MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release Germany

MII Implementation Guide Core Dataset Base - Local Development build (v2026.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Ressourcenprofil: MII PR Fall Kontakt mit einer Gesundheitseinrichtung - Detaillierte Beschreibungen

Active Stand: 2025-12-12

Definitionen für das mii-pr-fall-kontakt-gesundheitseinrichtung ressourcenprofil

- Schlüsselelemente-Tabelle
- Differential-Tabelle
- Snapshot-Tabelle

Guidance on how to interpret the contents of this table can be foundhere

0. Encounter
Definition | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Short | An interaction during which services are provided to the patient
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Visit
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mii-enc-1: Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein (`status = 'finished' implies period.end.exists()`) mii-enc-2: 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: Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben (`status = 'planned' implies period.exists().not()`) mii-enc-4: 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: In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben (`status = 'in-progress' implies period.start.exists()`) mii-enc-6: Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben (`status = 'onleave' implies period.start.exists()`) mii-enc-7: Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben (`status = 'unknown' implies period.start.exists()`)
2. Encounter.id
Definition | Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id string
Is Modifier | false
Must Support | true
Summary | true
4. Encounter.meta
Definition | Angabe OPTIONAL zur Provenance und zum Profil The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Encounter.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Encounter.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Encounter.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Encounter.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Encounter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
14. Encounter.extension:Aufnahmegrund
Slice Name | Aufnahmegrund
Definition | OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V
Short | Aufnahmegrund
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ExtensionAufnahmegrund) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle
Slice Name | ErsteUndZweiteStelle
Definition | OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 1. und 2. StelleAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `ErsteUndZweiteStelle`
22. Encounter.extension:Aufnahmegrund.extension:DritteStelle
Slice Name | DritteStelle
Definition | OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 3. StelleAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. Encounter.extension:Aufnahmegrund.extension:DritteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. Encounter.extension:Aufnahmegrund.extension:DritteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `DritteStelle`
28. Encounter.extension:Aufnahmegrund.extension:VierteStelle
Slice Name | VierteStelle
Definition | OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 4. StelleAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
30. Encounter.extension:Aufnahmegrund.extension:VierteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. Encounter.extension:Aufnahmegrund.extension:VierteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `VierteStelle`
34. Encounter.extension:Aufnahmegrund.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://fhir.de/StructureDefinition/Aufnahmegrund`
36. Encounter.extension:Aufnahmegrund.value[x]
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..01
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Encounter.extension:plannedStartDate
Slice Name | plannedStartDate
Definition | The planned start date/time (or admission date) of the encounter
Short | MII EX Fall Planned Start Date
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(MII EX Fall Planned Start Date) (Extension Type: dateTime)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Encounter.extension:plannedEndDate
Slice Name | plannedEndDate
Definition | The planned end date/time (or discharge date) of the encounter
Short | MII EX Fall Planned End Date
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(MII EX Fall Planned End Date) (Extension Type: dateTime)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Encounter.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
44. Encounter.identifier
Definition | Kennung/en, unter der/denen dieser Kontakt bekannt ist. Identifier(s) by which this encounter is known.
Short | IdentifikatorIdentifier(s) by which this encounter is known
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
46. Encounter.identifier:Aufnahmenummer
Slice Name | Aufnahmenummer
Definition | OPTIONAL, Ein eindeutiger Identifier, der einem Patienten bei der Aufnahmeplanung oder bei der Aufnahme selbst zugewiesen wird. Jeder Encounter SOLLTE seine eigene eindeutige Aufnahmenummer haben. Die Aufnahmenummer ist nicht die Fallnummer, welche sich auf den kompletten Abrechnungsfall bezieht. Hier wird ein Identifier angegeben, der den Kontakt eindeutig identifiziert. Identifier(s) by which this encounter is known.
Short | AufnahmenummerIdentifier(s) by which this encounter is known
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] } }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Encounter.identifier:Aufnahmenummer.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Encounter.identifier:Aufnahmenummer.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Encounter.identifier:Aufnahmenummer.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.identifier.type.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
54. Encounter.identifier:Aufnahmenummer.type.coding:vn-type
Slice Name | vn-type
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..1*
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Encounter.identifier:Aufnahmenummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Encounter.identifier:Aufnahmenummer.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Encounter.status
Definition | VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe planned | arrived | triaged | in-progress | onleave | finished | cancelled +.
Short | Statusplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Comments | Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).
Control | 1..1
Binding | The codes SHALL be taken from Encounter Status ValueSet http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 (required to `http://fhir.de/ValueSet/EncounterStatusDe` )
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Encounter.class
Definition | VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. Klassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere. Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Short | KontaktklasseClassification of patient encounter
Control | 1..1
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from EncounterClassDE http://terminology.hl7.org/ValueSet/v3-ActEncounterCode (required to `http://fhir.de/ValueSet/EncounterClassDE` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Encounter.type
Definition | Spezifischer Typ des Kontaktes Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Short | KontakttypSpecific type of encounter
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..*
Binding | For example codes, see EncounterType http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 (example to `http://hl7.org/fhir/ValueSet/encounter-type|4.0.1` ) The type of encounter.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.type`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
70. Encounter.type:Kontaktebene
Slice Name | Kontaktebene
Definition | OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. Die Gliederung gilt für stationäre Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Short | KontaktebeneSpecific type of encounter
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..1*
Binding | The codes SHALL be taken from For example codes, see KontaktebeneDe ValueSet http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 (required to `http://fhir.de/ValueSet/kontaktebene-de` ) Kontaktebene The type of encounter.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/Kontaktebene" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Encounter.type:KontaktArt
Slice Name | KontaktArt
Definition | OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). Required Binding auf http://fhir.de/ValueSet/kontaktart-de Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Short | KontaktartSpecific type of encounter
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..1*
Binding | The codes SHALL be taken from For example codes, see KontaktartDe ValueSet http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 (required to `http://fhir.de/ValueSet/kontaktart-de` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/kontaktart-de" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Encounter.serviceType
Definition | Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert. Broad categorization of the service that is to be provided (e.g. cardiology).
