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
| Draft as of 2026-11-05 |
XML representation of the homehosp-encounter-lm logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="homehosp-encounter-lm"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition homehosp-encounter-lm</b></p><a name="homehosp-encounter-lm"> </a><a name="hchomehosp-encounter-lm"> </a><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter" title="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.">HomeHospEncounter</a><a name="HomeHospEncounter"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="" class="hierarchy xhtCellBorder0">Home Hospitalization Encounter Logical Model<br/><span class="xhtPieceBold">Instances of this type can be the target of a Reference</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.status" title="Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error">status</a><a name="HomeHospEncounter.status"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.class" title="Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode">class</a><a name="HomeHospEncounter.class"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.period" title="The start (and optionally end) time of the encounter">period</a><a name="HomeHospEncounter.period"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">The start (and optionally end) time of the encounter</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.period.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.period.start" title="Start date/time of the home visit">start</a><a name="HomeHospEncounter.period.start"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0">Start date/time of the home visit</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.period.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.period.end" title="End date/time of the home visit">end</a><a name="HomeHospEncounter.period.end"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0">End date/time of the home visit</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.participant" title="The home nurse performing the visit">participant</a><a name="HomeHospEncounter.participant"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">The home nurse performing the visit<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.participant.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.participant.type" title="Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType">type</a><a name="HomeHospEncounter.participant.type"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.participant.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.participant.individual" title="Reference or display name and RIZIV number of the performing home nurse">individual</a><a name="HomeHospEncounter.participant.individual"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-practitioner.html">BePractitioner</a>)</td><td style="" class="hierarchy xhtCellBorder0">Reference or display name and RIZIV number of the performing home nurse</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonCode" title="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.">reasonCode</a><a name="HomeHospEncounter.reasonCode"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">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.<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.reasonCode.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonCode.primaryProcedure" title="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">primaryProcedure</a><a name="HomeHospEncounter.reasonCode.primaryProcedure"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.reasonCode.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonCode.administrationSubtype" title="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">administrationSubtype</a><a name="HomeHospEncounter.reasonCode.administrationSubtype"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.reasonCode.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonCode.statusText" title="Free-text status note for this care activity (e.g. why it was not performed)">statusText</a><a name="HomeHospEncounter.reasonCode.statusText"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Free-text status note for this care activity (e.g. why it was not performed)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.reasonCode.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonCode.completed" title="Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)">completed</a><a name="HomeHospEncounter.reasonCode.completed"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.serviceProvider" title="Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)">serviceProvider</a><a name="HomeHospEncounter.serviceProvider"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-organization.html">BeOrganization</a>)</td><td style="" class="hierarchy xhtCellBorder0">Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomeHospEncounter.</span><a href="StructureDefinition-homehosp-encounter-lm-definitions.html#HomeHospEncounter.reasonReference" title="Reference(s) to the QuestionnaireResponse(s) associated with this encounter">reasonReference</a><a name="HomeHospEncounter.reasonReference"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-homehosp-questionnaire-response-lm.html">Home Hospitalization QuestionnaireResponse Logical Model</a>)</td><td style="" class="hierarchy xhtCellBorder0">Reference(s) to the QuestionnaireResponse(s) associated with this encounter<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
<valueBoolean value="true"/>
</extension>
<url
value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-encounter-lm"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.54.42.22"/>
</identifier>
<version value="0.1.0"/>
<name value="HomeHospEncounter"/>
<title value="Home Hospitalization Encounter Logical Model"/>
<status value="draft"/>
<date value="2026-11-05T13:37:44+00:00"/>
<publisher value="HL7 Belgium"/>
<contact>
<name value="HL7 Belgium"/>
<telecom>
<system value="url"/>
<value value="http://example.com/committees"/>
</telecom>
<telecom>
<system value="email"/>
<value value="my-group@example.com"/>
</telecom>
</contact>
<contact>
<name value="Bob Smith"/>
<telecom>
<system value="email"/>
<value value="bobsmith@example.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="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."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="BE"/>
<display value="Belgium"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/HomeHospEncounter"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="HomeHospEncounter">
<path value="HomeHospEncounter"/>
<short value="Home Hospitalization Encounter Logical Model"/>
<definition
value="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."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="HomeHospEncounter.status">
<path value="HomeHospEncounter.status"/>
<short
value="Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error"/>
<definition
value="Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.class">
<path value="HomeHospEncounter.class"/>
<short
value="Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<definition
value="Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.class"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.period">
<path value="HomeHospEncounter.period"/>
<short value="The start (and optionally end) time of the encounter"/>
<definition
value="The start (and optionally end) time of the encounter"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.period"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="HomeHospEncounter.period.id">
<path value="HomeHospEncounter.period.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.period.extension">
<path value="HomeHospEncounter.period.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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."/>
<comment
value="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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.period.modifierExtension">
<path value="HomeHospEncounter.period.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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."/>
<requirements
value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="HomeHospEncounter.period.start">
<path value="HomeHospEncounter.period.start"/>
<short value="Start date/time of the home visit"/>
<definition value="Start date/time of the home visit"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.period.start"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="HomeHospEncounter.period.end">
<path value="HomeHospEncounter.period.end"/>
<short value="End date/time of the home visit"/>
<definition value="End date/time of the home visit"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.period.end"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="HomeHospEncounter.participant">
<path value="HomeHospEncounter.participant"/>
<short value="The home nurse performing the visit"/>
<definition value="The home nurse performing the visit"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="HomeHospEncounter.participant"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="HomeHospEncounter.participant.id">
<path value="HomeHospEncounter.participant.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.participant.extension">
