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{
  "resourceType": "StructureDefinition",
  "id": "digidot-Encounter-no",
  "url": "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no",
  "version": "0.3.1-test",
  "name": "DigidotEncounterNo",
  "title": "DigiDOT Encounter (NO)",
  "status": "draft",
  "date": "2026-09-07",
  "publisher": "Novari AS - DigiDOT",
  "description": "Draft DigiDOT profile for one actual outpatient, home-based or synchronous virtual dental contact. Stores patient, actual timing, responsible clinician, care provider and relevant location, with optional links to the appointment, planned services and episode.",
  "purpose": "Use this profile as the context anchor for one actual dental contact. Appointment represents scheduling, ServiceRequest represents planned care, and EpisodeOfCare may group several related contacts over time. Condition, Observation and Procedure reference the Encounter in which the clinical information was recorded or the action occurred. Use DigiDOT Dental Contact Note for the clinician-authored journal note for the contact. The optional health group extension is the category applied for this contact; it is not a permanent patient attribute, an episode-wide value or a complete financial settlement.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter",
        "path": "Encounter",
        "short": "One actual dental contact",
        "constraint": [
          {
            "key": "enc-participant-pprf-one",
            "severity": "error",
            "human": "At least one primary performer is required, and every primary performer must be a Practitioner or PractitionerRole.",
            "expression": "participant.where(type.coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code = 'PPRF').exists()).exists() and participant.where(type.coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code = 'PPRF').exists()).all(individual.type = 'Practitioner' or individual.type = 'PractitionerRole')"
          },
          {
            "key": "enc-period-end-finished",
            "severity": "error",
            "human": "A finished Encounter must have an end time.",
            "expression": "status != 'finished' or period.end.exists()"
          },
          {
            "key": "enc-physical-location",
            "severity": "error",
            "human": "A physical contact must include its actual location.",
            "expression": "class.code = 'VR' or location.exists()"
          }
        ]
      },
      {
        "id": "Encounter.implicitRules",
        "path": "Encounter.implicitRules",
        "max": "0"
      },
      {
        "id": "Encounter.contained",
        "path": "Encounter.contained",
        "max": "0"
      },
      {
        "id": "Encounter.extension",
        "path": "Encounter.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "Encounter.extension:helsegruppe",
        "path": "Encounter.extension",
        "sliceName": "helsegruppe",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Helsegruppe-no"
            ]
          }
        ],
        "short": "Health group applied for this contact",
        "definition": "Optional contact-specific snapshot of the health group or payment category used for this Encounter. Do not copy a presumed current value from Patient or EpisodeOfCare."
      },
      {
        "id": "Encounter.extension:helsegruppe.url",
        "path": "Encounter.extension.url",
        "fixedUri": "https://novari.no/fhir/digidot/StructureDefinition/digidot-Helsegruppe-no"
      },
      {
        "id": "Encounter.modifierExtension",
        "path": "Encounter.modifierExtension",
        "max": "0"
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "short": "Stable source business identifiers",
        "definition": "Stable business identifier assigned by the source EHR or integration. It supports traceability, de-duplication and idempotent import and is not the FHIR server resource id.",
        "min": 1,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.system",
        "path": "Encounter.identifier.system",
        "min": 1
      },
      {
        "id": "Encounter.identifier.value",
        "path": "Encounter.identifier.value",
        "min": 1
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "short": "Contact lifecycle status",
        "definition": "Actual contact lifecycle: in-progress, onleave, finished, entered-in-error or unknown. Planning, arrival, cancellation before care and no-show belong in Appointment. Use unknown only when the source confirms an actual contact but its lifecycle cannot be mapped. A shortened contact that actually occurred is finished; record the outcome clinically.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-encounter-status"
        }
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "*",
        "short": "Source-recorded lifecycle intervals of this actual contact",
        "definition": "Preserve source-recorded status intervals when supplied. Resource version history does not necessarily reproduce clinical lifecycle intervals. Do not manufacture intervals from import timestamps."
