Advance Care Planning (PZP)
1.0.0-rc1 - trial-use

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

## Resource Profile: Encounter

Official URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter | Version: 1.0.0-rc1
Draft as of 2025-10-31 | Computable Name: ACPEncounter
Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.

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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ C | 0..1 | dateTime | StartDateTime
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
end | Σ C | 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 | Σ C | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ | 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 | O Σ C | 0..1 | dateTime | StartDateTime
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
end | Σ C | 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 | Σ C | 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 | O Σ | 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