        Control0..1
        This element is affected by the following invariants: per-1
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Alternate NamesEindDatumTijd
        Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
        32. Encounter.reason
        Definition

        A deviating result which serves as the reason for the contact.


        Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.

        ShortDeviatingResultReason the encounter takes place (code)
        Comments

        For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

        Control0..*
        BindingThe codes SHOULD be taken from Encounter Reason Codeshttp://hl7.org/fhir/ValueSet/encounter-reason|3.0.2
        (preferred to http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2)

        Reason why the encounter takes place.

        TypeCodeableConcept
        Summarytrue
        Alternate NamesIndication, Admission diagnosis, AfwijkendeUitslag
        34. Encounter.reason.text
        Definition

        A deviating result which serves as the reason for the contact.


        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

        ShortDeviatingResultPlain text representation of the concept
        Comments

        Very often the text is the same as a displayName of one of the codings.

        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

        Alternate NamesAfwijkendeUitslag
        36. Encounter.serviceProvider
        Definition

        The physical location at which the contact took place.


        An organization that is in charge of maintaining the information of this Encounter (e.g. who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location's Organization.

        ShortLocationThe custodian organization of this Encounter record
        Control0..1
        TypeReference(nl-core-organization, Organization)
        Alternate NamesLocatie

        Guidance on how to interpret the contents of this table can be foundhere

        0. Encounter
        Definition

        An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

        ShortEncounter
        Control0..*
        Alternate NamesVisit, Contact
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
        dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
        2. Encounter.id
        Definition

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        ShortLogical id of this artifact
        Comments

        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

        Control0..1
        Typeid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        4. Encounter.meta
        Definition

        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

        ShortMetadata about the resource
        Control0..1
        TypeMeta
        Summarytrue
        6. Encounter.implicitRules
        Definition

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

        ShortA set of rules under which this content was created
        Comments

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

        This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

        Control0..1
        Typeuri
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        8. Encounter.language
        Definition

        The base language in which the resource is written.

        ShortLanguage of the resource content
        Comments

        Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

        Control0..1
        BindingUnless not suitable, these codes SHALL be taken from Common Languages
        (extensible to http://hl7.org/fhir/ValueSet/languages|3.0.2)

        A human language.

        Additional BindingsPurpose
        All LanguagesMax Binding
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        10. Encounter.text
        Definition

        A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

        ShortText summary of the resource, for human interpretation
        Comments

        Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

        Control0..1
        This element is affected by the following invariants: dom-1
        TypeNarrative
        Alternate Namesnarrative, html, xhtml, display
        12. Encounter.contained
        Definition

        These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

        ShortContained, inline Resources
        Comments

        This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

        Control0..*
        TypeResource
        Alternate Namesinline resources, anonymous resources, contained resources
        14. Encounter.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        16. Encounter.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Alternate Namesextensions, user content
        18. Encounter.identifier
        Definition

        Identifier(s) by which this encounter is known.

        ShortIdentifier(s) by which this encounter is known
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Summarytrue
        20. Encounter.status
        Definition

        planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

        Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
        Comments

        Note that internal business rules will detemine the appropraite transitions that may occur between statuses (and also classes).

        This element is labeled as a modifier because the status contains codes that mark the encounter as not currently valid.

        Control1..1
        BindingThe codes SHALL be taken from EncounterStatus
        (required to http://hl7.org/fhir/ValueSet/encounter-status|3.0.2)

        Current state of the encounter

        Typecode
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        22. Encounter.statusHistory
        Definition

        The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

        ShortList of past encounter statuses
        Comments

        The current status is always found in the current version of the resource, not the status history.

        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
        24. Encounter.statusHistory.id
        Definition

        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        Shortxml:id (or equivalent in JSON)
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        26. Encounter.statusHistory.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        28. Encounter.statusHistory.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Summarytrue
        Alternate Namesextensions, user content, modifiers
        30. Encounter.statusHistory.status
        Definition

        planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

        Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
        Control1..1
        BindingThe codes SHALL be taken from EncounterStatus
        (required to http://hl7.org/fhir/ValueSet/encounter-status|3.0.2)

        Current state of the encounter

        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        32. Encounter.statusHistory.period
        Definition

        The time that the episode was in the specified status.

        ShortThe time that the episode was in the specified status
        Control1..1
        TypePeriod
        34. Encounter.class
        Definition

        The type of contact.

        ShortContactType
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from ContactTypeCodelijst
        (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000)

        ContactTypeCodelijst

        TypeCoding
        Summarytrue
        Alternate NamesContactType
        36. Encounter.classHistory
        Definition

        The class history permits the tracking of the encounters transitions without needing to go through the resource history.

        This would be used for a case where an admission starts of as an emergency encounter, then transisions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kindof discharge from emergency to inpatient.

