Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 Belgium flag

Patient Monitoring Outcome FHIR Implementation Guide, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-monitoring/ and changes regularly. See the Directory of published versions

Logical Model: Home Hospitalization Encounter Logical Model - Detailed Descriptions

Draft as of 2026-11-05

Definitions for the homehosp-encounter-lm logical model

See the documentation on how to interpret the contents of this table

0. HomeHospEncounter
Definition

Logical model representing the FHIR Encounter resource as used in the OPAT and ONCO home hospitalization caresets. The Encounter serves two purposes: (1) recording whether the home visit took place and whether the patient was home, and (2) communicating the status of each ordered care activity back to the hospital. Only orders given by the hospital should be communicated back via this Encounter; other nursing activities are excluded.

ShortHome Hospitalization Encounter Logical Model
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HomeHospEncounter.status
Definition

Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error

ShortStatus of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. HomeHospEncounter.class
Definition

Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode

ShortClassification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. HomeHospEncounter.period
Definition

The start (and optionally end) time of the encounter

ShortThe start (and optionally end) time of the encounter
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. HomeHospEncounter.period.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
10. HomeHospEncounter.period.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.period.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
12. HomeHospEncounter.period.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. HomeHospEncounter.period.start
Definition

Start date/time of the home visit

ShortStart date/time of the home visit
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. HomeHospEncounter.period.end
Definition

End date/time of the home visit

ShortEnd date/time of the home visit
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. HomeHospEncounter.participant
Definition

The home nurse performing the visit

ShortThe home nurse performing the visit
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. HomeHospEncounter.participant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. HomeHospEncounter.participant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.participant.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
24. HomeHospEncounter.participant.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. HomeHospEncounter.participant.type
Definition

Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType

ShortParticipant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. HomeHospEncounter.participant.individual
Definition

Reference or display name and RIZIV number of the performing home nurse

ShortReference or display name and RIZIV number of the performing home nurse
Control1..1
TypeReference(BePractitioner)
30. HomeHospEncounter.reasonCode
Definition

The ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.

ShortThe ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. HomeHospEncounter.reasonCode.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
34. HomeHospEncounter.reasonCode.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.reasonCode.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
36. HomeHospEncounter.reasonCode.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. HomeHospEncounter.reasonCode.primaryProcedure
Definition

Primary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection

ShortPrimary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. HomeHospEncounter.reasonCode.administrationSubtype
Definition

Subtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration

ShortSubtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. HomeHospEncounter.reasonCode.statusText
Definition

Free-text status note for this care activity (e.g. why it was not performed)

ShortFree-text status note for this care activity (e.g. why it was not performed)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. HomeHospEncounter.reasonCode.completed
Definition

Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)

ShortWas this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. HomeHospEncounter.serviceProvider
Definition

Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)

ShortReference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)
Control0..1
TypeReference(BeOrganization)
48. HomeHospEncounter.reasonReference
Definition

Reference(s) to the QuestionnaireResponse(s) associated with this encounter

ShortReference(s) to the QuestionnaireResponse(s) associated with this encounter
Control0..*
TypeReference(Home Hospitalization QuestionnaireResponse Logical Model)

See the documentation on how to interpret the contents of this table

0. HomeHospEncounter
Definition

Logical model representing the FHIR Encounter resource as used in the OPAT and ONCO home hospitalization caresets. The Encounter serves two purposes: (1) recording whether the home visit took place and whether the patient was home, and (2) communicating the status of each ordered care activity back to the hospital. Only orders given by the hospital should be communicated back via this Encounter; other nursing activities are excluded.

ShortHome Hospitalization Encounter Logical Model
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HomeHospEncounter.status
Definition

Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error

ShortStatus of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. HomeHospEncounter.class
Definition

Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode

ShortClassification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. HomeHospEncounter.period
Definition

The start (and optionally end) time of the encounter

ShortThe start (and optionally end) time of the encounter
Control1..1
TypeBackboneElement
8. HomeHospEncounter.period.start
Definition

Start date/time of the home visit

ShortStart date/time of the home visit
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. HomeHospEncounter.period.end
Definition

End date/time of the home visit

ShortEnd date/time of the home visit
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. HomeHospEncounter.participant
Definition

The home nurse performing the visit

ShortThe home nurse performing the visit
Control1..*
TypeBackboneElement
14. HomeHospEncounter.participant.type
Definition

Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType

ShortParticipant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. HomeHospEncounter.participant.individual
Definition

Reference or display name and RIZIV number of the performing home nurse

ShortReference or display name and RIZIV number of the performing home nurse
Control1..1
TypeReference(BePractitioner)
18. HomeHospEncounter.reasonCode
Definition

The ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.

