This page is part of the Advance Care Planning (PZP) (v1.0.0-rc1: Release 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

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Resource Profile: Encounter

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. Based on nl-core-Encounter and HCIM Encounter.

Usages:

• Refer to this Profile: AdvanceDirective, Medical Policy Goal, MedicalDevice, Organ donation choice registration in donor register... Show 6 more, Other Important Information, Position Regarding Euthanasia, Preferred Place Of Death, Advance Care Planning Procedure, Specific Care Wishes and TreatmentDirective
• Examples for this Profile: Encounter/F1-ACP-Encounter-01-10-2020, Encounter/P2-ACP-Encounter-07-08-2025 and Encounter/P2-ACP-Encounter-28-07-2024

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url Constraints: ext-1
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: ActEncounterCode (3.0.0) (extensible): Use ConceptMap ContactTypeCodeLijst-to-ActEncounterCode to translate terminology from the functional model to profile terminology in ValueSet ActEncounterCode.
subject	OΣC	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
participant:healthProfessional	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (2020-09-01T00:00:00) (extensible): Role of participant in encounter.
individual	ΣC	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith Constraints: ref-1
participant:contactPerson	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
individual	ΣC	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient Constraints: ref-1
Slices for reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
Slices for reasonReference	ΣC	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() Constraints: ref-1
reasonReference:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
reasonReference:problem	ΣC	0..*	Reference(nl core Problem)	Problem Constraints: ref-1
reasonReference:procedure	OΣC	0..*	Reference(nl core Procedure event)	Procedure Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
location		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000|2020-09-01T00:00:00
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	Encounter.implicitRules, Encounter.modifierExtension, Encounter.status, Encounter.class, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:healthProfessional.type, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson, Encounter.participant:contactPerson.modifierExtension, Encounter.participant:contactPerson.individual, Encounter.reasonCode, Encounter.reasonCode:deviatingResult, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.value[x], Encounter.reasonReference, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.value[x], Encounter.reasonReference.reference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:contactPerson.modifierExtension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason, Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Encounter.subject, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson.individual, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location.location	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NlcoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
class		1..1	Coding	ContactType
subject	O	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
participant		0..*	BackboneElement	List of participants involved in the encounter
Slices for participant				Content/Rules for all slices
participant:healthProfessional	O	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
individual		0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
participant:contactPerson	O	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
individual		0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
period
start	O	0..1	dateTime	StartDateTime Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonCode				Content/Rules for all slices
reasonCode:deviatingResult		0..*	CodeableConcept	Coded reason the encounter takes place
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	ExtComment	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
value[x]		0..1	string	CommentContactReason
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	ExtComment	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
value[x]		0..1	string	CommentContactReason
Slices for reasonReference				Content/Rules for all slices
reasonReference:procedure	O	0..*	Reference(nl core Procedure event)	Procedure Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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 Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url Constraints: ext-1
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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period	C	1..1	Period	The time that the episode was in the specified status Constraints: per-1
class	Σ	1..1	Coding	ContactType Binding: ActEncounterCode (3.0.0) (extensible): Use ConceptMap ContactTypeCodeLijst-to-ActEncounterCode to translate terminology from the functional model to profile terminology in ValueSet ActEncounterCode.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period	C	1..1	Period	The time that the episode was in the specified class Constraints: per-1
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject	OΣC	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
episodeOfCare	ΣC	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against Constraints: ref-1
basedOn	C	0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter Constraints: ref-1
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient Constraints: ref-1
participant:healthProfessional	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (2020-09-01T00:00:00) (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith Constraints: ref-1
participant:contactPerson	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient Constraints: ref-1
appointment	ΣC	0..*	Reference(Appointment)	The appointment that scheduled this encounter Constraints: ref-1
period	C	0..1	Period	The start and end time of the encounter Constraints: per-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	OΣC	0..1	dateTime	StartDateTime Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	ΣC	0..1	dateTime	EndDateTime
length	C	0..1	Duration	Quantity of time the encounter lasted (less time absent) Constraints: qty-3, drt-1
Slices for reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
text	Σ	0..1	string	DeviatingResult
Slices for reasonReference	ΣC	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() Constraints: ref-1
reasonReference:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:problem	ΣC	0..*	Reference(nl core Problem)	Problem Constraints: ref-1
reasonReference:procedure	OΣC	0..*	Reference(nl core Procedure event)	Procedure Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	ΣC	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter Constraints: ref-1
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	C	0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter Constraints: ref-1
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	C	0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission Constraints: ref-1
admitSource		0..1	CodeableConcept	Origin Binding: HerkomstCodelijst (2020-09-01T00:00:00) (extensible): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: Hl7VSReAdmissionIndicator (2.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination	C	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged Constraints: ref-1
dischargeDisposition		0..1	CodeableConcept	Destination Binding: BestemmingCodelijst (2020-09-01T00:00:00) (extensible): Discharge Disposition.
location		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location Constraints: ref-1
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period	C	0..1	Period	Time period during which the patient was present at the location Constraints: per-1
serviceProvider	C	0..1	Reference(Organization)	The organization (facility) responsible for this encounter Constraints: ref-1
partOf	C	0..1	Reference(Encounter)	Another Encounter this encounter is part of Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type|4.0.1 From the FHIR Standard
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1 From the FHIR Standard
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000|2020-09-01T00:00:00
Encounter.participant:contactPerson.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1 From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1 From the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000|2020-09-01T00:00:00
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092|2.0.0
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1 From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1 From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1 From the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000|2020-09-01T00:00:00
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
drt-1	error	Encounter.length	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.exists())
ele-1	error	Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:healthProfessional, Encounter.participant:healthProfessional.extension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:healthProfessional.type, Encounter.participant:healthProfessional.period, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson, Encounter.participant:contactPerson.extension, Encounter.participant:contactPerson.modifierExtension, Encounter.participant:contactPerson.type, Encounter.participant:contactPerson.period, Encounter.participant:contactPerson.individual, Encounter.appointment, Encounter.period, Encounter.period.extension, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.reasonCode:deviatingResult, Encounter.reasonCode:deviatingResult.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason.value[x], Encounter.reasonCode:deviatingResult.text, Encounter.reasonReference, Encounter.reasonReference.extension, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.extension, Encounter.reasonReference.extension:commentContactReason.value[x], Encounter.reasonReference.reference, Encounter.reasonReference.type, Encounter.reasonReference.identifier, Encounter.reasonReference.display, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Encounter.extension, Encounter.modifierExtension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional.extension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:contactPerson.extension, Encounter.participant:contactPerson.modifierExtension, Encounter.period.extension, Encounter.reasonCode:deviatingResult.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.extension, Encounter.reasonReference.extension, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.extension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Encounter.statusHistory.period, Encounter.classHistory.period, Encounter.participant.period, Encounter.participant:healthProfessional.period, Encounter.participant:contactPerson.period, Encounter.period, Encounter.location.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	Encounter.length	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant.individual, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson.individual, Encounter.appointment, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis.condition, Encounter.account, Encounter.hospitalization.origin, Encounter.hospitalization.destination, Encounter.location.location, Encounter.serviceProvider, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NlcoreEncounter