        ShortList of past encounter classes
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
        38. Encounter.classHistory.id
        Definition

        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        Shortxml:id (or equivalent in JSON)
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        40. Encounter.classHistory.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        42. Encounter.classHistory.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Summarytrue
        Alternate Namesextensions, user content, modifiers
        44. Encounter.classHistory.class
        Definition

        inpatient | outpatient | ambulatory | emergency +.

        Shortinpatient | outpatient | ambulatory | emergency +
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode|2014-03-26
        (extensible to http://hl7.org/fhir/ValueSet/v3-ActEncounterCode|2014-03-26)

        Classification of the encounter

        TypeCoding
        46. Encounter.classHistory.period
        Definition

        The time that the episode was in the specified class.

        ShortThe time that the episode was in the specified class
        Control1..1
        TypePeriod
        48. Encounter.type
        Definition

        Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).

        ShortSpecific type of encounter
        Comments

        Since there are many ways to further classify encounters, this element is 0..*.

        Control0..*
        BindingFor example codes, see EncounterType
        (example to http://hl7.org/fhir/ValueSet/encounter-type|3.0.2)

        The type of encounter

        TypeCodeableConcept
        Summarytrue
        50. Encounter.priority
        Definition

        Indicates the urgency of the encounter.

        ShortIndicates the urgency of the encounter
        Control0..1
        BindingFor example codes, see ActPriority|2016-11-11
        (example to http://hl7.org/fhir/ValueSet/v3-ActPriority|2016-11-11)

        Indicates the urgency of the encounter.

        TypeCodeableConcept
        52. Encounter.subject
        Definition

        The patient ro group present at the encounter.

        ShortThe patient ro group present at the encounter
        Comments

        While the encounter is always about the patient, the patient may not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).

        Control1..1
        TypeReference(nl-core-patient)
        Summarytrue
        Alternate Namespatient
        54. Encounter.episodeOfCare
        Definition

        Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).

        ShortEpisode(s) of care that this encounter should be recorded against
        Control0..*
        TypeReference(nl-core-episodeofcare)
        Summarytrue
        56. Encounter.incomingReferral
        Definition

        The referral request this encounter satisfies (incoming referral).

        ShortThe ReferralRequest that initiated this encounter
        Control0..*
        TypeReference(ReferralRequest)
        58. Encounter.participant
        Definition

        The list of people responsible for providing the service.

        ShortList of participants involved in the encounter
        Control0..*
        TypeBackboneElement
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
        60. Encounter.participant.id
        Definition

        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        Shortxml:id (or equivalent in JSON)
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        62. Encounter.participant.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        64. Encounter.participant.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
        Summarytrue
        Alternate Namesextensions, user content, modifiers
        66. Encounter.participant.type
        Definition

        Role of participant in encounter.

        ShortRole of participant in encounter
        Comments

        The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

        Control0..*
        BindingUnless not suitable, these codes SHALL be taken from ParticipantType
        (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type|3.0.2)

        Role of participant in encounter

        TypeCodeableConcept
        Summarytrue
        68. Encounter.participant.type.id
        Definition

        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        Shortxml:id (or equivalent in JSON)
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        70. Encounter.participant.type.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        SlicingThis element introduces a set of slices on Encounter.participant.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 72. Encounter.participant.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..*
          TypeCoding
          Summarytrue
          Requirements

          Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

          SlicingThis element introduces a set of slices on Encounter.participant.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ $this
          • 74. Encounter.participant.type.coding:healthProfessionalRole
            Slice NamehealthProfessionalRole
            Definition

            The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.

            ShortHealthProfessionalRole
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..*
            BindingThe codes SHALL be taken from ZorgverlenerRolCodelijst
            (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000)
            TypeCoding
            Summarytrue
            Requirements

            Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

            Alternate NamesZorgverlenerRol
            76. Encounter.participant.type.text
            Definition

            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

            ShortPlain text representation of the concept
            Comments

            Very often the text is the same as a displayName of one of the codings.

            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

            78. Encounter.participant.period
            Definition

            The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

            ShortPeriod of time during the encounter that the participant participated
            Control0..1
            TypePeriod
            80. Encounter.participant.individual
            Definition

            The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well.

            ShortContactWith
            Control0..1
            TypeReference(nl-core-relatedperson, nl-core-practitioner)
            Summarytrue
            Alternate NamesContactMet
            82. Encounter.participant.individual.id
            Definition

            unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            Shortxml:id (or equivalent in JSON)
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            84. Encounter.participant.individual.extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            SlicingThis element introduces a set of slices on Encounter.participant.individual.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 86. Encounter.participant.individual.extension:practitionerRole
              Slice NamepractitionerRole
              Definition

              Optional Extension Element - found in all resources.

