MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release Germany

This page is part of the MII Implementation Guide Core Dataset Base (v2026.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2026.0.1. For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR Fall Kontakt mit einer Gesundheitseinrichtung

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung Version: 2026.0.0
Maschinenlesbarer Name: MII_PR_Fall_KontaktGesundheitseinrichtung

Kontakt zu einer Einrichtung, Abteilung oder Versorgungsstelle

Beispielhafte Anwendungsszenarien:

  • Dokumentation eines Einrichtungskontakts, der den gesamten Aufenthalt eines Patienten in einer Gesundheitseinrichtung von Aufnahme bis Entlassung repräsentiert, inklusive Aufnahmegrund und Entlassungsgrund
  • Nachverfolgung von Abteilungskontakten bei Verlegung eines Patienten zwischen verschiedenen Abteilungen innerhalb desselben Aufenthalts, mit Erfassung von Fachabteilungsschlüsseln und Zeitangaben
  • Erfassung von Versorgungsstellenkontakten für spezifische Behandlungsorte wie Normalstation, Intensivstation oder OP-Saal innerhalb einer Abteilung
  • Modellierung hierarchischer Kontaktstrukturen mittels partOf zur Verknüpfung von Versorgungsstellenkontakt → Abteilungskontakt → Einrichtungskontakt
  • Unterstützung von Machbarkeitsabfragen durch Zählung von Kontakten mit spezifischen Merkmalen (z.B. stationäre Fälle, Intensivaufenthalte, Notfallaufnahmen)
  • Dokumentation geplanter Kontakte mit erwarteten Aufnahme- und Entlassungsdaten für die Aufnahmeplanung

Profilspezifische Implementierungshinweise

Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Kontakt-Gesundheitseinrichtung-Profil.

Kontakthierarchien und Kontaktebenen

Das MII-Fall-Modul unterscheidet drei Ebenen von Kontakten mittels Encounter.type:Kontaktebene:

  • Einrichtungskontakt: Kontakt auf oberster Ebene, der den gesamten Aufenthalt/Besuch in einer Gesundheitseinrichtung repräsentiert
  • Abteilungskontakt: Kontakt in einer spezifischen Abteilung innerhalb der Einrichtung
  • Versorgungsstellenkontakt: Kontakt an einer spezifischen Versorgungsstelle oder Station

Diese Ebenen werden mittels Encounter.partOf verknüpft, um eine hierarchische Struktur zu erstellen.

Beispiel einer Kontakthierarchie:

Das folgende Diagramm veranschaulicht, wie verschiedene Kontaktebenen mittels partOf-Referenzen miteinander verknüpft werden, zusammen mit optionalen Verbindungen zu EpisodeOfCare- und Account-Ressourcen:

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graph BT

  %% TOP LAYER
  EP1["`**EpisodeOfCare EP1**
       Appendizitis`"]
  
  A1["`**Account A1**
      DRG G23B
      Appendektomie ohne schwere CC`"]

  %% FACILITY LEVEL
  E0["`**Encounter E0**
      _(Einrichtungskontakt)_`"]

  E0 -->|episodeOfCare| EP1
  E0 -->|account| A1

  %% DEPARTMENT LEVEL
  A1E["`**Encounter A1**
       _(Abteilungskontakt)_
       Notaufnahme`"]
  
  A2E["`**Encounter A2**
       _(Abteilungskontakt)_
       Allgemeinchirurgie`"]

  A1E -->|partOf| E0
  A2E -->|partOf| E0

  %% CARE UNIT LEVEL
  VS1["`**Encounter VS1**
       Notaufnahme
       Behandlungsraum 3`"]
  
  VS2["`**Encounter VS2**
       Radiologie
       CT Abdomen`"]
  
  VS3["`**Encounter VS3**
       OP-Saal 4
       Laparoskopische Appendektomie`"]
  
  VS4["`**Encounter VS4**
       Aufwachraum PACU`"]
  
  VS5["`**Encounter VS5**
       Chirurgische Station C3`"]

  VS1 -->|partOf| A1E
  VS2 -->|partOf| A2E
  VS3 -->|partOf| A2E
  VS4 -->|partOf| A2E
  VS5 -->|partOf| A2E

In diesem Beispiel:

  • E0 repräsentiert den gesamten Einrichtungskontakt für den Krankenhausaufenthalt
  • A1E ist der Abteilungskontakt für die Notaufnahme
  • A2E ist der Abteilungskontakt für die Allgemeinchirurgie
  • VS1-VS5 sind Versorgungsstellenkontakte für spezifische Orte: Notaufnahme Behandlungsraum 3, Radiologie CT, OP-Saal 4 (laparoskopische Appendektomie), Aufwachraum PACU und Chirurgische Station C3
  • Die Hierarchie wird durch partOf-Referenzen etabliert, die von Versorgungsstellen zu Abteilungen zur Einrichtung verweisen
  • EP1 (EpisodeOfCare) und A1 (Account) werden der Vollständigkeit halber gezeigt, sind aber derzeit nicht Teil der MII-Kerndatensatz-Spezifikation. Aus Vereinfachungsgründen wird nur E0 als referenzierend auf diese Ressourcen dargestellt, aber in der Praxis kann jeder Kontakt in der Hierarchie auf die EpisodeOfCare und das Account verweisen, zu denen er gehört.

Repräsentation der Fallarten in FHIR

Primärkontakte

Siehe auch Leitfaden FHIR DE Basisprofile:

Fallart Code in HL7 V2 Repräsentation in FHIR
Ambulant O Encounter.class = AMB
Ambulantes Operieren O Encounter.class = AMB
Encounter.type = operation
Stationär I Encounter.class = IMP
Normalstationär I Encounter.class = IMP
Encounter.type = normalstationaer
Intensivstationär I Encounter.class = IMP
Encounter.type = intensivstationaer
Wiederaufnahme R Encounter.class = IMP
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 07
Voraufnahme P Encounter.class = PRENC
Virtuell (Virtual) - Encounter.class = VR
Vorstationär (Pre-inpatient) V Encounter.class = AMB
Encounter.type = vorstationaer
Nachstationär (Post-inpatient) NS Encounter.class = AMB
Encounter.type = nachstationaer
Teilstationär (Partial Inpatient) TS Encounter.class = IMP or SS
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 03
Encounter.type = teilstationaer | tagesklinik | nachtklinik
Begleitperson (Accompanying Person) H Encounter.class = IMP
Encounter.type = begleitperson
Stationsäquivalent (Hospital-equivalent Home Care) - Encounter.class = HH
Encounter.type = stationsaequivalent
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 10
Entbindung (Delivery) - Encounter.class = IMP
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 05
Notfall (Emergency) - Encounter.class = AMB
Encounter.extension:Aufnahmegrund.VierteStelle = 7

If subsequent inpatient admission occurs: Encounter.hospitalization.admitSource = "N"

To emphasize treatment urgency: Encounter.priority = http://terminology.hl7.org/CodeSystem/v3-ActPriority|EM
Sekundärkontakte bei stationärem Aufenthalt
Fallart Code in HL7 V2 Repräsentation in FHIR
Untersuchung und Behandlung - Encounter.class = IMP
Encounter.type = ub
Konsil - Encounter.class = IMP
Encounter.type = konsil
Operation - Encounter.class = IMP
Encounter.type = operation

Angaben zu Diagnosen

Das Element Encounter.diagnosis stellt die Beziehung zwischen Kontakten und Diagnosen/Prozeduren her und spezifiziert deren Rolle im Kontaktkontext.

Best Practice - Diagnose-Kontakt-Beziehungen

Die Referenz von Encounter.diagnosis zu Condition sollte verwendet werden, wenn die Condition eine spezifische Rolle während des Encounters hat (z.B. Hauptdiagnose, Nebendiagnose).

Empfohlene Implementierung:

Verwenden Sie Condition.encounter, um von der Condition auf den Encounter vom Typ Abteilungskontakt zu referenzieren. Dieser Ansatz etabliert den allgemeinen Kontaktkontext für die Diagnose, während Encounter.diagnosis verwendet werden kann, um bei Bedarf spezifische Diagnoserollen anzugeben.

Best Practice - Encounter.diagnosis.use

Da Encounter.diagnosis.use die Kardinalität 1..1 hat, benötigt eine Diagnose mit mehreren Rollen innerhalb eines Kontakts mehrere Encounter.diagnosis-Einträge, jeweils mit unterschiedlichem use-Wert.