Short | FachabteilungSpecific type of service
Control | 0..1
Binding | For example codes, see ServiceType http://hl7.org/fhir/ValueSet/service-type|4.0.1 (example to `http://hl7.org/fhir/ValueSet/service-type|4.0.1` ) Broad categorization of the service that is to be provided.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Encounter.serviceType.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.serviceType.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
78. Encounter.serviceType.coding:Fachabteilungsschluessel
Slice Name | Fachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung A reference to a code defined by a terminology system.
Short | FachabteilungsschlüsselCode defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1*
Binding | The codes SHALL be taken from For codes, see Fachabteilungsschlüssel ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Encounter.serviceType.coding:Fachabteilungsschluessel.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Encounter.serviceType.coding:Fachabteilungsschluessel.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel
Slice Name | ErweiterterFachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen. A reference to a code defined by a terminology system.
Short | Erweiterter FachabteilungsschlüsselCode defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1*
Binding | The codes SHALL be taken from For codes, see FachabteilungsschluesselErweitert ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert" }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. Encounter.subject
Definition | VERPFLICHTEND, Referenz auf Patient:in. The patient or group present at the encounter.
Short | PatientenidentifikatorThe patient or group present at the encounter
Comments | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Control | 10..1
Type | Reference(Patient, Group)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Encounter.period
Definition | Beginn- und Endzeitpunkt des Kontaktes. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter. The start and end time of the encounter.
Short | Zeitraum des KontaktesThe start and end time of the encounter
Comments | If not (yet) known, the end of the Period may be omitted.
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Encounter.period.start
Definition | Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter. The start of the period. The boundary is inclusive.
Short | BeginndatumStarting time with inclusive boundary
Comments | If the low element is missing, the meaning is that the low boundary is not known.
Control | 0..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Encounter.period.end
Definition | Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter. The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Short | EnddatumEnd time with inclusive boundary, if not ongoing
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 0..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Encounter.diagnosis
Definition | OPTIONAL, Verweis auf Diagnosen/Prozeduren, die eine besondere Rolle im Kontext eines Encounters haben. Der Fallbezug von Diagnosen und Prozeduren wird über das jeweilige encounter-Element der Condition bzw. Procedure-Ressource hinreichend etabliert. Die zusätzliche Rückverlinkung von Encounter.diagnosis auf Condition/Procedure wird nur dann verwendet, wenn einer Diagnose bzw. Prozedur im Kontext eines Aufenthaltes eine besondere Rolle zugewiesen werden soll, z.B. Haupt-/Neben-/Aufnahme- oder Überweisungsdiagnose). The list of diagnosis relevant to this encounter.
Short | DiagnosenThe list of diagnosis relevant to this encounter
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. Encounter.diagnosis.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
102. Encounter.diagnosis.condition
Definition | VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. Bei ICD-10 Primär- und Sekundärcodes SOLLTE nur die Primärdiagnose referenziert werden. Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.
Short | Referenz zu Diagnose-RessourceThe diagnosis or procedure relevant to the encounter
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Control | 1..1
Type | Reference(Condition, Procedure)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Alternate Names | Admission diagnosis, discharge diagnosis, indication
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Encounter.diagnosis.use
Definition | Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines stationären Aufenthaltes zu betrachten und werden daher als Eigenschaft des Encounters modelliert. VERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. Weitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role` Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).
Short | DiagnosetypRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from MII VS Fall Diagnosis Use http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. Encounter.diagnosis.use.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.diagnosis.use.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
108. Encounter.diagnosis.use.coding:Diagnosetyp
Slice Name | Diagnosetyp
Definition | Einweisungs-/Überweisungsdiagnose | Behandlungsrelevante Diagnosen A reference to a code defined by a terminology system.
Short | DiagnosetypCode defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1*
Binding | The codes SHALL be taken from For codes, see DiagnoseTyp ValueSet (required to `http://fhir.de/ValueSet/DiagnoseTyp` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. Encounter.diagnosis.use.coding:DiagnosesubTyp
Slice Name | DiagnosesubTyp
Definition | Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose + A reference to a code defined by a terminology system.
Short | DiagnosesubtypCode defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1*
Binding | The codes SHALL be taken from For codes, see Diagnosesubtyp ValueSet (required to `http://fhir.de/ValueSet/Diagnosesubtyp` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Encounter.diagnosis.rank
Definition | OPTIONAL, Rangfolge der Diagnose Ranking of the diagnosis (for each role type).
Short | RangfolgeRanking of the diagnosis (for each role type)
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Encounter.account
Definition | OPTIONAL. Referenz auf den Abrechnungsfall. Eine logische Referenz ist ausreichend zur Abbildung des Abrechnungskontextes. The set of accounts that may be used for billing for this Encounter.
Short | AbrechnungskontextThe set of accounts that may be used for billing for this Encounter
Comments | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.
Control | 0..*
Type | Reference(Account)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Encounter.hospitalization
Definition | OPTIONAL, Details zur Aufnahme und Entlassung Details about the admission to a healthcare service.
Short | KlinikaufenthaltDetails about the admission to a healthcare service
Comments | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. Encounter.hospitalization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
120. Encounter.hospitalization.admitSource
Definition | VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass From where patient was admitted (physician referral, transfer).
Short | AufnahmeanlassFrom where patient was admitted (physician referral, transfer)
Control | 10..1
Binding | The codes SHOULD be taken from Aufnahmeanlass ValueSet http://hl7.org/fhir/ValueSet/encounter-admit-source|4.0.1 (preferred to `http://fhir.de/ValueSet/dgkev/Aufnahmeanlass` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. Encounter.hospitalization.dischargeDisposition
Definition | OPTIONAL Daten zur Entlassung Category or kind of location after discharge.