              ShortOptional Extensions Element
              Control0..1
              TypeExtension(PractitionerRole Reference) (Extension Type: Reference)
              88. Encounter.participant.individual.reference
              Definition

              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

              ShortLiteral reference, Relative, internal or absolute URL
              Comments

              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

              Control0..1
              This element is affected by the following invariants: ref-1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              90. Encounter.participant.individual.identifier
              Definition

              An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

              ShortLogical reference, when literal reference is not known
              Comments

              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1
              TypeIdentifier
              Summarytrue
              92. Encounter.participant.individual.display
              Definition

              Plain text narrative that identifies the resource in addition to the resource reference.

              ShortText alternative for the resource
              Comments

              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              94. Encounter.appointment
              Definition

              The appointment that scheduled this encounter.

              ShortThe appointment that scheduled this encounter
              Control0..1
              TypeReference(Appointment)
              Summarytrue
              96. Encounter.period
              Definition

              The start and end time of the encounter.

              ShortThe start and end time of the encounter
              Comments

              If not (yet) known, the end of the Period may be omitted.

              Control0..1
              TypePeriod
              98. Encounter.period.id
              Definition

              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              100. Encounter.period.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional Content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Alternate Namesextensions, user content
              SlicingThis element introduces a set of slices on Encounter.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 102. Encounter.period.start
                Definition

                The date and time at which the contact took place.

                ShortStartDateTime
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control1..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesBeginDatumTijd
                104. Encounter.period.end
                Definition

                The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.

                If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                ShortEndDateTime
                Comments

                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

                Control0..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesEindDatumTijd
                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                106. Encounter.length
                Definition

                Quantity of time the encounter lasted. This excludes the time during leaves of absence.

                ShortQuantity of time the encounter lasted (less time absent)
                Comments

                May differ from the time the Encounter.period lasted because of leave of absence.

                Control0..1
                TypeDuration
                108. Encounter.reason
                Definition

                A deviating result which serves as the reason for the contact.

                ShortDeviatingResult
                Comments

                For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                Control0..*
                BindingThe codes SHOULD be taken from Encounter Reason Codes
                (preferred to http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2)

                Reason why the encounter takes place.

                TypeCodeableConcept
                Summarytrue
                Alternate NamesIndication, Admission diagnosis, AfwijkendeUitslag
                110. Encounter.reason.id
                Definition

                unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                Shortxml:id (or equivalent in JSON)
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                112. Encounter.reason.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional Content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Alternate Namesextensions, user content
                SlicingThis element introduces a set of slices on Encounter.reason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 114. Encounter.reason.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                  Control0..*
                  TypeCoding
                  Summarytrue
                  Requirements

                  Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                  116. Encounter.reason.text
                  Definition

                  A deviating result which serves as the reason for the contact.

                  ShortDeviatingResult
                  Comments

                  Very often the text is the same as a displayName of one of the codings.

                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                  Alternate NamesAfwijkendeUitslag
                  118. Encounter.diagnosis
                  Definition

                  The list of diagnosis relevant to this encounter.

                  ShortThe list of diagnosis relevant to this encounter
                  Control0..*
                  TypeBackboneElement
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  120. Encounter.diagnosis.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  122. Encounter.diagnosis.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional Content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Alternate Namesextensions, user content
                  124. Encounter.diagnosis.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  ShortExtensions that cannot be ignored
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Summarytrue
                  Alternate Namesextensions, user content, modifiers
                  126. Encounter.diagnosis.condition
                  Definition

                  The problem that led to the contact or the procedure carried out during the contact.

                  Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                  ShortContactReason
                  Comments

                  For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                  Control1..1
                  TypeReference(HCIM Procedure, HCIM Problem)
                  Alternate NamesAdmission diagnosis, discharge diagnosis, indication, Probleem, Procedure
                  128. Encounter.diagnosis.role
                  Definition

                  Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                  ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                  Control0..1
                  BindingThe codes SHOULD be taken from DiagnosisRole
                  (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2)

                  The type of diagnosis this condition represents

                  TypeCodeableConcept
                  130. Encounter.diagnosis.rank
                  Definition

                  Ranking of the diagnosis (for each role type).

                  ShortRanking of the diagnosis (for each role type)
                  Control0..1
                  TypepositiveInt
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  132. Encounter.account
                  Definition

                  The set of accounts that may be used for billing for this Encounter.

                  ShortThe set of accounts that may be used for billing for this Encounter
                  Comments

                  The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.

                  Control0..*
                  TypeReference(Account)
                  134. Encounter.hospitalization
                  Definition

                  Details about the admission to a healthcare service.

                  ShortDetails about the admission to a healthcare service
                  Comments

                  An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

                  The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.

