Scope and usage

This profile is intended to encapsulate information about encounters in the Danish health sectors.

Responsibilities for treatment and care in hospitals

In hospitals in Denmark, there is a distinction between the organization responsible for providing treatment to the patient and the organization responsible for providing care. This distinction is also adressed by encounter participants in LPR3, the registry to where all hospital encounters must be reported:

The treatment responsibility is represented by Encounter.serviceProvider and the care responsibility is represented by the extension CareProvider.

Use Encounter.serverProvider and the extension for CareProvider, when you need to convey the responsibilities as defined in LPR3.

Specifying diagnosis

It is preferred, that the Danish Core Condition is used when referencing diagnosis in a Danish context.

Hospital encounters in Denmark have associated diagnoses that specify the primary diagnosis being treated ([DA] aktionsdiagnose) and secondary diagnoses ([DA] bidiagnoser) that might be relevant to the treatment of the primary diagnosis. These can be given in the diagnosis element and it is recommended to use the rank element to distinguish between primary and secondary diagnoses, the primary being given rank 1 and the secondary a rank = 2. Have a look at this example. Rank may also be used for other purposes where relevant.

Priority

In Denmark, the only priorities commonly used is 'akut' and 'elektiv'. We have translated these to 'ASAP' and 'elective' in the recommended FHIR value set. To avoid other uses of the priority values, we have narrowed the value set down to only these two values. However, the binding is extensible, so if more priorities are needed they can be added as necessary.

Handling contact type 'død'

The LPR3 contact type "Død" (death) should be represented by setting Patient.deceased[x] to 'true' or to a timestamp indicating the date and time of death. This information is independent of the Encounter.status and class. Where appropriate, Encounter.status may be set to 'finished' to indicate that the encounter has ended. Encounter.class should reflect the actual type of the encounter

Handling future versions

In FHIR R5 and newer, significant changes have been made to the Encounter profile.

To be compatible with the changes to the value set bound to Encounter.class in FHIR R5 and newer, we recommend to restrict to using only the values from the FHIR R5 value set Encounter class, which is a subset of the FHIR R4 value set ActEncounterCode:

Note that Encounter.class has an extensible binding, so if a class coding not part of the bound value set is needed, it is allowed to use an alternate coding.

In order to support the addition of Encounter.plannedStartDate and Encounter.plannedEndDate in FHIR R5, the extensions PlannedStartDate and PlannedEndDate have been added to DkCore. However, note that in the R4 documentation it is stated that a planned start date could be given by placing period.start in the future, and setting the status to ‘planned’. As a consequence, this practice is also acceptable in the dk-core R4 version, but the use of plannedStart and plannedEnd extensions are encouraged to make transition to future FHIR versions easier.

To support migration to future FHIR versions, implementations should avoid using 'arrived' and 'triaged' as Encounter.status where possible, as these concepts are represented in another element, Encounter.subjectStatus, in FHIR R5/R6.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject	Σ This element is included in summaries.	0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject		0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Encounter.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier(s) by which this encounter is known
Encounter.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory		0..*	BackboneElement	List of past encounter statuses
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period		1..1	Period	The time that the episode was in the specified status
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory		0..*	BackboneElement	List of past encounter classes
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period		1..1	Period	The time that the episode was in the specified class
Encounter.type	Σ This element is included in summaries.	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject	Σ This element is included in summaries.	0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.episodeOfCare	Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Encounter.participant	Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter
Encounter.participant.id		0..1	string	Unique id for inter-element referencing
Encounter.participant.extension		0..*	Extension	Additional content defined by implementations
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.participant.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.participant.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.appointment	Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period		0..1	Period	The start and end time of the encounter
Encounter.length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this encounter
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
Encounter.diagnosis.use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Encounter.diagnosis.rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
Encounter.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
Encounter.hospitalization.origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
Encounter.hospitalization.reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
Encounter.hospitalization.dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Encounter.location		0..*	BackboneElement	List of locations where the patient has been
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location		1..1	Reference(Location)	Location the encounter takes place
Encounter.location.status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
Encounter.location.physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
Encounter.location.period		0..1	Period	Time period during which the patient was present at the location
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Encounter.partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject	Σ This element is included in summaries.	0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject		0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Encounter.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
Encounter.Slices for extension.extension:plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
Encounter.Slices for extension.extension:careProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for the care of the patient during this encounter URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier(s) by which this encounter is known
Encounter.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory		0..*	BackboneElement	List of past encounter statuses
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period		1..1	Period	The time that the episode was in the specified status
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory		0..*	BackboneElement	List of past encounter classes
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period		1..1	Period	The time that the episode was in the specified class
Encounter.type	Σ This element is included in summaries.	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: DK priority codes for encounters (extensible)
Encounter.subject	Σ This element is included in summaries.	0..1	Reference(Danish Core Patient Profile)	The patient or group present at the encounter
Encounter.episodeOfCare	Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Encounter.participant	Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter
Encounter.participant.id		0..1	string	Unique id for inter-element referencing
Encounter.participant.extension		0..*	Extension	Additional content defined by implementations
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.participant.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.participant.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.appointment	Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period		0..1	Period	The start and end time of the encounter
Encounter.length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this encounter
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
Encounter.diagnosis.use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Encounter.diagnosis.rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
Encounter.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
Encounter.hospitalization.origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
Encounter.hospitalization.reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
Encounter.hospitalization.dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Encounter.location		0..*	BackboneElement	List of locations where the patient has been
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location		1..1	Reference(Location)	Location the encounter takes place
Encounter.location.status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
Encounter.location.physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
Encounter.location.period		0..1	Period	Time period during which the patient was present at the location
Encounter.serviceProvider		0..1	Reference(Danish Core Organization Profile)	The organization (facility) responsible for this encounter
Encounter.partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	extensible	DK priority codes for encounters	📦3.8.0	This IG
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Encounter

Summary

Structures

This structure refers to these other structures:

• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)
• Danish Core Organization Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-organization)

Extensions

This structure refers to these extensions:

• http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-start-date
• http://hl7.dk/fhir/core/StructureDefinition/dk-core-planned-end-date
• http://hl7.dk/fhir/core/StructureDefinition/dk-core-care-provider