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: HCIM Encounter

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-Encounter Version: 1.3.15
Active as of 2024-04-09 Computable Name: Zib Encounter

Copyright/Legal: CC0

Contact as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1.

A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions.

Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes past contacts. Future contacts can be documented in the PlannedCareActivity information model.

Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare professional and in which context these took place.

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter Encounter
... identifier 0..* Identifier Identifier(s) by which this encounter is known
... class 1..1 Coding ContactType
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

... subject 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... participant 0..* BackboneElement List of participants involved in the encounter
.... type
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:healthProfessionalRole 0..* Coding HealthProfessionalRole
Binding: ZorgverlenerRolCodelijst (extensible)
.... individual 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... period 0..1 Period The start and end time of the encounter
.... start 1..1 dateTime StartDateTime
.... end 0..1 dateTime EndDateTime
... reason 0..* CodeableConcept DeviatingResult
.... text 0..1 string DeviatingResult
... diagnosis
.... condition 1..1 Reference(HCIM Procedure | HCIM Problem) ContactReason
... hospitalization
.... admitSource 0..1 CodeableConcept Origin
Binding: HerkomstCodelijst (extensible): HerkomstCodelijst

.... dischargeDisposition 0..1 CodeableConcept Destination
Binding: BestemmingCodelijst (extensible): BestemmingCodelijst

... serviceProvider 0..1 Reference(nl-core-organization) Location

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.class.extension:ContactTypeCodelist.valueCodeableConcept:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.participant.type.coding:healthProfessionalRoleextensibleZorgverlenerRolCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
from this IG
Encounter.hospitalization.admitSourceextensibleHerkomstCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000
from this IG
Encounter.hospitalization.dischargeDispositionextensibleBestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter Encounter
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... class Σ 1..1 Coding ContactType
Binding: ActEncounterCode (extensible): Classification of the encounter

.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

... subject Σ 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare) Episode(s) of care that this encounter should be recorded against
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... individual Σ 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... period 0..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime StartDateTime
.... end ΣC 0..1 dateTime EndDateTime
... reason Σ 0..* CodeableConcept DeviatingResult
Binding: Encounter Reason Codes (preferred): Reason why the encounter takes place.


.... text Σ 0..1 string DeviatingResult
... serviceProvider 0..1 Reference(nl-core-organization) Location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.class.extension:ContactTypeCodelist.value[x]:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.reasonpreferredEncounter Reason Codes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorEncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter 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: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding ContactType
Binding: ActEncounterCode (extensible): Classification of the encounter

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

.... system Σ 0..1 uri Identity of the terminology system
.... version Σ 0..1 string Version of the system - if relevant
.... code Σ 0..1 code Symbol in syntax defined by the system
.... display Σ 0..1 string Representation defined by the system
.... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter


... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject Σ 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare) Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..* Reference(ReferralRequest) The ReferralRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter


..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:healthProfessionalRole Σ 0..* Coding HealthProfessionalRole
Binding: ZorgverlenerRolCodelijst (extensible)
..... text Σ 0..1 string Plain text representation of the concept
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... appointment Σ 0..1 Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime StartDateTime
.... end ΣC 0..1 dateTime EndDateTime
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reason Σ 0..* CodeableConcept DeviatingResult
Binding: Encounter Reason Codes (preferred): Reason why the encounter takes place.


.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string DeviatingResult
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... condition 1..1 Reference(HCIM Procedure | HCIM Problem) ContactReason
.... role 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location) The location from which the patient came before admission
.... admitSource 0..1 CodeableConcept Origin
Binding: HerkomstCodelijst (extensible): HerkomstCodelijst

.... 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: v2 Re-Admission Indicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements


.... destination 0..1 Reference(Location) Location to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Destination
Binding: BestemmingCodelijst (extensible): BestemmingCodelijst

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(nl-core-organization) Location
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.class.extension:ContactTypeCodelist.value[x]:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.priorityexamplev3 Code System ActPriority
http://hl7.org/fhir/ValueSet/v3-ActPriority
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant.type.coding:healthProfessionalRoleextensibleZorgverlenerRolCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
from this IG
Encounter.reasonpreferredEncounter Reason Codes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourceextensibleHerkomstCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000
from this IG
Encounter.hospitalization.reAdmissionexamplev2 Re-Admission Indicator
http://hl7.org/fhir/ValueSet/v2-0092
from the FHIR Standard
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionextensibleBestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000
from this IG
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorEncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter Encounter
... identifier 0..* Identifier Identifier(s) by which this encounter is known
... class 1..1 Coding ContactType
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

