Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

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
• All

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 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	OΣ	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
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	Σ	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
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	Σ	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
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	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
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
reasonReference:problem	Σ	0..*	Reference(nl core Problem)	Problem
reasonReference:procedure	OΣ	0..*	Reference(nl core Procedure event)	Procedure 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		1..1	Reference(Location | nl core HealthcareProvider)	Location
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.participant:healthProfessional.​type	Base	extensible	ZorgverlenerRolCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonCode:deviatingResult	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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: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()

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 Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored 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 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		1..1	Period	The time that the episode was in the specified status
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 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		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.
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	OΣ	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
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the 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
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		0..1	Duration	Quantity of time the encounter lasted (less time absent)
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	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
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	Σ	0..*	Reference(nl core Problem)	Problem
reasonReference:procedure	OΣ	0..*	Reference(nl core Procedure event)	Procedure 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
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		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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
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		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(Location | nl core HealthcareProvider)	Location
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		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v6.5
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:healthProfessional.​type	Base	extensible	ZorgverlenerRolCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.participant:contactPerson.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonCode:deviatingResult	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	HerkomstCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📍2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	extensible	BestemmingCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.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()

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 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	OΣ	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
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	Σ	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
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	Σ	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
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	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
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
reasonReference:problem	Σ	0..*	Reference(nl core Problem)	Problem
reasonReference:procedure	OΣ	0..*	Reference(nl core Procedure event)	Procedure 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		1..1	Reference(Location | nl core HealthcareProvider)	Location
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.participant:healthProfessional.​type	Base	extensible	ZorgverlenerRolCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonCode:deviatingResult	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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: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()

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 Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored 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 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		1..1	Period	The time that the episode was in the specified status
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 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		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.
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	OΣ	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
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	ContactWith
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 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		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(ContactPerson(1.0.0-rc1))	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the 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
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		0..1	Duration	Quantity of time the encounter lasted (less time absent)
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	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
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	Σ	0..*	Reference(nl core Problem)	Problem
reasonReference:procedure	OΣ	0..*	Reference(nl core Procedure event)	Procedure 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
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		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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
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		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(Location | nl core HealthcareProvider)	Location
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		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📍3.0.0	THO v6.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v6.5
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:healthProfessional.​type	Base	extensible	ZorgverlenerRolCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.participant:contactPerson.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonCode:deviatingResult	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.reasonReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	HerkomstCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📍2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	extensible	BestemmingCodelijst	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.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()

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)

Other representations of profile: CSV, Excel, Schematron