<path value="HomeHospEncounter.participant.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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."/>
<comment
value="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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.participant.modifierExtension">
<path value="HomeHospEncounter.participant.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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."/>
<requirements
value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="HomeHospEncounter.participant.type">
<path value="HomeHospEncounter.participant.type"/>
<short
value="Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<definition
value="Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.participant.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.participant.individual">
<path value="HomeHospEncounter.participant.individual"/>
<short
value="Reference or display name and RIZIV number of the performing home nurse"/>
<definition
value="Reference or display name and RIZIV number of the performing home nurse"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.participant.individual"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode">
<path value="HomeHospEncounter.reasonCode"/>
<short
value="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."/>
<definition
value="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."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="HomeHospEncounter.reasonCode"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="HomeHospEncounter.reasonCode.id">
<path value="HomeHospEncounter.reasonCode.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.reasonCode.extension">
<path value="HomeHospEncounter.reasonCode.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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."/>
<comment
value="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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="HomeHospEncounter.reasonCode.modifierExtension">
<path value="HomeHospEncounter.reasonCode.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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."/>
<requirements
value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="HomeHospEncounter.reasonCode.primaryProcedure">
<path value="HomeHospEncounter.reasonCode.primaryProcedure"/>
<short
value="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"/>
<definition
value="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"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.reasonCode.primaryProcedure"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.administrationSubtype">
<path value="HomeHospEncounter.reasonCode.administrationSubtype"/>
<short
value="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"/>
<definition
value="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"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.reasonCode.administrationSubtype"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.statusText">
<path value="HomeHospEncounter.reasonCode.statusText"/>
<short
value="Free-text status note for this care activity (e.g. why it was not performed)"/>
<definition
value="Free-text status note for this care activity (e.g. why it was not performed)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.reasonCode.statusText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.completed">
<path value="HomeHospEncounter.reasonCode.completed"/>
<short
value="Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)"/>
<definition
value="Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.reasonCode.completed"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.serviceProvider">
<path value="HomeHospEncounter.serviceProvider"/>
<short
value="Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)"/>
<definition
value="Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HomeHospEncounter.serviceProvider"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"/>
</type>
</element>
<element id="HomeHospEncounter.reasonReference">
<path value="HomeHospEncounter.reasonReference"/>
<short
value="Reference(s) to the QuestionnaireResponse(s) associated with this encounter"/>
<definition
value="Reference(s) to the QuestionnaireResponse(s) associated with this encounter"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="HomeHospEncounter.reasonReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-questionnaire-response-lm"/>
</type>
</element>
</snapshot>
<differential>
<element id="HomeHospEncounter">
<path value="HomeHospEncounter"/>
<short value="Home Hospitalization Encounter Logical Model"/>
<definition
value="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."/>
</element>
<element id="HomeHospEncounter.status">
<path value="HomeHospEncounter.status"/>
<short
value="Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error"/>
<definition
value="Status of the encounter - reported from Home nurse back to hospital | Answers: finished | cancelled | entered-in-error"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.class">
<path value="HomeHospEncounter.class"/>
<short
value="Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<definition
value="Classification of the encounter | Fixed value: HH (home health) from http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.period">
<path value="HomeHospEncounter.period"/>
<short value="The start (and optionally end) time of the encounter"/>
<definition
value="The start (and optionally end) time of the encounter"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="HomeHospEncounter.period.start">
<path value="HomeHospEncounter.period.start"/>
<short value="Start date/time of the home visit"/>
<definition value="Start date/time of the home visit"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="HomeHospEncounter.period.end">
<path value="HomeHospEncounter.period.end"/>
<short value="End date/time of the home visit"/>
<definition value="End date/time of the home visit"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="HomeHospEncounter.participant">
<path value="HomeHospEncounter.participant"/>
<short value="The home nurse performing the visit"/>
<definition value="The home nurse performing the visit"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="HomeHospEncounter.participant.type">
<path value="HomeHospEncounter.participant.type"/>
<short
value="Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<definition
value="Participant type | Fixed value: PPRF (primary performer) from http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.participant.individual">
<path value="HomeHospEncounter.participant.individual"/>
<short
value="Reference or display name and RIZIV number of the performing home nurse"/>
<definition
value="Reference or display name and RIZIV number of the performing home nurse"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode">
<path value="HomeHospEncounter.reasonCode"/>
<short
value="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."/>
<definition
value="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."/>
<min value="1"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.primaryProcedure">
<path value="HomeHospEncounter.reasonCode.primaryProcedure"/>
<short
value="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"/>
<definition
value="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"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.administrationSubtype">
<path value="HomeHospEncounter.reasonCode.administrationSubtype"/>
<short
value="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"/>
<definition
value="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"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.statusText">
<path value="HomeHospEncounter.reasonCode.statusText"/>
<short
value="Free-text status note for this care activity (e.g. why it was not performed)"/>
<definition
value="Free-text status note for this care activity (e.g. why it was not performed)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="HomeHospEncounter.reasonCode.completed">
<path value="HomeHospEncounter.reasonCode.completed"/>
<short
value="Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)"/>
<definition
value="Was this ordered care activity completed? | Answers: 31874001 True (completed) | 64100000 False (not completed)"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="HomeHospEncounter.serviceProvider">
<path value="HomeHospEncounter.serviceProvider"/>
<short
value="Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)"/>
<definition
value="Reference or display name of the home nursing organisation (e.g. Wit-Gele Kruis Vlaams-Brabant)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"/>
</type>
</element>
<element id="HomeHospEncounter.reasonReference">
<path value="HomeHospEncounter.reasonReference"/>
<short
value="Reference(s) to the QuestionnaireResponse(s) associated with this encounter"/>
<definition
value="Reference(s) to the QuestionnaireResponse(s) associated with this encounter"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-questionnaire-response-lm"/>
</type>
</element>
</differential>
</StructureDefinition>
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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