Short | EntlassungCategory or kind of location after discharge
Control | 0..1
Binding | For example codes, see DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1 (example to `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1` ) Discharge Disposition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
124. Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund
Slice Name | Entlassungsgrund
Definition | OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V
Short | Entlassungsgrund
Control | 0..1
Type | Extension(ExtensionEntlassungsgrund) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
126. Encounter.location
Definition | OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station List of locations where the patient has been during this encounter.
Short | KontaktortList of locations where the patient has been
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Encounter.location`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ physicalType pattern @ status
128. Encounter.location.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
130. Encounter.location.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. Encounter.location.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.
Short | KontaktorttypThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see MII VS Fall Location Physical Type http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. Encounter.location:Zimmer
Slice Name | Zimmer
Definition | Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer Station. List of locations where the patient has been during this encounter.
Short | ZimmerList of locations where the patient has been
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. Encounter.location:Zimmer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. Encounter.location:Zimmer.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
140. Encounter.location:Zimmer.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 10..1
Binding | The codes SHALL be taken from EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. Encounter.location:Zimmer.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.
Short | KontaktorttypThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see MII VS Fall Location Physical Type http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "ro" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
144. Encounter.location:Bett
Slice Name | Bett
Definition | Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz. List of locations where the patient has been during this encounter.
Short | BettList of locations where the patient has been
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
146. Encounter.location:Bett.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
148. Encounter.location:Bett.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
150. Encounter.location:Bett.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 10..1
Binding | The codes SHALL be taken from EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
152. Encounter.location:Bett.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.
Short | KontaktorttypThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see MII VS Fall Location Physical Type http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "bd" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. Encounter.location:Station
Slice Name | Station
Definition | Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde. List of locations where the patient has been during this encounter.
Short | StationList of locations where the patient has been
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. Encounter.location:Station.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
158. Encounter.location:Station.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. Encounter.location:Station.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 10..1
Binding | The codes SHALL be taken from EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
162. Encounter.location:Station.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.
Short | KontaktorttypThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see MII VS Fall Location Physical Type http://hl7.org/fhir/ValueSet/location-physical-type|4.0.1 (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "wa" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
164. Encounter.serviceProvider
Definition | OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. Referenz auf eine Organisation The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.
Short | LeistungserbringerThe organization (facility) responsible for this encounter
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
166. Encounter.partOf
Definition | OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, wenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes oder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist. Another Encounter of which this encounter is a part of (administratively or in time).
Short | Teil von KontaktAnother Encounter this encounter is part of
Comments | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details.
Control | 0..1
Type | Reference(Encounter)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Encounter
Invariants | mii-enc-1: Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein (`status = 'finished' implies period.end.exists()`) mii-enc-2: 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: Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben (`status = 'planned' implies period.exists().not()`) mii-enc-4: 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: In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben (`status = 'in-progress' implies period.start.exists()`) mii-enc-6: Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben (`status = 'onleave' implies period.start.exists()`) mii-enc-7: Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben (`status = 'unknown' implies period.start.exists()`)
2. Encounter.id
Definition | Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID
Must Support | true
4. Encounter.meta
Definition | Angabe OPTIONAL zur Provenance und zum Profil
Must Support | true
6. Encounter.meta.source
Must Support | true
8. Encounter.meta.profile
Must Support | true
10. Encounter.extension
Slicing | This element introduces a set of slices on `Encounter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. Encounter.extension:Aufnahmegrund
Slice Name | Aufnahmegrund
Definition | OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V
Short | Aufnahmegrund
Control | 0..1
Type | Extension(ExtensionAufnahmegrund) (Complex Extension)
Must Support | true
14. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle
Slice Name | ErsteUndZweiteStelle
Definition | OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 1. und 2. Stelle
Must Support | true
16. Encounter.extension:Aufnahmegrund.extension:DritteStelle
Slice Name | DritteStelle
Definition | OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 3. Stelle
Must Support | true
18. Encounter.extension:Aufnahmegrund.extension:VierteStelle
Slice Name | VierteStelle
Definition | OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 4. Stelle
Must Support | true
20. Encounter.extension:plannedStartDate
Slice Name | plannedStartDate
Control | 0..1
Type | Extension(MII EX Fall Planned Start Date) (Extension Type: dateTime)
22. Encounter.extension:plannedEndDate
Slice Name | plannedEndDate
Control | 0..1
Type | Extension(MII EX Fall Planned End Date) (Extension Type: dateTime)
24. Encounter.identifier
Definition | Kennung/en, unter der/denen dieser Kontakt bekannt ist.
Short | Identifikator
Note | This is a business identifier, not a resource identifier (see discussion)
Must Support | true
Slicing | This element introduces a set of slices on `Encounter.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
26. Encounter.identifier:Aufnahmenummer
Slice Name | Aufnahmenummer
Definition | OPTIONAL, Ein eindeutiger Identifier, der einem Patienten bei der Aufnahmeplanung oder bei der Aufnahme selbst zugewiesen wird. Jeder Encounter SOLLTE seine eigene eindeutige Aufnahmenummer haben. Die Aufnahmenummer ist nicht die Fallnummer, welche sich auf den kompletten Abrechnungsfall bezieht. Hier wird ein Identifier angegeben, der den Kontakt eindeutig identifiziert.
Short | Aufnahmenummer
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Must Support | true
Pattern Value | `{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] } }`
28. Encounter.identifier:Aufnahmenummer.type
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Identifier Type Codes (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes` )
Must Support | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] }`
30. Encounter.identifier:Aufnahmenummer.type.coding
Control | 1..?
Slicing | This element introduces a set of slices on `Encounter.identifier.type.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
32. Encounter.identifier:Aufnahmenummer.type.coding:vn-type
Slice Name | vn-type
Control | 1..1
Must Support | true
Pattern Value | `{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }`
34. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system
Control | 1..?