Beispiel: Wenn eine Condition sowohl als Diagnosetyp als auch als Diagnosesubtyp (oder zusätzliche Rollen wie CC/CM) dient, erstellen Sie separate Encounter.diagnosis-Referenzen für jede Rolle, die alle auf dieselbe Condition-Ressource verweisen. Eine einzelne Condition kann mehrfach mit unterschiedlichen use-Werten referenziert werden.

Hinweis zur CC/CM-Klassifikation: Wenn Sie eine Diagnose als CC (Komplikation oder Komorbidität) oder CM (Komorbidität) klassifizieren möchten, handelt es sich hierbei typischerweise um abrechnungsrelevante Informationen, die in der Account-Ressource und nicht in Encounter.diagnosis platziert werden sollten. Die Account-Ressource ist der geeignete Ort für Abrechnungsfallkontext und DRG-relevante Klassifikationen.

Kontaktort

  • Details zum Kontaktort (Zimmer, Bett, Station) können mittels Encounter.location angegeben werden.
  • Der physische Typ SOLL das MII-spezifische ValueSet für location physical types verwenden.
  • Angaben zum Kontaktort sind primär relevant für Versorgungsstellenkontakte.

Geplante Kontakte

Geplante Kontakte werden mit Encounter.status = planned abgebildet und SOLLTEN zusätzlich angeben:

  • Encounter.extension:plannedStartDate für das geplante Startdatum
  • Encounter.extension:plannedEndDate für das geplante Enddatum

Aufnahme und Entlassung

  • Aufnahmeanlass ist verpflichtend, wenn Hospitalisierungsdaten angegeben werden, und verwendet Codes aus § 301 SGB V.
  • Aufnahmegrund mit vierteiliger Struktur (erste und zweite Stelle, dritte Stelle, vierte Stelle) gemäß § 301 SGB V.
  • Entlassungsgrund mit Entlassungsgrund-Extension liefert detaillierte Entlassungs-/Verlegungsgründe.

Identifikation von Kontakten

Jeder Encounter SOLLTE einen eindeutigen Identifier haben. Wenn Encounters in einer Hierarchie organisiert sind:

  • Stellen Sie die korrekte Encounter-Verlinkung über Encounter.partOf sicher
  • Jeder Encounter SOLLTE einen eigenständigen Identifier mit unterschiedlichen Systemen oder Werten enthalten

Abbildung der Fallnummer:

Die "Fallnummer" wird in der stationären Versorgung häufig verwendet, um den Fallkontext für die medizinische Dokumentation zu etablieren, insbesondere in der HL7 V2-Kommunikation.

In den meisten Fällen ist die "Fallnummer" ein eindeutiger Identifier für den Abrechnungsfall (Account). Daher sollte die Fallnummer als Identifier des Accounts gesehen werden und ist nicht geeignet, um einen Encounter eindeutig zu identifizieren. Um den korrekten Encounter zu finden, müssen zusätzliche Kriterien wie Zeitraum (Encounter.period), Klasse (Encounter.class) oder Status (Encounter.status) berücksichtigt werden.

Frühere Empfehlung:

Früher wurde empfohlen, dass die Aufnahmenummer in allen Encounter-Ressourcen unabhängig von Kontaktebene und Kontakttyp angegeben werden sollte. Diese Empfehlung unterschied jedoch nicht klar zwischen Aufnahmenummer und Fallnummer.

Best Practice - Aufnahmenummer vs. Fallnummer

Hinweis: Diese Empfehlung basiert auf der ISiK-Spezifikation.

Es ist wichtig zu unterscheiden zwischen:

  • Aufnahmenummer: Ein eindeutiger Identifier, der einem Patienten bei der Aufnahmeplanung oder bei der Aufnahme selbst zugewiesen wird. Jeder Encounter SOLLTE seine eigene eindeutige Aufnahmenummer in Encounter.identifier:Aufnahmenummer haben, wo anwendbar.
  • Fallnummer: Identifiziert typischerweise den Abrechnungsfall (Account), nicht einzelne Encounters.