ShortThe ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.
Control1..*
TypeBackboneElement
20. HomeHospEncounter.reasonCode.primaryProcedure
Definition

Primary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection

ShortPrimary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. HomeHospEncounter.reasonCode.administrationSubtype
Definition

Subtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration

ShortSubtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. HomeHospEncounter.reasonCode.statusText
Definition

Free-text status note for this care activity (e.g. why it was not performed)

ShortFree-text status note for this care activity (e.g. why it was not performed)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. HomeHospEncounter.reasonCode.completed
Definition

Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)

ShortWas this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. HomeHospEncounter.serviceProvider
Definition

Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)

ShortReference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)
Control0..1
TypeReference(BeOrganization)
30. HomeHospEncounter.reasonReference
Definition

Reference(s) to the QuestionnaireResponse(s) associated with this encounter

ShortReference(s) to the QuestionnaireResponse(s) associated with this encounter
Control0..*
TypeReference(Home Hospitalization QuestionnaireResponse Logical Model)

See the documentation on how to interpret the contents of this table

0. HomeHospEncounter
Definition

Logical model representing the FHIR Encounter resource as used in the OPAT and ONCO home hospitalization caresets. The Encounter serves two purposes: (1) recording whether the home visit took place and whether the patient was home, and (2) communicating the status of each ordered care activity back to the hospital. Only orders given by the hospital should be communicated back via this Encounter; other nursing activities are excluded.

ShortHome Hospitalization Encounter Logical Model
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HomeHospEncounter.status
Definition

Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error

ShortStatus of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. HomeHospEncounter.class
Definition

Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode

ShortClassification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. HomeHospEncounter.period
Definition

The start (and optionally end) time of the encounter

ShortThe start (and optionally end) time of the encounter
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. HomeHospEncounter.period.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
10. HomeHospEncounter.period.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.period.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
12. HomeHospEncounter.period.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. HomeHospEncounter.period.start
Definition

Start date/time of the home visit

ShortStart date/time of the home visit
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. HomeHospEncounter.period.end
Definition

End date/time of the home visit

ShortEnd date/time of the home visit
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. HomeHospEncounter.participant
Definition

The home nurse performing the visit

ShortThe home nurse performing the visit
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. HomeHospEncounter.participant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. HomeHospEncounter.participant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.participant.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
24. HomeHospEncounter.participant.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. HomeHospEncounter.participant.type
Definition

Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType

ShortParticipant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. HomeHospEncounter.participant.individual
Definition

Reference or display name and RIZIV number of the performing home nurse

ShortReference or display name and RIZIV number of the performing home nurse
Control1..1
TypeReference(BePractitioner)
30. HomeHospEncounter.reasonCode
Definition

The ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.

ShortThe ordered care activities being reported on. One reasonCode entry per ordered activity (e.g. medication administration + catheter care). Only orders from the hospital should be included.
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. HomeHospEncounter.reasonCode.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
34. HomeHospEncounter.reasonCode.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HomeHospEncounter.reasonCode.extension. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
36. HomeHospEncounter.reasonCode.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. HomeHospEncounter.reasonCode.primaryProcedure
Definition

Primary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection

ShortPrimary SNOMED code for the ordered care activity | Possible values: 18629005 Administration of drug or medicament | 18949003 Change of dressing | 705995006 Replace needleless connector | 448439004 Replace statlock | 302358004 Replace gripper needle | 233553003 Remove gripper needle | 103715008 Remove catheter | 82078001 Blood sample collection
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. HomeHospEncounter.reasonCode.administrationSubtype
Definition

Subtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration

ShortSubtype for drug administration (use when primaryProcedure = 18629005) | Possible values: 14152002 Intravenous infusion | 386358000 IV administration | 76601001 Intramuscular injection | 276844002 Subcutaneous injection | 243132000 Inhaled administration
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. HomeHospEncounter.reasonCode.statusText
Definition

Free-text status note for this care activity (e.g. why it was not performed)

ShortFree-text status note for this care activity (e.g. why it was not performed)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. HomeHospEncounter.reasonCode.completed
Definition

Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)

ShortWas this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. HomeHospEncounter.serviceProvider
Definition

Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)

ShortReference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)
Control0..1
TypeReference(BeOrganization)
48. HomeHospEncounter.reasonReference
Definition

Reference(s) to the QuestionnaireResponse(s) associated with this encounter

ShortReference(s) to the QuestionnaireResponse(s) associated with this encounter
Control0..*
TypeReference(Home Hospitalization QuestionnaireResponse Logical Model)