Summary

Structures

This structure refers to these other structures:

• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)
• HealthProfessional PractitionerRole (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1)
• ContactPerson (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-ContactPerson|1.0.0-rc1)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url Constraints: ext-1
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: ActEncounterCode (3.0.0) (extensible): Use ConceptMap ContactTypeCodeLijst-to-ActEncounterCode to translate terminology from the functional model to profile terminology in ValueSet ActEncounterCode.
subject	OΣC	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
participant:healthProfessional	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (2020-09-01T00:00:00) (extensible): Role of participant in encounter.
individual	ΣC	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith Constraints: ref-1
participant:contactPerson	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
individual	ΣC	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient Constraints: ref-1
Slices for reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
Slices for reasonReference	ΣC	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() Constraints: ref-1
reasonReference:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
reasonReference:problem	ΣC	0..*	Reference(nl core Problem)	Problem Constraints: ref-1
reasonReference:procedure	OΣC	0..*	Reference(nl core Procedure event)	Procedure Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
location		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000|2020-09-01T00:00:00
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	Encounter.implicitRules, Encounter.modifierExtension, Encounter.status, Encounter.class, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:healthProfessional.type, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson, Encounter.participant:contactPerson.modifierExtension, Encounter.participant:contactPerson.individual, Encounter.reasonCode, Encounter.reasonCode:deviatingResult, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.value[x], Encounter.reasonReference, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.value[x], Encounter.reasonReference.reference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:contactPerson.modifierExtension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason, Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Encounter.subject, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson.individual, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location.location	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from NlcoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
class		1..1	Coding	ContactType
subject	O	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
participant		0..*	BackboneElement	List of participants involved in the encounter
Slices for participant				Content/Rules for all slices
participant:healthProfessional	O	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
individual		0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
participant:contactPerson	O	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
individual		0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
period
start	O	0..1	dateTime	StartDateTime Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonCode				Content/Rules for all slices
reasonCode:deviatingResult		0..*	CodeableConcept	Coded reason the encounter takes place
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	ExtComment	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
value[x]		0..1	string	CommentContactReason
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Slices for extension				Content/Rules for all slices
extension:commentContactReason	O	0..1	ExtComment	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
value[x]		0..1	string	CommentContactReason
Slices for reasonReference				Content/Rules for all slices
reasonReference:procedure	O	0..*	Reference(nl core Procedure event)	Procedure Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	NlcoreEncounter	Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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 Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url Constraints: ext-1
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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period	C	1..1	Period	The time that the episode was in the specified status Constraints: per-1
class	Σ	1..1	Coding	ContactType Binding: ActEncounterCode (3.0.0) (extensible): Use ConceptMap ContactTypeCodeLijst-to-ActEncounterCode to translate terminology from the functional model to profile terminology in ValueSet ActEncounterCode.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period	C	1..1	Period	The time that the episode was in the specified class Constraints: per-1
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject	OΣC	0..1	Reference(Patient(1.0.0-rc1))	The patient or group present at the encounter Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
episodeOfCare	ΣC	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against Constraints: ref-1
basedOn	C	0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter Constraints: ref-1
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient Constraints: ref-1
participant:healthProfessional	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (2020-09-01T00:00:00) (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith Constraints: ref-1
participant:contactPerson	OΣ	0..*	BackboneElement	List of participants involved in the encounter Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated Constraints: per-1
individual	ΣC	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient Constraints: ref-1
appointment	ΣC	0..*	Reference(Appointment)	The appointment that scheduled this encounter Constraints: ref-1
period	C	0..1	Period	The start and end time of the encounter Constraints: per-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	OΣC	0..1	dateTime	StartDateTime Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	ΣC	0..1	dateTime	EndDateTime