Account-Referenzen und Abrechnungskontext:

Der Bezug zu einem Account stellt den Abrechnungskontext für einen oder mehrere Encounter her. Mittels der Account-Referenz können zum Beispiel ein vorstationärer, ein stationärer und ein nachstationärer Besuch zu einem "DRG-Fall" zusammengefasst werden.

Hinweis: Wenn man den Abrechnungsfall implementieren möchte, wird empfohlen, das ISiK Account-Profil zu verwenden.

Wichtiger Hinweis für Implementierer: Im deutschen Sprachgebrauch ist unter dem Begriff "Fall" meist der Abrechnungskontext gemeint, nicht der einzelne Besuch. Die "Fallnummer" ist daher nicht der Identifier des Encounters, sondern der des Accounts auf den der Encounter referenziert. Auf diesem Wege können mehrere Besuche einer Fallnummer zugeordnet werden.

Logische Referenzen für die Suche:

Da die Fallnummer ein häufig verwendetes Suchkriterium darstellt, ist diese als logische Referenz (account.identifier) im Encounter zu hinterlegen. Damit wird sichergestellt, dass diese als Suchparameter für die Suche nach Encountern zur Verfügung steht, auch wenn:

  • Einzelne Systeme kein Chaining unterstützen
  • Einzelne Benutzer keine Sichtberechtigung auf Abrechnungsdaten haben
  • Benutzer im Versorgungskontext dennoch Encounter anhand der assoziierten Fallnummer suchen möchten

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "ErsteUndZweiteStelle"
...... extension:DritteStelle S 0..1 Extension 3. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "DritteStelle"
...... extension:VierteStelle S 0..1 Extension 4. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "VierteStelle"
..... url 1..1 uri "http://fhir.de/StructureDefinition/Aufnahmegrund"
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifikator
Slice: Unordered, Open by pattern:$this
.... identifier:Aufnahmenummer SΣ 0..1 Identifier Aufnahmenummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Status
Binding: Encounter Status ValueSet (required)
... class SΣ 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... Slices for type SΣ 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.
.... type:Kontaktebene SΣ 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... type:KontaktArt SΣ 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... serviceType SΣ 0..1 CodeableConcept Fachabteilung
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel SΣ 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:ErweiterterFachabteilungsschluessel SΣ 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient | Group) Patientenidentifikator
... period S 0..1 Period Zeitraum des Kontaktes
.... start SΣC 0..1 dateTime Beginndatum
.... end SΣC 0..1 dateTime Enddatum
... diagnosis SΣ 0..* BackboneElement Diagnosen
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp SΣ 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp SΣ 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... admitSource S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... dischargeDisposition S 0..1 CodeableConcept Entlassung
Binding: DischargeDisposition (example): Discharge Disposition.
..... Slices for extension Content/Rules for all slices
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... physicalType 0..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
.... location:Zimmer 0..1 BackboneElement Zimmer
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... location:Bett 0..1 BackboneElement Bett
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... location:Station 0..1 BackboneElement Station
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier:Aufnahmenummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use Base extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Zimmer.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Zimmer.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Bett.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Bett.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Station.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Station.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If 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-4 error Encounter If 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-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()

