HL7 FHIR Implementation Guide: DK Core
3.5.0 - ci-build Denmark flag

HL7 FHIR Implementation Guide: DK Core, published by HL7 Denmark. This guide is not an authorized publication; it is the continuous build for version 3.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7dk/dk-core/ and changes regularly. See the Directory of published versions

Resource Profile: Danish Core Encounter Profile

Official URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-encounter Version: 3.5.0
Draft as of 2025-08-20 Computable Name: DkCoreEncounter

HL7 Denmark core profile for an encounter

Scope and usage

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

Responsibilities for treatment and care

In Denmark there is a distinguishment between which organization has the reponsibility for providing treatment to the patient, and which organization has the responsibility for providing care to the patient.

  • Treatment responsibility ([DA] behandlingsansvarlig): this lies with the service provider organization
  • Care responsibility ([DA] plejeansvarlig): this lies with the organization where the patient has a stay (is hospitalized)

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

Specifying primary and secondary diagnosis

Hospital encounters in Denmark have diagnosis associated that specifies the primary diagnosis beeing treated ([DA] aktionsdiagnose) and secondary diagnosis ([DA] bidiagnose) 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 > 1.

Handling future versions

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

In order 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:

Code Display Typical use in Denmark
IMP inpatient encounter Encounters where patients are admitted typically for more than 12 hours.
AMB ambulatory Encounters where patients are not admitted.
OBSENC observation encounter Not used.
EMER emergency Encounters where patients are admitted to an emergency ward typically for up to 72 hours.
VR virtual Virtual encounters with patients typically using televideo, telephone, or other means of telepresence.
HH home health Encounters with patients in their own home.

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.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class Σ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject Σ 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
... Slices for diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
Slice: Unordered, Open by type:condition
.... diagnosis:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... diagnosis:dk-core-conditions Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
.... diagnosis:dk-core-conditions 0..* BackboneElement The list of diagnosis relevant to this encounter
..... condition 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter.
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject Σ 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... Slices for diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
Slice: Unordered, Open by type:condition
.... diagnosis:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
..... 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.
..... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
.... diagnosis:dk-core-conditions Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... 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.
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... 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.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the 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.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
From the FHIR Standard
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
From the FHIR Standard
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
Encounter.diagnosis:dk-core-conditions.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
From the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
From the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class Σ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject Σ 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
... Slices for diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
Slice: Unordered, Open by type:condition
.... diagnosis:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... diagnosis:dk-core-conditions Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
.... diagnosis:dk-core-conditions 0..* BackboneElement The list of diagnosis relevant to this encounter
..... condition 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter.
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: DK priority codes for encounters (extensible)
... subject Σ 0..1 Reference(Danish Core Patient Profile) The patient or group present at the encounter
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... Slices for diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
Slice: Unordered, Open by type:condition
.... diagnosis:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
..... 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.
..... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
.... diagnosis:dk-core-conditions Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... condition Σ 1..1 Reference(Danish Core Condition Profile) The diagnosis or procedure relevant to the encounter
..... 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.
..... rank 1..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... 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.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the 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.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Danish Core Organization Profile) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
From the FHIR Standard
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
From the FHIR Standard
Encounter.priorityextensibleDkCoreEncounterPriority
http://hl7.dk/fhir/core/ValueSet/dk-core-encounter-priority
From this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
Encounter.diagnosis:dk-core-conditions.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
From the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
From the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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