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

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Resource Profile: HCIM Encounter

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.

Usages:

• Derived from this Profile: gp-Encounter
• Refer to this Profile: gp-EncounterReport, nl-core-careplan, nl-core-careteam, nl-core-observation... Show 12 more, HCIM AdministrationAgreement, HCIM Alert, HCIM Dispense, HCIM DispenseRequest, HCIM HelpFromOthers, HCIM LaboratoryTestResult DiagnosticReport, HCIM MedicalDevice Request, HCIM MedicationAgreement, HCIM NutritionAdvice, HCIM Problem, HCIM ProcedureRequest and HCIM Vaccination

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	Encounter
identifier		0..*	Identifier	Identifier(s) by which this encounter is known
class		1..1	Coding	ContactType Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst
subject		1..1	Reference(nl-core-patient)	The patient ro group present at the encounter
episodeOfCare		0..*	Reference(nl-core-episodeofcare)	Episode(s) of care that this encounter should be recorded against
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:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
individual		0..1	Reference(nl-core-relatedperson | nl-core-practitioner)	ContactWith
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ContactTypeCodelijst 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:healthProfessionalRole	required	ZorgverlenerRolCodelijst 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.admitSource	extensible	HerkomstCodelijst 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.dischargeDisposition	extensible	BestemmingCodelijst 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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter
class	Σ	1..1	Coding	ContactType Binding: 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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.class	extensible	ContactTypeCodelijst 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.reason	preferred	Encounter Reason Codes http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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: ContactTypeCodelijst (extensible): ContactTypeCodelijst
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|2014-03-26 (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|2016-11-11 (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:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.class	extensible	ContactTypeCodelijst 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.class	extensible	ActEncounterCode http://hl7.org/fhir/ValueSet/v3-ActEncounterCode|2014-03-26 From the FHIR Standard
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type|3.0.2 From the FHIR Standard
Encounter.priority	example	v3 Code System ActPriority http://hl7.org/fhir/ValueSet/v3-ActPriority|2016-11-11 From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|3.0.2 From the FHIR Standard
Encounter.participant.type.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst 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.reason	preferred	Encounter Reason Codes http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2 From the FHIR Standard
Encounter.diagnosis.role	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2 From the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000 From this IG
Encounter.hospitalization.reAdmission	example	v2 Re-Admission Indicator http://hl7.org/fhir/ValueSet/v2-0092|2.8.2 From the FHIR Standard
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet|3.0.2 From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy|3.0.2 From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements|3.0.2 From the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000 From this IG
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Encounter

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM Procedure (http://nictiz.nl/fhir/StructureDefinition/zib-Procedure)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant.type.coding

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	Encounter
identifier		0..*	Identifier	Identifier(s) by which this encounter is known
class		1..1	Coding	ContactType Binding: ContactTypeCodelijst (extensible): ContactTypeCodelijst
subject		1..1	Reference(nl-core-patient)	The patient ro group present at the encounter
episodeOfCare		0..*	Reference(nl-core-episodeofcare)	Episode(s) of care that this encounter should be recorded against
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:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
individual		0..1	Reference(nl-core-relatedperson | nl-core-practitioner)	ContactWith
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension: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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ContactTypeCodelijst 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:healthProfessionalRole	required	ZorgverlenerRolCodelijst 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.admitSource	extensible	HerkomstCodelijst 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.dischargeDisposition	extensible	BestemmingCodelijst 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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter
class	Σ	1..1	Coding	ContactType Binding: 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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.class	extensible	ContactTypeCodelijst 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.reason	preferred	Encounter Reason Codes http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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: ContactTypeCodelijst (extensible): ContactTypeCodelijst
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|2014-03-26 (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|2016-11-11 (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:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|3.0.2 From the FHIR Standard
Encounter.class	extensible	ContactTypeCodelijst 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.class	extensible	ActEncounterCode http://hl7.org/fhir/ValueSet/v3-ActEncounterCode|2014-03-26 From the FHIR Standard
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type|3.0.2 From the FHIR Standard
Encounter.priority	example	v3 Code System ActPriority http://hl7.org/fhir/ValueSet/v3-ActPriority|2016-11-11 From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|3.0.2 From the FHIR Standard
Encounter.participant.type.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst 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.reason	preferred	Encounter Reason Codes http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2 From the FHIR Standard
Encounter.diagnosis.role	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2 From the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000 From this IG
Encounter.hospitalization.reAdmission	example	v2 Re-Admission Indicator http://hl7.org/fhir/ValueSet/v2-0092|2.8.2 From the FHIR Standard
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet|3.0.2 From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy|3.0.2 From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements|3.0.2 From the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000 From this IG
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Encounter

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM Procedure (http://nictiz.nl/fhir/StructureDefinition/zib-Procedure)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant.type.coding

Other representations of profile: CSV, Excel, Schematron