Must Support | true
36. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code
Control | 1..?
Must Support | true
38. Encounter.identifier:Aufnahmenummer.system
Control | 1..?
Must Support | true
40. Encounter.identifier:Aufnahmenummer.value
Control | 1..?
Must Support | true
42. Encounter.status
Definition | VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe
Short | Status
Binding | The codes SHALL be taken from Encounter Status ValueSet (required to `http://fhir.de/ValueSet/EncounterStatusDe` )
Must Support | true
44. Encounter.class
Definition | VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. Klassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere.
Short | Kontaktklasse
Binding | The codes SHALL be taken from EncounterClassDE (required to `http://fhir.de/ValueSet/EncounterClassDE` )
Must Support | true
46. Encounter.type
Definition | Spezifischer Typ des Kontaktes
Short | Kontakttyp
Must Support | true
Slicing | This element introduces a set of slices on `Encounter.type`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
48. Encounter.type:Kontaktebene
Slice Name | Kontaktebene
Definition | OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. Die Gliederung gilt für stationäre Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de
Short | Kontaktebene
Control | 0..1
Binding | The codes SHALL be taken from KontaktebeneDe ValueSet (required to `http://fhir.de/ValueSet/kontaktebene-de` ) Kontaktebene
Must Support | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/Kontaktebene" }] }`
50. Encounter.type:KontaktArt
Slice Name | KontaktArt
Definition | OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). Required Binding auf http://fhir.de/ValueSet/kontaktart-de
Short | Kontaktart
Control | 0..1
Binding | The codes SHALL be taken from KontaktartDe ValueSet (required to `http://fhir.de/ValueSet/kontaktart-de` )
Must Support | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/kontaktart-de" }] }`
52. Encounter.serviceType
Definition | Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert.
Short | Fachabteilung
Must Support | true
54. Encounter.serviceType.coding
Must Support | true
Slicing | This element introduces a set of slices on `Encounter.serviceType.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
56. Encounter.serviceType.coding:Fachabteilungsschluessel
Slice Name | Fachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung
Short | Fachabteilungsschlüssel
Control | 0..1
Binding | The codes SHALL be taken from Fachabteilungsschlüssel ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel` )
Must Support | true
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" }`
58. Encounter.serviceType.coding:Fachabteilungsschluessel.system
Control | 1..?
Must Support | true
60. Encounter.serviceType.coding:Fachabteilungsschluessel.code
Control | 1..?
Must Support | true
62. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel
Slice Name | ErweiterterFachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen.
Short | Erweiterter Fachabteilungsschlüssel
Control | 0..1
Binding | The codes SHALL be taken from FachabteilungsschluesselErweitert ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert` )
Must Support | true
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert" }`
64. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system
Control | 1..?
Must Support | true
66. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code
Control | 1..?
Must Support | true
68. Encounter.subject
Definition | VERPFLICHTEND, Referenz auf Patient:in.
Short | Patientenidentifikator
Control | 1..?
Must Support | true
70. Encounter.period
Definition | Beginn- und Endzeitpunkt des Kontaktes. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Zeitraum des Kontaktes
Must Support | true
72. Encounter.period.start
Definition | Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Beginndatum
Must Support | true
74. Encounter.period.end
Definition | Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Enddatum
Must Support | true
76. Encounter.diagnosis
Definition | OPTIONAL, Verweis auf Diagnosen/Prozeduren, die eine besondere Rolle im Kontext eines Encounters haben. Der Fallbezug von Diagnosen und Prozeduren wird über das jeweilige encounter-Element der Condition bzw. Procedure-Ressource hinreichend etabliert. Die zusätzliche Rückverlinkung von Encounter.diagnosis auf Condition/Procedure wird nur dann verwendet, wenn einer Diagnose bzw. Prozedur im Kontext eines Aufenthaltes eine besondere Rolle zugewiesen werden soll, z.B. Haupt-/Neben-/Aufnahme- oder Überweisungsdiagnose).
Short | Diagnosen
Must Support | true
78. Encounter.diagnosis.condition
Definition | VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. Bei ICD-10 Primär- und Sekundärcodes SOLLTE nur die Primärdiagnose referenziert werden.
Short | Referenz zu Diagnose-Ressource
Must Support | true
80. Encounter.diagnosis.use
Definition | Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines stationären Aufenthaltes zu betrachten und werden daher als Eigenschaft des Encounters modelliert. VERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. Weitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role`
Short | Diagnosetyp
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Diagnosis Use (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use` )
Must Support | true
82. Encounter.diagnosis.use.coding
Control | 1..?
Must Support | true
Slicing | This element introduces a set of slices on `Encounter.diagnosis.use.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
84. Encounter.diagnosis.use.coding:Diagnosetyp
Slice Name | Diagnosetyp
Definition | Einweisungs-/Überweisungsdiagnose | Behandlungsrelevante Diagnosen
Short | Diagnosetyp
Control | 0..1
Binding | The codes SHALL be taken from DiagnoseTyp ValueSet (required to `http://fhir.de/ValueSet/DiagnoseTyp` )
Must Support | true
86. Encounter.diagnosis.use.coding:DiagnosesubTyp
Slice Name | DiagnosesubTyp
Definition | Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose +
Short | Diagnosesubtyp
Control | 0..1
Binding | The codes SHALL be taken from Diagnosesubtyp ValueSet (required to `http://fhir.de/ValueSet/Diagnosesubtyp` )
Must Support | true
88. Encounter.diagnosis.rank
Definition | OPTIONAL, Rangfolge der Diagnose
Short | Rangfolge
Must Support | true
90. Encounter.account
Definition | OPTIONAL. Referenz auf den Abrechnungsfall. Eine logische Referenz ist ausreichend zur Abbildung des Abrechnungskontextes.
