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HdBe-Contact

CBB	Concept	Status
HdBe-Encounter	Een contact is een interactie, onafhankelijk van de situatie, tussen een patiënt en een zorgverlener, waarbij de zorgverlener de primaire verantwoordelijkheid heeft de conditie van de patiënt te diagnosticeren, te evalueren, te behandelen en de patiënt te informeren. Dit kunnen bezoeken, afspraken of niet face-to-face interacties zijn. Contacten kunnen huisarts- of praktijkbezoeken, thuisbezoeken, opnames (in bijvoorbeeld ziekenhuizen, verpleeg/verzorgingstehuizen, psychiatrische inrichtingen of revalidatieklinieken) of andere relevante contacten betreffen. Het betreft historische en toekomstige contacten. Purpose Contacten worden vastgelegd om een inzicht te geven over de uitgevoerde interacties tussen patient en zorgverlener en in welke context dit heeft plaatsgevonden. Evidence Base De waardelijsten voor Herkomst en Bestemming komen op hoofdlijnen overeen met de Landelijke Basisregistratie Ziekenhuiszorg (LBZ) Instructions Uitleg ‘Eigen woonomgeving’ uit Landelijke Basisregistratie Ziekenhuiszorg (concepten Herkomst en Bestemming) De eigen woonomgeving is die omgeving waar de patiënt regulier verblijft. Hierbij wordt onderscheid gemaakt tussen het wonen in een particulier (eigen) huis en het wonen in een instelling voor verpleging en verzorging. Bepalend voor dit onderscheid is het verschil tussen "zelfstandig wonen met eventuele aanvullende zorg" en "verzorgd worden inclusief wonen". Zo worden aanleunwoningen gerekend tot de eerste en verblijf in een verzorgingshuis of verpleeghuis tot de tweede. References Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].	active

CBB

Concept

Status

HdBe-Encounter

Een contact is een interactie, onafhankelijk van de situatie, tussen een patiënt en een zorgverlener, waarbij de zorgverlener de primaire verantwoordelijkheid heeft de conditie van de patiënt te diagnosticeren, te evalueren, te behandelen en de patiënt te informeren. Dit kunnen bezoeken, afspraken of niet face-to-face interacties zijn.

Contacten kunnen huisarts- of praktijkbezoeken, thuisbezoeken, opnames (in bijvoorbeeld ziekenhuizen, verpleeg/verzorgingstehuizen, psychiatrische inrichtingen of revalidatieklinieken) of andere relevante contacten betreffen. Het betreft historische en toekomstige contacten.

Purpose

Contacten worden vastgelegd om een inzicht te geven over de uitgevoerde interacties tussen patient en zorgverlener en in welke context dit heeft plaatsgevonden.

Evidence Base

De waardelijsten voor Herkomst en Bestemming komen op hoofdlijnen overeen met de Landelijke Basisregistratie Ziekenhuiszorg (LBZ)

Instructions

Uitleg ‘Eigen woonomgeving’ uit Landelijke Basisregistratie Ziekenhuiszorg (concepten Herkomst en Bestemming) De eigen woonomgeving is die omgeving waar de patiënt regulier verblijft. Hierbij wordt onderscheid gemaakt tussen het wonen in een particulier (eigen) huis en het wonen in een instelling voor verpleging en verzorging. Bepalend voor dit onderscheid is het verschil tussen "zelfstandig wonen met eventuele aanvullende zorg" en "verzorgd worden inclusief wonen". Zo worden aanleunwoningen gerekend tot de eerste en verblijf in een verzorgingshuis of verpleeghuis tot de tweede. References

Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].

active

Encounter			Encounter	Element id Encounter Short description Contact Definition Rootconcept van de bouwsteen Contact. Dit concept bevat alle gegevenselementen van de bouwsteen Contact. Data type Encounter Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Encounter.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Encounter.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
ContactType		1..1	CodeableConceptBinding	Element id Encounter.ContactType Short description ContactType Definition Het type contact. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding ContactType codes ContactType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ContactWith	I	0..*	Reference(HdBe-HealthProfessional)	Element id Encounter.ContactWith Short description ContactMet Definition De zorgverlener waarmee het contact heeft plaatsgevonden of zal plaatsvinden. In de bouwsteen Zorgverlener kan tevens het specialisme en de rol van de zorgverlener vastgelegd worden. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-HealthProfessional) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Location	I	0..1	Reference(HdBe-HealthcareOrganization)	Element id Encounter.Location Short description Locatie Definition De fysieke locatie waar het contact heeft plaatsgevonden of zal plaatsvinden. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-HealthcareOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
StartDateTime		1..1	dateTime	Element id Encounter.StartDateTime Short description BeginDatumTijd Definition Datum en tijd waarop het contact heeft plaatsgevonden of zal plaatsvinden. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
EndDateTime		0..1	dateTime	Element id Encounter.EndDateTime Short description EindDatumTijd Definition Datum en tijd waarop het contact is geëindigd of zal eindigen. Als het contact een periode betreft wordt hiermee het einde van deze periode aangeduid, bijvoorbeeld bij een opname. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
ContactReason		0..*	BackboneElement	Element id Encounter.ContactReason Short description RedenContact Definition Container van het concept RedenContact. Deze container bevat alle gegevenselementen van het concept RedenContact. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Encounter.ContactReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Encounter.ContactReason.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Encounter.ContactReason.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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). 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. 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. Data type Extension Constraints 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()` Mappings rim: n/a rim: N/A
Problem	I	0..*	Reference(HdBe-Problem)	Element id Encounter.ContactReason.Problem Short description Probleem Definition Het probleem dat aanleiding is voor het contact. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-Problem) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Procedure	I	0..*	Reference(HdBe-Procedure)	Element id Encounter.ContactReason.Procedure Short description Verrichting Definition De zorghandeling die tijdens het contact is uitgevoerd of zal worden uitgevoerd. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-Procedure) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
DeviatingResult		0..*	string	Element id Encounter.ContactReason.DeviatingResult Short description AfwijkendeUitslag Definition Een afwijkende uitslag die als reden voor het contact geldt. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
CommentContactReason		0..1	string	Element id Encounter.ContactReason.CommentContactReason Short description ToelichtingRedenContact Definition Toelichting op de reden voor het contact Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Origin		0..1	CodeableConceptBinding	Element id Encounter.Origin Short description Herkomst Definition Locatie waar de patient vandaan komt voor het contact. Meestal zal dit alleen bij een ziekenhuisopname gebruikt worden. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Origin codes Origin (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Destination		0..1	CodeableConceptBinding	Element id Encounter.Destination Short description Bestemming Definition Locatie waar de patient naar toe gaat na het contact. Meestal zal dit alleen bij een ziekenhuisontslag gebruikt worden. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Destination codes Destination (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

