RIVO-Noord Zorgviewer Implementation Guide
1.15.0 - sprint58 Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.15.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Encounter

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/Encounter Version: 1.15.0
Draft as of 2025-05-12 Computable Name: Encounter

Contact

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Contact

View Definition

ViewDefinition voor Encounter

UI Wireframe

Contacten

>< Bron Begin Eind Met Rol Locatie Status Type
+ Chipsoft 14-8-2012 15-8-2012 J.H.R Peters Onbekende functiecode. finished inpatient
+ Epic 27-3-2025 27-3-2025 E. Sieders, Chirurg UMCG HC unknown Inpatient Encounter
+ Nexus 16-8-2012 19-8-2012 Wit Orthopedie finished Klinisch

Kolom Definities

Kolom label FHIR Path FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Begin period.start dateTime BeginDatumTijd
Eind period.end dateTime EindDatumTijd
Met participant.individual.display string ContactMet::Zorgverlener
Rol participant.individual.extension('http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference').valueReference.display string nvt
Locatie location.location.display string Locatie::Zorgaanbieder
Status status code nvt
Type class.display code ContactType

Request

  1. Opvragen (search) contacten inclusief ziekenhuis opnames

    GET <ontsluiten-bronsysteem-base>/Encounter?class=http://hl7.org/fhir/v3/ActCode|IMP,http://hl7.org/fhir/v3/ActCode|ACUTE,http://hl7.org/fhir/v3/ActCode|NONAC

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usage:

  • CapabilityStatements using this Resource Profile: Ontsluiten Bronsysteem
  • This Resource Profile is not used by any profiles in this Implementation Guide

Changes since version 1.14.0:

  • New Content
  • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Zib Encounter(2.1.6) Encounter
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Binding: EncounterStatus (required): Current state of the encounter

    ... subject Σ 1..1 Reference(nl-core-patient(2.2.4)) The patient ro group present at the encounter

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status
    from the FHIR Standard
    Encounter.classextensibleContactTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000

    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()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Zib Encounter(2.1.6) 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
    All Languages 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: 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 (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(2.2.4)) The patient ro group present at the encounter
    ... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare(1.1.4)) 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(2.0.5) | nl-core-practitioner(2.0.7)) 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(2.0.7)) 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(2.1.10) | HCIM Problem(3.0.6)) 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(2.0.6)) Location
    ... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.languageextensibleCommon Languages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    All Languages Max Binding
    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.classextensibleContactTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
    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:healthProfessionalRolerequiredZorgverlenerRolCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
    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
    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
    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())

    This structure is derived from Zib Encounter

    Summary

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Zib Encounter(2.1.6) Encounter
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Binding: EncounterStatus (required): Current state of the encounter

    ... subject Σ 1..1 Reference(nl-core-patient(2.2.4)) The patient ro group present at the encounter

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status
    from the FHIR Standard
    Encounter.classextensibleContactTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000

    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()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Zib Encounter(2.1.6) 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
    All Languages 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: 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 (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(2.2.4)) The patient ro group present at the encounter
    ... episodeOfCare Σ 0..* Reference(nl-core-episodeofcare(1.1.4)) 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(2.0.5) | nl-core-practitioner(2.0.7)) 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(2.0.7)) 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(2.1.10) | HCIM Problem(3.0.6)) 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(2.0.6)) Location
    ... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.languageextensibleCommon Languages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    All Languages Max Binding
    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.classextensibleContactTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000
    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:healthProfessionalRolerequiredZorgverlenerRolCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
    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
    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
    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())

    This structure is derived from Zib Encounter

    Summary

     

    Other representations of profile: CSV, Excel, Schematron