Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 BE

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 2026-05-18

Definitions for the homehosp-encounter-lm logical model

Guidance on how to interpret the contents of this table can be foundhere

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 areUnordered 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 areUnordered 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 areUnordered 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)

        Guidance on how to interpret the contents of this table can be foundhere

        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)

        Guidance on how to interpret the contents of this table can be foundhere

        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 areUnordered 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 areUnordered 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 areUnordered 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)