Short | Abrechnungskontext
Must Support | true
92. Encounter.hospitalization
Definition | OPTIONAL, Details zur Aufnahme und Entlassung
Short | Klinikaufenthalt
Must Support | true
94. Encounter.hospitalization.admitSource
Definition | VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass
Short | Aufnahmeanlass
Control | 1..?
Binding | The codes SHOULD be taken from Aufnahmeanlass ValueSet (preferred to `http://fhir.de/ValueSet/dgkev/Aufnahmeanlass` )
Must Support | true
96. Encounter.hospitalization.dischargeDisposition
Definition | OPTIONAL Daten zur Entlassung
Short | Entlassung
Must Support | true
98. Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund
Slice Name | Entlassungsgrund
Definition | OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V
Short | Entlassungsgrund
Control | 0..1
Type | Extension(ExtensionEntlassungsgrund) (Complex Extension)
Must Support | true
100. Encounter.location
Definition | OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station
Short | Kontaktort
Slicing | This element introduces a set of slices on `Encounter.location`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ physicalType pattern @ status
102. Encounter.location.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type
Short | Kontaktorttyp
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Location Physical Type (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
104. Encounter.location:Zimmer
Slice Name | Zimmer
Definition | Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer Station.
Short | Zimmer
Control | 0..1
106. Encounter.location:Zimmer.status
Control | 1..?
Must Support | true
Pattern Value | `active`
108. Encounter.location:Zimmer.physicalType
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "ro" }] }`
110. Encounter.location:Bett
Slice Name | Bett
Definition | Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz.
Short | Bett
Control | 0..1
112. Encounter.location:Bett.status
Control | 1..?
Must Support | true
Pattern Value | `active`
114. Encounter.location:Bett.physicalType
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "bd" }] }`
116. Encounter.location:Station
Slice Name | Station
Definition | Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde.
Short | Station
Control | 0..1
118. Encounter.location:Station.status
Control | 1..?
Must Support | true
Pattern Value | `active`
120. Encounter.location:Station.physicalType
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "wa" }] }`
122. Encounter.serviceProvider
Definition | OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. Referenz auf eine Organisation
Short | Leistungserbringer
124. Encounter.partOf
Definition | OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, wenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes oder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist.
Short | Teil von Kontakt
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. Encounter
Definition | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Short | An interaction during which services are provided to the patient
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Visit
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) mii-enc-1: Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein (`status = 'finished' implies period.end.exists()`) mii-enc-2: 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: Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben (`status = 'planned' implies period.exists().not()`) mii-enc-4: 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: In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben (`status = 'in-progress' implies period.start.exists()`) mii-enc-6: Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben (`status = 'onleave' implies period.start.exists()`) mii-enc-7: Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben (`status = 'unknown' implies period.start.exists()`)
2. Encounter.id
Definition | Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Must Support | true
Summary | true
4. Encounter.meta
Definition | Angabe OPTIONAL zur Provenance und zum Profil
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Encounter.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
8. Encounter.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Encounter.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Short | Version specific identifier
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Encounter.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Encounter.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Encounter.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Encounter.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Encounter.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Encounter.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Encounter.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Encounter.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Encounter.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
30. Encounter.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. Encounter.extension:Aufnahmegrund
Slice Name | Aufnahmegrund
Definition | OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V
Short | Aufnahmegrund
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ExtensionAufnahmegrund) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Encounter.extension:Aufnahmegrund.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
36. Encounter.extension:Aufnahmegrund.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
38. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle
Slice Name | ErsteUndZweiteStelle
Definition | OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 1. und 2. Stelle
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
40. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
42. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `ErsteUndZweiteStelle`
46. Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.value[x]
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Binding | The codes SHALL be taken from Aufnahmegrund Erste und Zweite Stelle ValueSet (required to `http://fhir.de/ValueSet/dkgev/AufnahmegrundErsteUndZweiteStelle` )
Type | Coding
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Encounter.extension:Aufnahmegrund.extension:DritteStelle
Slice Name | DritteStelle
Definition | OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 3. Stelle
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
50. Encounter.extension:Aufnahmegrund.extension:DritteStelle.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. Encounter.extension:Aufnahmegrund.extension:DritteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Encounter.extension:Aufnahmegrund.extension:DritteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `DritteStelle`
56. Encounter.extension:Aufnahmegrund.extension:DritteStelle.value[x]
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Binding | The codes SHALL be taken from AufnahmegrundDritteStelle ValueSet (required to `http://fhir.de/ValueSet/dkgev/AufnahmegrundDritteStelle` )
Type | Coding
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Encounter.extension:Aufnahmegrund.extension:VierteStelle
Slice Name | VierteStelle
Definition | OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.
Short | 4. Stelle
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
60. Encounter.extension:Aufnahmegrund.extension:VierteStelle.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
62. Encounter.extension:Aufnahmegrund.extension:VierteStelle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
64. Encounter.extension:Aufnahmegrund.extension:VierteStelle.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `VierteStelle`
66. Encounter.extension:Aufnahmegrund.extension:VierteStelle.value[x]
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Binding | The codes SHALL be taken from Aufnahmegrund Vierte Stelle ValueSet (required to `http://fhir.de/ValueSet/dkgev/AufnahmegrundVierteStelle` )
Type | Coding
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Encounter.extension:Aufnahmegrund.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://fhir.de/StructureDefinition/Aufnahmegrund`
70. Encounter.extension:Aufnahmegrund.value[x]
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..0
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Encounter.extension:plannedStartDate
Slice Name | plannedStartDate
Definition | The planned start date/time (or admission date) of the encounter
Short | MII EX Fall Planned Start Date
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(MII EX Fall Planned Start Date) (Extension Type: dateTime)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
74. Encounter.extension:plannedEndDate
Slice Name | plannedEndDate
Definition | The planned end date/time (or discharge date) of the encounter
Short | MII EX Fall Planned End Date
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(MII EX Fall Planned End Date) (Extension Type: dateTime)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
76. Encounter.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. Encounter.identifier
Definition | Kennung/en, unter der/denen dieser Kontakt bekannt ist.