length	C	0..1	Duration	Quantity of time the encounter lasted (less time absent) Constraints: qty-3, drt-1
Slices for reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
text	Σ	0..1	string	DeviatingResult
Slices for reasonReference	ΣC	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() Constraints: ref-1
reasonReference:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:commentContactReason	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x]		0..1	string	CommentContactReason
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:problem	ΣC	0..*	Reference(nl core Problem)	Problem Constraints: ref-1
reasonReference:procedure	OΣC	0..*	Reference(nl core Procedure event)	Procedure Constraints: ref-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	ΣC	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter Constraints: ref-1
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	C	0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter Constraints: ref-1
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	C	0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission Constraints: ref-1
admitSource		0..1	CodeableConcept	Origin Binding: HerkomstCodelijst (2020-09-01T00:00:00) (extensible): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: Hl7VSReAdmissionIndicator (2.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination	C	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged Constraints: ref-1
dischargeDisposition		0..1	CodeableConcept	Destination Binding: BestemmingCodelijst (2020-09-01T00:00:00) (extensible): Discharge Disposition.
location		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location Constraints: ref-1
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period	C	0..1	Period	Time period during which the patient was present at the location Constraints: per-1
serviceProvider	C	0..1	Reference(Organization)	The organization (facility) responsible for this encounter Constraints: ref-1
partOf	C	0..1	Reference(Encounter)	Another Encounter this encounter is part of Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type|4.0.1 From the FHIR Standard
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1 From the FHIR Standard
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000|2020-09-01T00:00:00
Encounter.participant:contactPerson.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1 From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1 From the FHIR Standard
Encounter.reasonReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1 From the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000|2020-09-01T00:00:00
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092|2.0.0
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1 From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1 From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1 From the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000|2020-09-01T00:00:00
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
drt-1	error	Encounter.length	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.exists())
ele-1	error	Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:healthProfessional, Encounter.participant:healthProfessional.extension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:healthProfessional.type, Encounter.participant:healthProfessional.period, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson, Encounter.participant:contactPerson.extension, Encounter.participant:contactPerson.modifierExtension, Encounter.participant:contactPerson.type, Encounter.participant:contactPerson.period, Encounter.participant:contactPerson.individual, Encounter.appointment, Encounter.period, Encounter.period.extension, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.reasonCode:deviatingResult, Encounter.reasonCode:deviatingResult.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason.value[x], Encounter.reasonCode:deviatingResult.text, Encounter.reasonReference, Encounter.reasonReference.extension, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.extension, Encounter.reasonReference.extension:commentContactReason.value[x], Encounter.reasonReference.reference, Encounter.reasonReference.type, Encounter.reasonReference.identifier, Encounter.reasonReference.display, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Encounter.extension, Encounter.modifierExtension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:healthProfessional.extension, Encounter.participant:healthProfessional.modifierExtension, Encounter.participant:contactPerson.extension, Encounter.participant:contactPerson.modifierExtension, Encounter.period.extension, Encounter.reasonCode:deviatingResult.extension, Encounter.reasonCode:deviatingResult.extension:commentContactReason, Encounter.reasonCode:deviatingResult.extension:commentContactReason.extension, Encounter.reasonReference.extension, Encounter.reasonReference.extension:commentContactReason, Encounter.reasonReference.extension:commentContactReason.extension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Encounter.statusHistory.period, Encounter.classHistory.period, Encounter.participant.period, Encounter.participant:healthProfessional.period, Encounter.participant:contactPerson.period, Encounter.period, Encounter.location.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	Encounter.length	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant.individual, Encounter.participant:healthProfessional.individual, Encounter.participant:contactPerson.individual, Encounter.appointment, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis.condition, Encounter.account, Encounter.hospitalization.origin, Encounter.hospitalization.destination, Encounter.location.location, Encounter.serviceProvider, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NlcoreEncounter

Summary

Structures

This structure refers to these other structures:

• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)
• HealthProfessional PractitionerRole (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1)
• ContactPerson (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-ContactPerson|1.0.0-rc1)