... subject 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... participant 0..* BackboneElement List of participants involved in the encounter
.... type
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:healthProfessionalRole 0..* Coding HealthProfessionalRole
Binding: ZorgverlenerRolCodelijst (extensible)
.... individual 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... period 0..1 Period The start and end time of the encounter
.... start 1..1 dateTime StartDateTime
.... end 0..1 dateTime EndDateTime
... reason 0..* CodeableConcept DeviatingResult
.... text 0..1 string DeviatingResult
... diagnosis
.... condition 1..1 Reference(HCIM Procedure | HCIM Problem) ContactReason
... hospitalization
.... admitSource 0..1 CodeableConcept Origin
Binding: HerkomstCodelijst (extensible): HerkomstCodelijst

.... dischargeDisposition 0..1 CodeableConcept Destination
Binding: BestemmingCodelijst (extensible): BestemmingCodelijst

... serviceProvider 0..1 Reference(nl-core-organization) Location

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.class.extension:ContactTypeCodelist.valueCodeableConcept:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.participant.type.coding:healthProfessionalRoleextensibleZorgverlenerRolCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
from this IG
Encounter.hospitalization.admitSourceextensibleHerkomstCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000
from this IG
Encounter.hospitalization.dischargeDispositionextensibleBestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter Encounter
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... class Σ 1..1 Coding ContactType
Binding: ActEncounterCode (extensible): Classification of the encounter

.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

... subject Σ 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare) Episode(s) of care that this encounter should be recorded against
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... individual Σ 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... period 0..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime StartDateTime
.... end ΣC 0..1 dateTime EndDateTime
... reason Σ 0..* CodeableConcept DeviatingResult
Binding: Encounter Reason Codes (preferred): Reason why the encounter takes place.


.... text Σ 0..1 string DeviatingResult
... serviceProvider 0..1 Reference(nl-core-organization) Location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.class.extension:ContactTypeCodelist.value[x]:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.reasonpreferredEncounter Reason Codes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorEncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter 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: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding ContactType
Binding: ActEncounterCode (extensible): Classification of the encounter

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ContactTypeCodelist 0..* (Complex) Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet
URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst

.... system Σ 0..1 uri Identity of the terminology system
.... version Σ 0..1 string Version of the system - if relevant
.... code Σ 0..1 code Symbol in syntax defined by the system
.... display Σ 0..1 string Representation defined by the system
.... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter


... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject Σ 1..1 Reference(nl-core-patient) The patient ro group present at the encounter
... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare) Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..* Reference(ReferralRequest) The ReferralRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter


..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:healthProfessionalRole Σ 0..* Coding HealthProfessionalRole
Binding: ZorgverlenerRolCodelijst (extensible)
..... text Σ 0..1 string Plain text representation of the concept
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(nl-core-relatedperson | nl-core-practitioner) ContactWith
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... appointment Σ 0..1 Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime StartDateTime
.... end ΣC 0..1 dateTime EndDateTime
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reason Σ 0..* CodeableConcept DeviatingResult
Binding: Encounter Reason Codes (preferred): Reason why the encounter takes place.


.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string DeviatingResult
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... condition 1..1 Reference(HCIM Procedure | HCIM Problem) ContactReason
.... role 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location) The location from which the patient came before admission
.... admitSource 0..1 CodeableConcept Origin
Binding: HerkomstCodelijst (extensible): HerkomstCodelijst

.... 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: v2 Re-Admission Indicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements


.... destination 0..1 Reference(Location) Location to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Destination
Binding: BestemmingCodelijst (extensible): BestemmingCodelijst

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(nl-core-organization) Location
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.class.extension:ContactTypeCodelist.value[x]:valueCodeableConceptextensibleContactTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://hl7.org/fhir/ValueSet/v3-ActEncounterCode
from the FHIR Standard
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.priorityexamplev3 Code System ActPriority
http://hl7.org/fhir/ValueSet/v3-ActPriority
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant.type.coding:healthProfessionalRoleextensibleZorgverlenerRolCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
from this IG
Encounter.reasonpreferredEncounter Reason Codes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourceextensibleHerkomstCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000
from this IG
Encounter.hospitalization.reAdmissionexamplev2 Re-Admission Indicator
http://hl7.org/fhir/ValueSet/v2-0092
from the FHIR Standard
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionextensibleBestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000
from this IG
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorEncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())

 

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