Short | Identifikator
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
80. Encounter.identifier:Aufnahmenummer
Slice Name | Aufnahmenummer
Definition | OPTIONAL, Ein eindeutiger Identifier, der einem Patienten bei der Aufnahmeplanung oder bei der Aufnahme selbst zugewiesen wird. Jeder Encounter SOLLTE seine eigene eindeutige Aufnahmenummer haben. Die Aufnahmenummer ist nicht die Fallnummer, welche sich auf den kompletten Abrechnungsfall bezieht. Hier wird ein Identifier angegeben, der den Kontakt eindeutig identifiziert.
Short | Aufnahmenummer
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] } }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Encounter.identifier:Aufnahmenummer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
84. Encounter.identifier:Aufnahmenummer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. Encounter.identifier:Aufnahmenummer.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Encounter.identifier:Aufnahmenummer.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Identifier Type Codes (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Encounter.identifier:Aufnahmenummer.type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
92. Encounter.identifier:Aufnahmenummer.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.identifier.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
94. Encounter.identifier:Aufnahmenummer.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 1..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.identifier.type.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
96. Encounter.identifier:Aufnahmenummer.type.coding:vn-type
Slice Name | vn-type
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 1..1
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "VN" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
100. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.identifier.type.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
102. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Encounter.identifier:Aufnahmenummer.type.coding:vn-type.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Encounter.identifier:Aufnahmenummer.type.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Encounter.identifier:Aufnahmenummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Encounter.identifier:Aufnahmenummer.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Encounter.identifier:Aufnahmenummer.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Encounter.identifier:Aufnahmenummer.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Encounter.status
Definition | VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe
Short | Status
Comments | Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).
Control | 1..1
Binding | The codes SHALL be taken from Encounter Status ValueSet (required to `http://fhir.de/ValueSet/EncounterStatusDe` )
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Encounter.statusHistory
Definition | The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.
Short | List of past encounter statuses
Comments | The current status is always found in the current version of the resource, not the status history.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Encounter.statusHistory.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
128. Encounter.statusHistory.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
130. Encounter.statusHistory.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
132. Encounter.statusHistory.status
Definition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +.
Short | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Control | 1..1
Binding | The codes SHALL be taken from EncounterStatus (required to `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` ) Current state of the encounter.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Encounter.statusHistory.period
Definition | The time that the episode was in the specified status.
Short | The time that the episode was in the specified status
Control | 1..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Encounter.class
Definition | VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. Klassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere.
Short | Kontaktklasse
Control | 1..1
Binding | The codes SHALL be taken from EncounterClassDE (required to `http://fhir.de/ValueSet/EncounterClassDE` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Encounter.classHistory
Definition | The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.
Short | List of past encounter classes
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Encounter.classHistory.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
142. Encounter.classHistory.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
144. Encounter.classHistory.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
146. Encounter.classHistory.class
Definition | inpatient | outpatient | ambulatory | emergency +.
Short | inpatient | outpatient | ambulatory | emergency +
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCode (extensible to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` ) Classification of the encounter.
Type | Coding
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Encounter.classHistory.period
Definition | The time that the episode was in the specified class.
Short | The time that the episode was in the specified class
Control | 1..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Encounter.type
Definition | Spezifischer Typ des Kontaktes
Short | Kontakttyp
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..*
Binding | For example codes, see EncounterType (example to `http://hl7.org/fhir/ValueSet/encounter-type|4.0.1` ) The type of encounter.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.type`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
152. Encounter.type:Kontaktebene
Slice Name | Kontaktebene
Definition | OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. Die Gliederung gilt für stationäre Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de
Short | Kontaktebene
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..1
Binding | The codes SHALL be taken from KontaktebeneDe ValueSet (required to `http://fhir.de/ValueSet/kontaktebene-de` ) Kontaktebene
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/Kontaktebene" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Encounter.type:KontaktArt
Slice Name | KontaktArt
Definition | OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). Required Binding auf http://fhir.de/ValueSet/kontaktart-de
Short | Kontaktart
Comments | Since there are many ways to further classify encounters, this element is 0..*.
Control | 0..1
Binding | The codes SHALL be taken from KontaktartDe ValueSet (required to `http://fhir.de/ValueSet/kontaktart-de` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://fhir.de/CodeSystem/kontaktart-de" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Encounter.serviceType
Definition | Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert.
Short | Fachabteilung
Control | 0..1
Binding | For example codes, see ServiceType (example to `http://hl7.org/fhir/ValueSet/service-type|4.0.1` ) Broad categorization of the service that is to be provided.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Encounter.serviceType.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
160. Encounter.serviceType.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.serviceType.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
162. Encounter.serviceType.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.serviceType.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
164. Encounter.serviceType.coding:Fachabteilungsschluessel
Slice Name | Fachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung
Short | Fachabteilungsschlüssel
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1
Binding | The codes SHALL be taken from Fachabteilungsschlüssel ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Encounter.serviceType.coding:Fachabteilungsschluessel.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
168. Encounter.serviceType.coding:Fachabteilungsschluessel.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.serviceType.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
170. Encounter.serviceType.coding:Fachabteilungsschluessel.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Encounter.serviceType.coding:Fachabteilungsschluessel.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Encounter.serviceType.coding:Fachabteilungsschluessel.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. Encounter.serviceType.coding:Fachabteilungsschluessel.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Encounter.serviceType.coding:Fachabteilungsschluessel.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel
Slice Name | ErweiterterFachabteilungsschluessel
Definition | OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen.
Short | Erweiterter Fachabteilungsschlüssel
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1
Binding | The codes SHALL be taken from FachabteilungsschluesselErweitert ValueSet (required to `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Pattern Value | `{ "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
184. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.serviceType.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
186. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. Encounter.serviceType.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Encounter.priority
Definition | Indicates the urgency of the encounter.
