Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1
Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1
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
| Official URL: http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-encounter-lm | Version: 0.1.0 | ||||
| Draft as of 2026-11-05 | Computable Name: HomeHospEncounter | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.54.42.22 | |||||
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.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  HomeHospEncounter |
0..* | Base | Home Hospitalization Encounter Logical Model Instances of this type can be the target of a Reference | |
  status |
1..1 | code | Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error | |
| class |
1..1 | code | Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode | |
  period |
1..1 | BackboneElement | The start (and optionally end) time of the encounter | |
 start |
1..1 | dateTime | Start date/time of the home visit | |
 end |
0..1 | dateTime | End date/time of the home visit | |
| participant |
1..* | BackboneElement | The home nurse performing the visit | |
| type |
1..1 | code | Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
 individual |
1..1 | Reference(BePractitioner) | Reference or display name and RIZIV number of the performing home nurse | |
| reasonCode |
1..* | BackboneElement | 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. | |
| primaryProcedure |
1..1 | code | 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 | |
| administrationSubtype |
0..1 | code | 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 | |
| statusText |
0..1 | string | Free-text status note for this care activity (e.g. why it was not performed) | |
| completed |
1..1 | code | Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed) | |
| serviceProvider |
0..1 | Reference(BeOrganization) | Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant) | |
| reasonReference |
0..* | Reference(Home Hospitalization QuestionnaireResponse Logical Model) | Reference(s) to the QuestionnaireResponse(s) associated with this encounter | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 HomeHospEncounter |
0..* | Base | Home Hospitalization Encounter Logical Model Instances of this type can be the target of a Reference | |
| status |
1..1 | code | Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error | |
| class |
1..1 | code | Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| period |
1..1 | BackboneElement | The start (and optionally 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 | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| start |
1..1 | dateTime | Start date/time of the home visit | |
| end |
0..1 | dateTime | End date/time of the home visit | |
| participant |
1..* | BackboneElement | The home nurse performing the visit | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
1..1 | code | Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| individual |
1..1 | Reference(BePractitioner) | Reference or display name and RIZIV number of the performing home nurse | |
| reasonCode |
1..* | BackboneElement | 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. | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| primaryProcedure |
1..1 | code | 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 | |
| administrationSubtype |
0..1 | code | 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 | |
| statusText |
0..1 | string | Free-text status note for this care activity (e.g. why it was not performed) | |
| completed |
1..1 | code | Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed) | |
| serviceProvider |
0..1 | Reference(BeOrganization) | Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant) | |
| reasonReference |
0..* | Reference(Home Hospitalization QuestionnaireResponse Logical Model) | Reference(s) to the QuestionnaireResponse(s) associated with this encounter | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base
Summary
Mandatory: 0 element(10 nested mandatory elements)
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| HomeHospEncounter |
0..* | Base | Home Hospitalization Encounter Logical Model Instances of this type can be the target of a Reference | |
| status |
1..1 | code | Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error | |
| class |
1..1 | code | Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| period |
1..1 | BackboneElement | The start (and optionally end) time of the encounter | |
| start |
1..1 | dateTime | Start date/time of the home visit | |
| end |
0..1 | dateTime | End date/time of the home visit | |
| participant |
1..* | BackboneElement | The home nurse performing the visit | |
| type |
1..1 | code | Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| individual |
1..1 | Reference(BePractitioner) | Reference or display name and RIZIV number of the performing home nurse | |
| reasonCode |
1..* | BackboneElement | 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. | |
| primaryProcedure |
1..1 | code | 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 | |
| administrationSubtype |
0..1 | code | 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 | |
| statusText |
0..1 | string | Free-text status note for this care activity (e.g. why it was not performed) | |
| completed |
1..1 | code | Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed) | |
| serviceProvider |
0..1 | Reference(BeOrganization) | Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant) | |
| reasonReference |
0..* | Reference(Home Hospitalization QuestionnaireResponse Logical Model) | Reference(s) to the QuestionnaireResponse(s) associated with this encounter | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| HomeHospEncounter |
0..* | Base | Home Hospitalization Encounter Logical Model Instances of this type can be the target of a Reference | |
| status |
1..1 | code | Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error | |
| class |
1..1 | code | Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| period |
1..1 | BackboneElement | The start (and optionally 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 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| start |
1..1 | dateTime | Start date/time of the home visit | |
| end |
0..1 | dateTime | End date/time of the home visit | |
| participant |
1..* | BackboneElement | The home nurse performing the visit | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
1..1 | code | Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| individual |
1..1 | Reference(BePractitioner) | Reference or display name and RIZIV number of the performing home nurse | |
| reasonCode |
1..* | BackboneElement | 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. | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| primaryProcedure |
1..1 | code | 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 | |
| administrationSubtype |
0..1 | code | 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 | |
| statusText |
0..1 | string | Free-text status note for this care activity (e.g. why it was not performed) | |
| completed |
1..1 | code | Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed) | |
| serviceProvider |
0..1 | Reference(BeOrganization) | Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant) | |
| reasonReference |
0..* | Reference(Home Hospitalization QuestionnaireResponse Logical Model) | Reference(s) to the QuestionnaireResponse(s) associated with this encounter | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base
Summary
Mandatory: 0 element(10 nested mandatory elements)
Structures
This structure refers to these other structures:
IG © 2024+ HL7 Belgium.
Package hl7.fhir.be.patient-monitoring#0.1.0 based on FHIR 4.0.1.
Generated
2026-11-05
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