Diese Struktur ist abgeleitet von Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
..... Slices for extension Content/Rules for all slices
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
...... extension:DritteStelle S 0..1 Extension 3. Stelle
...... extension:VierteStelle S 0..1 Extension 4. Stelle
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
.... identifier:Aufnahmenummer S 0..1 Identifier Aufnahmenummer
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
..... type S 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... status S 1..1 code Status
Binding: Encounter Status ValueSet (required)
... class S 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... Slices for type S 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
.... type:Kontaktebene S 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
.... type:KontaktArt S 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
... serviceType S 0..1 CodeableConcept Fachabteilung
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel S 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:ErweiterterFachabteilungsschluessel S 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient | Group) Patientenidentifikator
... period S 0..1 Period Zeitraum des Kontaktes
.... start S 0..1 dateTime Beginndatum
.... end S 0..1 dateTime Enddatum
... diagnosis S 0..* BackboneElement Diagnosen
.... condition S 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp S 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp S 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... admitSource S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... dischargeDisposition S 0..1 CodeableConcept Entlassung
..... Slices for extension Content/Rules for all slices
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location:All Slices Content/Rules for all slices
..... physicalType 0..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
.... location:Zimmer 0..1 BackboneElement Zimmer
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
.... location:Bett 0..1 BackboneElement Bett
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
.... location:Station 0..1 BackboneElement Station
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use Base extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.location.physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "ErsteUndZweiteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: Aufnahmegrund Erste und Zweite Stelle ValueSet (required)
...... extension:DritteStelle S 0..1 Extension 3. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "DritteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: AufnahmegrundDritteStelle ValueSet (required)
...... extension:VierteStelle S 0..1 Extension 4. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "VierteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: Aufnahmegrund Vierte Stelle ValueSet (required)
..... url 1..1 uri "http://fhir.de/StructureDefinition/Aufnahmegrund"
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifikator
Slice: Unordered, Open by pattern:$this
.... identifier:Aufnahmenummer SΣ 0..1 Identifier Aufnahmenummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Status
Binding: Encounter Status ValueSet (required)
... 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 SΣ 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... 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
... Slices for type SΣ 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.
.... type:Kontaktebene SΣ 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... type:KontaktArt SΣ 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... serviceType SΣ 0..1 CodeableConcept Fachabteilung
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel SΣ 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ErweiterterFachabteilungsschluessel SΣ 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Patient | Group) Patientenidentifikator
... 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 S 0..1 Period Zeitraum des Kontaktes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Beginndatum
.... end SΣC 0..1 dateTime Enddatum
... 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)
... diagnosis SΣ 0..* BackboneElement Diagnosen
.... 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 SΣ 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp SΣ 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp SΣ 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
..... text Σ 0..1 string Plain text representation of the concept
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... 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 S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... 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 S 0..1 CodeableConcept Entlassung
Binding: DischargeDisposition (example): Discharge Disposition.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location: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
..... 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 Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Zimmer 0..1 BackboneElement Zimmer
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Bett 0..1 BackboneElement Bett
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Station 0..1 BackboneElement Station
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.extension:Aufnahmegrund.​extension:ErsteUndZweiteStelle.​value[x] Base required Aufnahmegrund Erste und Zweite Stelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:DritteStelle.​value[x] Base required AufnahmegrundDritteStelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:VierteStelle.​value[x] Base required Aufnahmegrund Vierte Stelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.identifier:Aufnahmenummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.0
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.0
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 extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v7.0
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 extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Zimmer.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Zimmer.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Bett.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Bett.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Station.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Station.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If 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-4 error Encounter If 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-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()

Diese Struktur ist abgeleitet von Encounter

Summary

Mandatory: 1 element(20 nested mandatory elements)
Must-Support: 49 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier
  • The element 1 is sliced based on the value of Encounter.identifier.type.coding
  • The element 1 is sliced based on the value of Encounter.type
  • The element 1 is sliced based on the value of Encounter.serviceType.coding
  • The element 1 is sliced based on the value of Encounter.diagnosis.use.coding
  • The element 2 is sliced based on the values of Encounter.location

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "ErsteUndZweiteStelle"
...... extension:DritteStelle S 0..1 Extension 3. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "DritteStelle"
...... extension:VierteStelle S 0..1 Extension 4. Stelle
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "VierteStelle"
..... url 1..1 uri "http://fhir.de/StructureDefinition/Aufnahmegrund"
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifikator
Slice: Unordered, Open by pattern:$this
.... identifier:Aufnahmenummer SΣ 0..1 Identifier Aufnahmenummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Status
Binding: Encounter Status ValueSet (required)
... class SΣ 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... Slices for type SΣ 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.
.... type:Kontaktebene SΣ 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... type:KontaktArt SΣ 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... serviceType SΣ 0..1 CodeableConcept Fachabteilung
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel SΣ 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:ErweiterterFachabteilungsschluessel SΣ 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient | Group) Patientenidentifikator
... period S 0..1 Period Zeitraum des Kontaktes
.... start SΣC 0..1 dateTime Beginndatum
.... end SΣC 0..1 dateTime Enddatum
... diagnosis SΣ 0..* BackboneElement Diagnosen
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp SΣ 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp SΣ 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... admitSource S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... dischargeDisposition S 0..1 CodeableConcept Entlassung
Binding: DischargeDisposition (example): Discharge Disposition.
..... Slices for extension Content/Rules for all slices
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... physicalType 0..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
.... location:Zimmer 0..1 BackboneElement Zimmer
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... location:Bett 0..1 BackboneElement Bett
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... location:Station 0..1 BackboneElement Station
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... location 1..1 Reference(Location) Location the encounter takes place
..... status S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier:Aufnahmenummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use Base extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Zimmer.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Zimmer.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Bett.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Bett.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Station.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Station.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If 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-4 error Encounter If 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-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()