Short | Indicates the urgency of the encounter
Control | 0..1
Binding | For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority` ) Indicates the urgency of the encounter.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. Encounter.subject
Definition | VERPFLICHTEND, Referenz auf Patient:in.
Short | Patientenidentifikator
Comments | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Control | 1..1
Type | Reference(Patient, Group)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Encounter.episodeOfCare
Definition | Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).
Short | Episode(s) of care that this encounter should be recorded against
Control | 0..*
Type | Reference(EpisodeOfCare)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. Encounter.basedOn
Definition | The request this encounter satisfies (e.g. incoming referral or procedure request).
Short | The ServiceRequest that initiated this encounter
Control | 0..*
Type | Reference(ServiceRequest)
Is Modifier | false
Summary | false
Alternate Names | incomingReferral
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Encounter.participant
Definition | The list of people responsible for providing the service.
Short | List of participants involved in the encounter
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. Encounter.participant.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
210. Encounter.participant.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
212. Encounter.participant.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
214. Encounter.participant.type
Definition | Role of participant in encounter.
Short | Role of participant in encounter
Comments | The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ParticipantType (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. Encounter.participant.period
Definition | The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.
Short | Period of time during the encounter that the participant participated
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. Encounter.participant.individual
Definition | Persons involved in the encounter other than the patient.
Short | Persons involved in the encounter other than the patient
Control | 0..1
Type | Reference(Practitioner, PractitionerRole, RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. Encounter.appointment
Definition | The appointment that scheduled this encounter.
Short | The appointment that scheduled this encounter
Control | 0..*
Type | Reference(Appointment)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. Encounter.period
Definition | Beginn- und Endzeitpunkt des Kontaktes. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Zeitraum des Kontaktes
Comments | If not (yet) known, the end of the Period may be omitted.
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. Encounter.period.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
226. Encounter.period.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
228. Encounter.period.start
Definition | Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Beginndatum
Comments | If the low element is missing, the meaning is that the low boundary is not known.
Control | 0..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. Encounter.period.end
Definition | Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.
Short | Enddatum
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 0..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. Encounter.length
Definition | Quantity of time the encounter lasted. This excludes the time during leaves of absence.
Short | Quantity of time the encounter lasted (less time absent)
Comments | May differ from the time the Encounter.period lasted because of leave of absence.
Control | 0..1
Type | Duration
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. Encounter.reasonCode
Definition | Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Short | Coded reason the encounter takes place
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Control | 0..*
Binding | The codes SHOULD be taken from EncounterReasonCodes (preferred to `http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1` ) Reason why the encounter takes place.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Indication, Admission diagnosis
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. Encounter.reasonReference
Definition | Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Short | Reason the encounter takes place (reference)
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Control | 0..*
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation)
Is Modifier | false
Summary | true
Alternate Names | Indication, Admission diagnosis
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. Encounter.diagnosis
Definition | OPTIONAL, Verweis auf Diagnosen/Prozeduren, die eine besondere Rolle im Kontext eines Encounters haben. Der Fallbezug von Diagnosen und Prozeduren wird über das jeweilige encounter-Element der Condition bzw. Procedure-Ressource hinreichend etabliert. Die zusätzliche Rückverlinkung von Encounter.diagnosis auf Condition/Procedure wird nur dann verwendet, wenn einer Diagnose bzw. Prozedur im Kontext eines Aufenthaltes eine besondere Rolle zugewiesen werden soll, z.B. Haupt-/Neben-/Aufnahme- oder Überweisungsdiagnose).
Short | Diagnosen
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
240. Encounter.diagnosis.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
242. Encounter.diagnosis.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
244. Encounter.diagnosis.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
246. Encounter.diagnosis.condition
Definition | VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. Bei ICD-10 Primär- und Sekundärcodes SOLLTE nur die Primärdiagnose referenziert werden.
Short | Referenz zu Diagnose-Ressource
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Control | 1..1
Type | Reference(Condition, Procedure)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Alternate Names | Admission diagnosis, discharge diagnosis, indication
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
248. Encounter.diagnosis.use
Definition | Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines stationären Aufenthaltes zu betrachten und werden daher als Eigenschaft des Encounters modelliert. VERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. Weitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role`
Short | Diagnosetyp
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Diagnosis Use (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. Encounter.diagnosis.use.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
252. Encounter.diagnosis.use.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.diagnosis.use.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
254. Encounter.diagnosis.use.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 1..*
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.diagnosis.use.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
256. Encounter.diagnosis.use.coding:Diagnosetyp
Slice Name | Diagnosetyp
Definition | Einweisungs-/Überweisungsdiagnose | Behandlungsrelevante Diagnosen
Short | Diagnosetyp
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1
Binding | The codes SHALL be taken from DiagnoseTyp ValueSet (required to `http://fhir.de/ValueSet/DiagnoseTyp` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. Encounter.diagnosis.use.coding:DiagnosesubTyp
Slice Name | DiagnosesubTyp
Definition | Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose +
Short | Diagnosesubtyp
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1
Binding | The codes SHALL be taken from Diagnosesubtyp ValueSet (required to `http://fhir.de/ValueSet/Diagnosesubtyp` )
Type | Coding
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. Encounter.diagnosis.use.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
262. Encounter.diagnosis.rank
Definition | OPTIONAL, Rangfolge der Diagnose
Short | Rangfolge
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. Encounter.account
Definition | OPTIONAL. Referenz auf den Abrechnungsfall. Eine logische Referenz ist ausreichend zur Abbildung des Abrechnungskontextes.
Short | Abrechnungskontext
Comments | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.