Encounter		0..*
Encounter.ContactType	CodeableConcept	1..1
Encounter.ContactWith	Reference(HdBe-HealthProfessional)	0..*
Encounter.Location	Reference(HdBe-HealthcareOrganization)	0..1
Encounter.StartDateTime	dateTime	1..1
Encounter.EndDateTime	dateTime	0..1
Encounter.ContactReason	BackboneElement	0..*
Encounter.ContactReason.Problem	Reference(HdBe-Problem)	0..*
Encounter.ContactReason.Procedure	Reference(HdBe-Procedure)	0..*
Encounter.ContactReason.DeviatingResult	string	0..*
Encounter.ContactReason.CommentContactReason	string	0..1
Encounter.Origin	CodeableConcept	0..1
Encounter.Destination	CodeableConcept	0..1

Encounter
Definition	Root concept of the Contact information model. This concept contains all data elements of the Contact information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Encounter.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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
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()`
Mappings	rim: n/a rim: N/A
Encounter.ContactType
Definition	The type of contact, such as ambulatory, home visit, or virtual.
Cardinality	1...1
Type	CodeableConcept
Binding	ContactType codes ContactType (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Encounter.ContactWith
Definition	The health professional with whom the contact took or will take place. The specialty and role of the health professional can be entered in the HealthProfessional information model.
Cardinality	0...*
Type	Reference(HdBe-HealthProfessional)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Encounter.Location
Definition	The physical location at which the contact took or will take place.
Cardinality	0...1
Type	Reference(HdBe-HealthcareOrganization)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Encounter.StartDateTime
Definition	The date and time at which the contact took or will take place.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.EndDateTime
Definition	The date and time at which the contact ended or will end. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.ContactReason
Definition	Container of the ContactReason concept. This container contains all data elements of the ContactReason concept.
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.ContactReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Encounter.ContactReason.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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
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()`
Mappings	rim: n/a rim: N/A
Encounter.ContactReason.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).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
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.
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.
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()`
Mappings	rim: n/a rim: N/A
Encounter.ContactReason.Problem
Definition	The problem that is the reason for the contact.
Cardinality	0...*
Type	Reference(HdBe-Problem)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Encounter.ContactReason.Procedure
Definition	The procedure carried out or that will be carried out during the contact.
Cardinality	0...*
Type	Reference(HdBe-Procedure)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Encounter.ContactReason.DeviatingResult
Definition	A deviating result which serves as the reason for the contact.
Cardinality	0...*
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.ContactReason.CommentContactReason
Definition	Explanation of the reason for the contact.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
Encounter.Origin
Definition	Location from which the patient comes before the encounter. In most cases this will only be used when the patient is admitted.
Cardinality	0...1
Type	CodeableConcept
Binding	Origin codes Origin (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Encounter.Destination
Definition	Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.
Cardinality	0...1
Type	CodeableConcept
Binding	Destination codes Destination (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

Example instances

Encounter
ContactType	CT0005 - Inpatient (code by Healtdata.Be (Sciensano))
ContactWith	Reference to HealthProfessional (E. Penninx)
Location	Reference to HealthcareProvider (GRAND HOPITAL DE CHARLEROI - SAINT-JOSEPH)
StartDateTime	2012-08-16T08:30:00
EndDateTime	2012-08-19T10:20:00
ContactReason	-
ContactReason.Problem
ContactReason.Procedure
ContactReason.DeviatingResult
ContactReason.CommentContactReason	stomach ache
Origin	264362003 - Home (code by SNOMED CT)
Destination	22232009 - Hospital (code by SNOMED CT)

zib Encounter-v4.0.1 difference

Concept	Category	Description
`ContactType`	terminology	Replaced codes with codes in use by Healthdata.be - Sciensano.
`Destination`	terminology	Added SNOMED codes Unkown and Other to the ValueSet.
`Origin`	terminology	Added SNOMED codes Unkown and Other to the ValueSet.
`ContactType`	textual	Added ', such as ambulatory, home visit, or virtual'
`CommentContactReason`	textual	Added period at the end of definition.
`Procedure`	textual	Replaced 'or will' by 'or that will'.
`Encounter`	textual	Removed Dutch context from Evidence Base and Instructions.

Terminology Bindings

Path	Name	Strength	URL
ContactType	ContactType	extensible	https://fhir.healthdata.be/ValueSet/ContactType
Origin	Origin	extensible	https://fhir.healthdata.be/ValueSet/Origin
Destination	Destination	extensible	https://fhir.healthdata.be/ValueSet/Destination