                  Control0..1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  136. Encounter.hospitalization.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  138. Encounter.hospitalization.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional Content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Alternate Namesextensions, user content
                  140. Encounter.hospitalization.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  ShortExtensions that cannot be ignored
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Summarytrue
                  Alternate Namesextensions, user content, modifiers
                  142. Encounter.hospitalization.preAdmissionIdentifier
                  Definition

                  Pre-admission identifier.

                  ShortPre-admission identifier
                  Control0..1
                  TypeIdentifier
                  144. Encounter.hospitalization.origin
                  Definition

                  The location from which the patient came before admission.

                  ShortThe location from which the patient came before admission
                  Control0..1
                  TypeReference(Location)
                  146. Encounter.hospitalization.admitSource
                  Definition

                  Location from which the patient came before the encounter. In most cases this will only be used when the patient is admitted.

                  ShortOrigin
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from HerkomstCodelijst
                  (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000)

                  HerkomstCodelijst

                  TypeCodeableConcept
                  Alternate NamesHerkomst
                  148. Encounter.hospitalization.reAdmission
                  Definition

                  Whether this hospitalization is a readmission and why if known.

                  ShortThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
                  Control0..1
                  BindingFor example codes, see v2 Re-Admission Indicator
                  (example to http://hl7.org/fhir/ValueSet/v2-0092|2.8.2)

                  The reason for re-admission of this hospitalization encounter.

                  TypeCodeableConcept
                  150. Encounter.hospitalization.dietPreference
                  Definition

                  Diet preferences reported by the patient.

                  ShortDiet preferences reported by the patient
                  Comments

                  For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).

                  Control0..*
                  BindingFor example codes, see Diet
                  (example to http://hl7.org/fhir/ValueSet/encounter-diet|3.0.2)

                  Medical, cultural or ethical food preferences to help with catering requirements.

                  TypeCodeableConcept
                  Requirements

                  Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.

                  152. Encounter.hospitalization.specialCourtesy
                  Definition

                  Special courtesies (VIP, board member).

                  ShortSpecial courtesies (VIP, board member)
                  Control0..*
                  BindingThe codes SHOULD be taken from SpecialCourtesy
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy|3.0.2)

                  Special courtesies

                  TypeCodeableConcept
                  154. Encounter.hospitalization.specialArrangement
                  Definition

                  Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.

                  ShortWheelchair, translator, stretcher, etc.
                  Control0..*
                  BindingThe codes SHOULD be taken from SpecialArrangements
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements|3.0.2)

                  Special arrangements

                  TypeCodeableConcept
                  156. Encounter.hospitalization.destination
                  Definition

                  Location to which the patient is discharged.

                  ShortLocation to which the patient is discharged
                  Control0..1
                  TypeReference(Location)
                  158. Encounter.hospitalization.dischargeDisposition
                  Definition

                  Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.

                  ShortDestination
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from BestemmingCodelijst
                  (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000)

                  BestemmingCodelijst

                  TypeCodeableConcept
                  Alternate NamesBestemming
                  160. Encounter.location
                  Definition

                  List of locations where the patient has been during this encounter.

                  ShortList of locations where the patient has been
                  Comments

                  Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".

                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  162. Encounter.location.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  164. Encounter.location.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional Content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Alternate Namesextensions, user content
                  166. Encounter.location.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  ShortExtensions that cannot be ignored
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Summarytrue
                  Alternate Namesextensions, user content, modifiers
                  168. Encounter.location.location
                  Definition

                  The location where the encounter takes place.

                  ShortLocation the encounter takes place
                  Control1..1
                  TypeReference(Location)
                  170. Encounter.location.status
                  Definition

                  The status of the participants' presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time.

                  Shortplanned | active | reserved | completed
                  Comments

                  When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.

                  Control0..1
                  BindingThe codes SHALL be taken from EncounterLocationStatus
                  (required to http://hl7.org/fhir/ValueSet/encounter-location-status|3.0.2)

                  The status of the location.

                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  172. Encounter.location.period
                  Definition

                  Time period during which the patient was present at the location.

                  ShortTime period during which the patient was present at the location
                  Control0..1
                  TypePeriod
                  174. Encounter.serviceProvider
                  Definition

                  The physical location at which the contact took place.

                  ShortLocation
                  Control0..1
                  TypeReference(nl-core-organization)
                  Alternate NamesLocatie
                  176. Encounter.partOf
                  Definition

                  Another Encounter of which this encounter is a part of (administratively or in time).

                  ShortAnother Encounter this encounter is part of
                  Comments

                  This is also used for associating a child's encounter back to the mother's encounter.

                  Refer to the Notes section in the Patient resource for further details.

                  Control0..1
                  TypeReference(Encounter)