      },
      {
        "id": "Encounter.statusHistory.extension",
        "path": "Encounter.statusHistory.extension",
        "max": "0"
      },
      {
        "id": "Encounter.statusHistory.modifierExtension",
        "path": "Encounter.statusHistory.modifierExtension",
        "max": "0"
      },
      {
        "id": "Encounter.statusHistory.status",
        "path": "Encounter.statusHistory.status",
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-encounter-status"
        }
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "short": "Physical or virtual dental contact",
        "definition": "AMB for outpatient care, HH for home-based care and VR for synchronous remote care. Use the class recorded or faithfully mapped from the source, not an inferred booking type.",
        "binding": {
          "strength": "required",
          "description": "Actual ambulatory, home-based or synchronous virtual dental contact.",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-encounter-class"
        },
        "mustSupport": true
      },
      {
        "id": "Encounter.classHistory",
        "path": "Encounter.classHistory",
        "max": "0"
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "short": "Primary dental contact type",
        "definition": "Optional primary workflow type for the contact. Use no more than one type. The current DigiDOT code list remains a draft pending supplier and county review.",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "description": "Use DigiDOT contact type codes when a suitable concept exists. Keep this preferred while county and supplier contact type semantics are still being clarified.",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-contact-type"
        }
      },
      {
        "id": "Encounter.serviceType",
        "path": "Encounter.serviceType",
        "max": "0"
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "short": "Source-recorded urgency of the contact",
        "definition": "Populate only when the source explicitly records the urgency of the actual contact. Do not infer it from appointment availability or clinical severity."
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "short": "Patient receiving care in the contact",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.subject.reference",
        "path": "Encounter.subject.reference",
        "min": 1
      },
      {
        "id": "Encounter.subject.identifier",
        "path": "Encounter.subject.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "short": "Care episodes actually addressed by this contact",
        "definition": "Reference the DigiDOT care-responsibility episodes actually addressed by this contact. A visit may address several independent problems without being split into artificial Encounters. Select relevant existing episodes; create an episode when new responsibility starts, not automatically for every contact. Never attach every open episode of the patient.",
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-EpisodeOfCare-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.episodeOfCare.reference",
        "path": "Encounter.episodeOfCare.reference",
        "min": 1
      },
      {
        "id": "Encounter.episodeOfCare.identifier",
        "path": "Encounter.episodeOfCare.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "short": "Planned services that led to the contact",
        "definition": "Reference the DigiDOT ServiceRequest or requests that initiated this contact. The reference is optional for unplanned and emergency contacts.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.basedOn.reference",
        "path": "Encounter.basedOn.reference",
        "min": 1
      },
      {
        "id": "Encounter.basedOn.identifier",
        "path": "Encounter.basedOn.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "short": "People who participated in the contact",
        "definition": "Repeat for each participating person. At least one participant must be the primary performer (PPRF).",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.participant.extension",
        "path": "Encounter.participant.extension",
        "max": "0"
      },
      {
        "id": "Encounter.participant.modifierExtension",
        "path": "Encounter.participant.modifierExtension",
        "max": "0"
      },
      {
        "id": "Encounter.participant.type",
        "path": "Encounter.participant.type",
        "short": "Participant role in this contact",
        "min": 1,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Encounter.participant.individual",
        "path": "Encounter.participant.individual",
        "short": "Identified contact participant",
        "definition": "Use a literal reference to a no-basis Practitioner resource when the actor is an individual practitioner. Identifier-only HPR/FNR references are not permitted. Official practitioner identifiers belong on the referenced Practitioner resource. Other explicitly allowed resource target types retain their own clinical responsibility.",
        "min": 1,
        "constraint": [
          {
            "key": "digidot-encounter-actor-choice",
            "severity": "error",
            "human": "Use either a literal reference or a logical Practitioner identifier.",
            "expression": "reference.exists() xor identifier.exists()"
          },
          {
            "key": "digidot-encounter-actor-identifier",
            "severity": "error",
            "human": "Use a literal resource reference; identifier-only practitioner references are not permitted.",