Control | 0..*
Type | Reference(Account)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. Encounter.hospitalization
Definition | OPTIONAL, Details zur Aufnahme und Entlassung
Short | Klinikaufenthalt
Comments | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. Encounter.hospitalization.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
270. Encounter.hospitalization.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
272. Encounter.hospitalization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
274. Encounter.hospitalization.preAdmissionIdentifier
Definition | Pre-admission identifier.
Short | Pre-admission identifier
Control | 0..1
Type | Identifier
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
276. Encounter.hospitalization.origin
Definition | The location/organization from which the patient came before admission.
Short | The location/organization from which the patient came before admission
Control | 0..1
Type | Reference(Location, Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. Encounter.hospitalization.admitSource
Definition | VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass
Short | Aufnahmeanlass
Control | 1..1
Binding | The codes SHOULD be taken from Aufnahmeanlass ValueSet (preferred to `http://fhir.de/ValueSet/dgkev/Aufnahmeanlass` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
280. Encounter.hospitalization.reAdmission
Definition | Whether this hospitalization is a readmission and why if known.
Short | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Control | 0..1
Binding | For example codes, see hl7VS-re-admissionIndicator (example to `http://terminology.hl7.org/ValueSet/v2-0092` ) The reason for re-admission of this hospitalization encounter.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. Encounter.hospitalization.dietPreference
Definition | Diet preferences reported by the patient.
Short | Diet preferences reported by the patient
Comments | For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).
Control | 0..*
Binding | For example codes, see Diet (example to `http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1` ) Medical, cultural or ethical food preferences to help with catering requirements.
Type | CodeableConcept
Is Modifier | false
Summary | false
Requirements | Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. Encounter.hospitalization.specialCourtesy
Definition | Special courtesies (VIP, board member).
Short | Special courtesies (VIP, board member)
Control | 0..*
Binding | The codes SHOULD be taken from SpecialCourtesy (preferred to `http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1` ) Special courtesies.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
286. Encounter.hospitalization.specialArrangement
Definition | Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.
Short | Wheelchair, translator, stretcher, etc.
Control | 0..*
Binding | The codes SHOULD be taken from SpecialArrangements (preferred to `http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1` ) Special arrangements.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
288. Encounter.hospitalization.destination
Definition | Location/organization to which the patient is discharged.
Short | Location/organization to which the patient is discharged
Control | 0..1
Type | Reference(Location, Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
290. Encounter.hospitalization.dischargeDisposition
Definition | OPTIONAL Daten zur Entlassung
Short | Entlassung
Control | 0..1
Binding | For example codes, see DischargeDisposition (example to `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1` ) Discharge Disposition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
292. Encounter.hospitalization.dischargeDisposition.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
294. Encounter.hospitalization.dischargeDisposition.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Encounter.hospitalization.dischargeDisposition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
296. Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund
Slice Name | Entlassungsgrund
Definition | OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V
Short | Entlassungsgrund
Control | 0..1
Type | Extension(ExtensionEntlassungsgrund) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
298. Encounter.hospitalization.dischargeDisposition.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
300. Encounter.hospitalization.dischargeDisposition.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
302. Encounter.location
Definition | OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station
Short | Kontaktort
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Encounter.location`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ physicalType pattern @ status
304. Encounter.location.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
306. Encounter.location.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
308. Encounter.location.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
310. Encounter.location.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
312. Encounter.location.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 0..1
Binding | The codes SHALL be taken from EncounterLocationStatus (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
314. Encounter.location.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type
Short | Kontaktorttyp
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Location Physical Type (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
316. Encounter.location.period
Definition | Time period during which the patient was present at the location.
Short | Time period during which the patient was present at the location
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
318. Encounter.location:Zimmer
Slice Name | Zimmer
Definition | Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer Station.
Short | Zimmer
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
320. Encounter.location:Zimmer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
322. Encounter.location:Zimmer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
324. Encounter.location:Zimmer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
326. Encounter.location:Zimmer.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
328. Encounter.location:Zimmer.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 1..1
Binding | The codes SHALL be taken from EncounterLocationStatus (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
330. Encounter.location:Zimmer.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type
Short | Kontaktorttyp
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Location Physical Type (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "ro" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
332. Encounter.location:Zimmer.period
Definition | Time period during which the patient was present at the location.
Short | Time period during which the patient was present at the location
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
334. Encounter.location:Bett
Slice Name | Bett
Definition | Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz.
Short | Bett
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
336. Encounter.location:Bett.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
338. Encounter.location:Bett.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
340. Encounter.location:Bett.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
342. Encounter.location:Bett.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
344. Encounter.location:Bett.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 1..1
Binding | The codes SHALL be taken from EncounterLocationStatus (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
346. Encounter.location:Bett.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type
Short | Kontaktorttyp
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Location Physical Type (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "bd" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
348. Encounter.location:Bett.period
Definition | Time period during which the patient was present at the location.
Short | Time period during which the patient was present at the location
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
350. Encounter.location:Station
Slice Name | Station
Definition | Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde.
Short | Station
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Control | 0..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
352. Encounter.location:Station.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
354. Encounter.location:Station.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
356. Encounter.location:Station.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
358. Encounter.location:Station.location
Definition | The location where the encounter takes place.
Short | Location the encounter takes place
Control | 1..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
360. Encounter.location:Station.status
Definition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Short | planned | active | reserved | completed
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Control | 1..1
Binding | The codes SHALL be taken from EncounterLocationStatus (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Pattern Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
362. Encounter.location:Station.physicalType
Definition | SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type
Short | Kontaktorttyp
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from MII VS Fall Location Physical Type (extensible to `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "wa" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
364. Encounter.location:Station.period
Definition | Time period during which the patient was present at the location.
Short | Time period during which the patient was present at the location
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
366. Encounter.serviceProvider
Definition | OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. Referenz auf eine Organisation
Short | Leistungserbringer
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
368. Encounter.partOf
Definition | OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, wenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes oder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist.
Short | Teil von Kontakt
Comments | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details.
Control | 0..1
Type | Reference(Encounter)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)