Differential-Ansicht

Diese Struktur ist abgeleitet von Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
..... Slices for extension Content/Rules for all slices
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
...... extension:DritteStelle S 0..1 Extension 3. Stelle
...... extension:VierteStelle S 0..1 Extension 4. Stelle
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
.... identifier:Aufnahmenummer S 0..1 Identifier Aufnahmenummer
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
..... type S 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... status S 1..1 code Status
Binding: Encounter Status ValueSet (required)
... class S 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... Slices for type S 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
.... type:Kontaktebene S 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
.... type:KontaktArt S 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
... serviceType S 0..1 CodeableConcept Fachabteilung
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel S 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:ErweiterterFachabteilungsschluessel S 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient | Group) Patientenidentifikator
... period S 0..1 Period Zeitraum des Kontaktes
.... start S 0..1 dateTime Beginndatum
.... end S 0..1 dateTime Enddatum
... diagnosis S 0..* BackboneElement Diagnosen
.... condition S 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp S 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp S 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... admitSource S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... dischargeDisposition S 0..1 CodeableConcept Entlassung
..... Slices for extension Content/Rules for all slices
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location:All Slices Content/Rules for all slices
..... physicalType 0..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
.... location:Zimmer 0..1 BackboneElement Zimmer
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
.... location:Bett 0..1 BackboneElement Bett
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
.... location:Station 0..1 BackboneElement Station
..... status S 1..1 code planned | active | reserved | completed
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use Base extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.location.physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: mii-enc-1, mii-enc-2, mii-enc-3, mii-enc-4, mii-enc-5, mii-enc-6, mii-enc-7
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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:Aufnahmegrund S 0..1 (Complex) Aufnahmegrund
URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:ErsteUndZweiteStelle S 0..1 Extension 1. und 2. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "ErsteUndZweiteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: Aufnahmegrund Erste und Zweite Stelle ValueSet (required)
...... extension:DritteStelle S 0..1 Extension 3. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "DritteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: AufnahmegrundDritteStelle ValueSet (required)
...... extension:VierteStelle S 0..1 Extension 4. Stelle
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "VierteStelle"
....... value[x] 0..1 Coding Value of extension
Binding: Aufnahmegrund Vierte Stelle ValueSet (required)
..... url 1..1 uri "http://fhir.de/StructureDefinition/Aufnahmegrund"
.... extension:plannedStartDate 0..1 dateTime MII EX Fall Planned Start Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
.... extension:plannedEndDate 0..1 dateTime MII EX Fall Planned End Date
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifikator
Slice: Unordered, Open by pattern:$this
.... identifier:Aufnahmenummer SΣ 0..1 Identifier Aufnahmenummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Fall Identifier Type Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: VN
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Status
Binding: Encounter Status ValueSet (required)
... 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 SΣ 1..1 Coding Kontaktklasse
Binding: EncounterClassDE (required)
... 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
... Slices for type SΣ 0..* CodeableConcept Kontakttyp
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.
.... type:Kontaktebene SΣ 0..1 CodeableConcept Kontaktebene
Binding: KontaktebeneDe ValueSet (required): Kontaktebene