            "expression": "reference.exists() and identifier.empty()"
          },
          {
            "key": "digidot-encounter-actor-fnr",
            "severity": "error",
            "human": "A national identity number must contain 11 digits.",
            "expression": "identifier.where(system = 'urn:oid:2.16.578.1.12.4.1.4.1').empty() or identifier.value.matches('^[0-9]{11}$')"
          }
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner",
              "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole",
              "http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.participant.individual.reference",
        "path": "Encounter.participant.individual.reference",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant.individual.type",
        "path": "Encounter.participant.individual.type",
        "min": 1,
        "constraint": [
          {
            "key": "digidot-encounter-actor-type",
            "severity": "error",
            "human": "Declare the resource type of the actor.",
            "expression": "$this = 'Practitioner' or $this = 'PractitionerRole' or $this = 'RelatedPerson'"
          }
        ]
      },
      {
        "id": "Encounter.participant.individual.identifier",
        "path": "Encounter.participant.individual.identifier",
        "min": 0,
        "max": "0"
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "short": "Appointment that scheduled this contact",
        "definition": "Reference the DigiDOT Appointment, derived from no-basis Appointment, when this actual contact resulted from a booked appointment.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Appointment-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.appointment.reference",
        "path": "Encounter.appointment.reference",
        "min": 1
      },
      {
        "id": "Encounter.appointment.identifier",
        "path": "Encounter.appointment.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "short": "Actual contact period",
        "definition": "Actual start and end time of the contact. The start is required. The end is required when status is finished.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.period.start",
        "path": "Encounter.period.start",
        "min": 1
      },
      {
        "id": "Encounter.length",
        "path": "Encounter.length",
        "max": "0"
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference",
        "path": "Encounter.reasonReference",
        "short": "Clinical reason for the contact",
        "definition": "Reference a DigiDOT Condition, Observation or Procedure when it is the structured reason for this contact. Use basedOn for the planned service that initiated the contact.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no",
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Procedure-no"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.reasonReference.reference",
        "path": "Encounter.reasonReference.reference",
        "min": 1
      },
      {
        "id": "Encounter.reasonReference.identifier",
        "path": "Encounter.reasonReference.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "max": "0"
      },
      {
        "id": "Encounter.account",
        "path": "Encounter.account",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "max": "0"
      },
      {
        "id": "Encounter.location",
        "path": "Encounter.location",
        "short": "Location of the dental contact",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "definition": "Actual care locations. At least one is required for physical care. For VR, omit when no meaningful source-recorded location exists. Do not invent a virtual Location. When several physical locations are used, preserve their periods if known."
      },
      {
        "id": "Encounter.location.extension",
        "path": "Encounter.location.extension",
        "max": "0"
      },
      {
        "id": "Encounter.location.modifierExtension",
        "path": "Encounter.location.modifierExtension",
        "max": "0"
      },
      {
        "id": "Encounter.location.location",
        "path": "Encounter.location.location",
        "short": "Physical or virtual service location",
        "definition": "Reference the actual no-basis Location of care. For remote contacts, any supplied location must have an explicit source meaning (for example the clinician service location).",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Location"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location.reference",
        "path": "Encounter.location.location.reference",
        "min": 1
      },
      {
        "id": "Encounter.location.location.identifier",
        "path": "Encounter.location.location.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.serviceProvider",
        "path": "Encounter.serviceProvider",
        "short": "Organisation responsible for this contact",
        "definition": "The no-basis Organisation responsible for the actual contact. This can differ from the organisation managing the wider EpisodeOfCare.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.serviceProvider.reference",
        "path": "Encounter.serviceProvider.reference",
        "min": 1
      },
      {
        "id": "Encounter.serviceProvider.identifier",
        "path": "Encounter.serviceProvider.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.partOf",
        "path": "Encounter.partOf",
        "max": "0"
      }
    ]
  }
}

name : DigidotEncounterNo

{

}