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... type:KontaktArt SΣ 0..1 CodeableConcept Kontaktart
Binding: KontaktartDe ValueSet (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... serviceType SΣ 0..1 CodeableConcept Fachabteilung
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachabteilungsschluessel SΣ 0..1 Coding Fachabteilungsschlüssel
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ErweiterterFachabteilungsschluessel SΣ 0..1 Coding Erweiterter Fachabteilungsschlüssel
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Patient | Group) Patientenidentifikator
... 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 S 0..1 Period Zeitraum des Kontaktes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Beginndatum
.... end SΣC 0..1 dateTime Enddatum
... 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)
... diagnosis SΣ 0..* BackboneElement Diagnosen
.... 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 SΣ 1..1 Reference(Condition | Procedure) Referenz zu Diagnose-Ressource
.... use S 1..1 CodeableConcept Diagnosetyp
Binding: MII VS Fall Diagnosis Use (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:Diagnosetyp SΣ 0..1 Coding Diagnosetyp
Binding: DiagnoseTyp ValueSet (required)
...... coding:DiagnosesubTyp SΣ 0..1 Coding Diagnosesubtyp
Binding: Diagnosesubtyp ValueSet (required)
..... text Σ 0..1 string Plain text representation of the concept
.... rank S 0..1 positiveInt Rangfolge
... account S 0..* Reference(Account) Abrechnungskontext
... hospitalization S 0..1 BackboneElement Klinikaufenthalt
.... 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 S 1..1 CodeableConcept Aufnahmeanlass
Binding: Aufnahmeanlass ValueSet (preferred)
.... 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 S 0..1 CodeableConcept Entlassung
Binding: DischargeDisposition (example): Discharge Disposition.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Entlassungsgrund S 0..1 (Complex) Entlassungsgrund
URL: http://fhir.de/StructureDefinition/Entlassungsgrund
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... Slices for location 0..* BackboneElement Kontaktort
Slice: Unordered, Open by pattern:physicalType, pattern:status
.... location: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
..... 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 Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Zimmer 0..1 BackboneElement Zimmer
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ro
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Bett 0..1 BackboneElement Bett
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: bd
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
.... location:Station 0..1 BackboneElement Station
..... 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 S 1..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Required Pattern: active
..... physicalType 1..1 CodeableConcept Kontaktorttyp
Binding: MII VS Fall Location Physical Type (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: wa
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Organization) Leistungserbringer
... partOf S 0..1 Reference(Encounter) Teil von Kontakt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.extension:Aufnahmegrund.​extension:ErsteUndZweiteStelle.​value[x] Base required Aufnahmegrund Erste und Zweite Stelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:DritteStelle.​value[x] Base required AufnahmegrundDritteStelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:VierteStelle.​value[x] Base required Aufnahmegrund Vierte Stelle ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.identifier:Aufnahmenummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:Aufnahmenummer.​type Base extensible MII VS Fall Identifier Type Codes 📦2026.0.0 This IG
Encounter.status Base required Encounter Status ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required EncounterClassDE 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.0
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.type:Kontaktebene Base required KontaktebeneDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.type:KontaktArt Base required KontaktartDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.0
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 extensible MII VS Fall Diagnosis Use 📦2026.0.0 This IG
Encounter.diagnosis.​use.coding:Diagnosetyp Base required DiagnoseTyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp Base required Diagnosesubtyp ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource Base preferred Aufnahmeanlass ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v7.0
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 extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Zimmer.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Zimmer.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Bett.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Bett.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG
Encounter.location:Station.​status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location:Station.​physicalType Base extensible MII VS Fall Location Physical Type 📦2026.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If 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-4 error Encounter If 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-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-enc-1 error Encounter Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein status = 'finished' implies period.end.exists()
mii-enc-2 error Encounter Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
mii-enc-3 error Encounter Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben status = 'planned' implies period.exists().not()
mii-enc-4 warning Encounter Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
mii-enc-5 error Encounter In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben status = 'in-progress' implies period.start.exists()
mii-enc-6 error Encounter Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben status = 'onleave' implies period.start.exists()
mii-enc-7 warning Encounter Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben status = 'unknown' implies period.start.exists()

Diese Struktur ist abgeleitet von Encounter

Summary

Mandatory: 1 element(20 nested mandatory elements)
Must-Support: 49 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier
  • The element 1 is sliced based on the value of Encounter.identifier.type.coding
  • The element 1 is sliced based on the value of Encounter.type
  • The element 1 is sliced based on the value of Encounter.serviceType.coding
  • The element 1 is sliced based on the value of Encounter.diagnosis.use.coding
  • The element 2 is sliced based on the values of Encounter.location

 

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