MII IG Fall v2025

Kontakt Gesundheitseinrichtung (Encounter)

MII PR Fall Kontakt mit einer Gesundheitseinrichtung

Beschreibung

Dieses Profil beschreibt einen Fall / Kontakt in der Medizininformatik-Initiative.

Name	Status	Version	Lizenz	Canonical	Basis
MII_PR_Fall_KontaktGesundheitseinrichtung	active	2025.0.0	CC-BY-4.0	https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung	http://hl7.org/fhir/StructureDefinition/Encounter

Inhalt

MII_PR_Fall_KontaktGesundheitseinrichtung (Encounter)	I		Encounter	Element id Encounter Short description An interaction during which services are provided to the patient Alternate names Visit 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. Data type Encounter Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` 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()` Mappings rim: Entity. Role, or Act workflow: Event rim: Encounter[@moodCode='EVN']
id	S Σ	0..1	string	Element id Encounter.id Short description Logical id of this artifact Definition Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID 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. Data type string
meta	S Σ	0..1	Meta	Element id Encounter.meta Short description Metadata about the resource Definition Angabe OPTIONAL zur Provenance und zum Profil Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Encounter.meta.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.meta.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
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id Encounter.meta.versionId Short description Version specific identifier 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. 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. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id Encounter.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version 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. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element id Encounter.meta.source Short description Identifies where the resource comes from 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. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id Encounter.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. 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. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id Encounter.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. 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. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id Encounter.meta.tag Short description Tags applied to this resource 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. 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. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Encounter.implicitRules Short description A set of rules under which this content was created 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. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.language Short description Language of the resource content Definition The base language in which the resource is written. 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Encounter.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display 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. 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Encounter.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources 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. 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. Data type Resource Mappings rim: Entity. Role, or Act 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 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. 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
Aufnahmegrund	S I	0..1	Extension(Complex)	Element id Encounter.extension:Aufnahmegrund Short description Aufnahmegrund Alternate names extensions, user content Definition OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V 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(Complex) Extension URL http://fhir.de/StructureDefinition/Aufnahmegrund 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
id		0..1	string	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.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:Aufnahmegrund.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
ErsteUndZweiteStelle	S I	0..1	Extension	Element id Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle Short description 1. und 2. Stelle Alternate names extensions, user content Definition OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. 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
id		0..1	string	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.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..0	Extension	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data type uri Fixed value ErsteUndZweiteStelle Mappings rim: N/A
value[x]		0..1	Binding	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding AufnahmegrundErsteUndZweiteStelleVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
DritteStelle	S I	0..1	Extension	Element id Encounter.extension:Aufnahmegrund.extension:DritteStelle Short description 3. Stelle Alternate names extensions, user content Definition OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. 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
id		0..1	string	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:DritteStelle.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..0	Extension	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:DritteStelle.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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:DritteStelle.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data type uri Fixed value DritteStelle Mappings rim: N/A
value[x]		0..1	Binding	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:DritteStelle.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding AufnahmegrundDritteStelleVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
VierteStelle	S I	0..1	Extension	Element id Encounter.extension:Aufnahmegrund.extension:VierteStelle Short description 4. Stelle Alternate names extensions, user content Definition OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. 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
id		0..1	string	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:VierteStelle.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..0	Extension	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:VierteStelle.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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:VierteStelle.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data type uri Fixed value VierteStelle Mappings rim: N/A
value[x]		0..1	Binding	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.extension:VierteStelle.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding AufnahmegrundVierteStelleVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data type uri Fixed value http://fhir.de/StructureDefinition/Aufnahmegrund Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id Encounter.extension:Aufnahmegrund.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
plannedStartDate	I	0..1	Extension(dateTime)	Element id Encounter.extension:plannedStartDate Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(dateTime) Extension URL http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate 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
plannedEndDate	I	0..1	Extension(dateTime)	Element id Encounter.extension:plannedEndDate Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(dateTime) Extension URL http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate 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	?! I	0..*	Extension	There are no (further) constraints on this element Element id Encounter.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content 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). 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 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
identifier	S Σ	0..*	Identifier	Element id Encounter.identifier Short description Identifikator Definition Kennung/en, unter der/denen dieser Kontakt bekannt ist. Data type Identifier Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Event.identifier w5: FiveWs.identifier v2: PV1-19 rim: .id
Aufnahmenummer	S Σ	0..1	IdentifierPattern	Element id Encounter.identifier:Aufnahmenummer Short description Aufnahmenummer Definition OPTIONAL, Aufnahmenummer/Fallnummer, die Patient:innen bei der Planung einer Aufnahme oder bei der Aufnahme selbst bekommt. Generell SOLLTE die Aufnahmenummer in allen Encounter-Ressourcen unabhängig von der Kontaktebene und dem Kontakttyp angegeben werden. Als Gründe würden dagegen sprechen, wenn die Aufnahmenummer nur in einem Encounter der Encounter-Hierarchie angegeben werden kann. In diesem Fall SOLL auf die korrekte Encounter-Verlinkung über .partOf geachtet werden, sowie dass jeder Encounter einen eigenständigen Identifier mit unterschiedlichen Systemen enthält. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "VN" } ] } } Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Event.identifier w5: FiveWs.identifier v2: PV1-19 rim: .id
id		0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.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.identifier:Aufnahmenummer.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
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptBindingPattern	Element id Encounter.identifier:Aufnahmenummer.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. 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. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. MII_VS_Fall_IdentifierTypeCodes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "VN" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
id		0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.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.identifier:Aufnahmenummer.type.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
coding	Σ	1..*	CodingPattern	Element id Encounter.identifier:Aufnahmenummer.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "VN" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
vn-type	S Σ	1..1	CodingPattern	Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "VN" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.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.identifier:Aufnahmenummer.type.coding:vn-type.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
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/v2-0203 Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.version Short description Version of the system - if relevant 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. 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. 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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	codePattern	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code Short description Symbol in syntax defined by the system 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern VN Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. 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 v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.coding:vn-type.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.type.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. 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 v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
system	S Σ	1..1	uri	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Encounter.identifier:Aufnahmenummer.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. 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. Data type Reference(Organization) 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) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
status	S Σ ?!	1..1	codeBinding	Element id Encounter.status Short description Status Definition VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe Comments Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes). Data type code Binding Current state of the encounter. EncounterStatusDe (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.status w5: FiveWs.status v2: No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16 rim: .statusCode
statusHistory		0..*	BackboneElement	There are no (further) constraints on this element Element id Encounter.statusHistory Short description List of past encounter statuses 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. Comments The current status is always found in the current version of the resource, not the status history. 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.statusHistory.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.statusHistory.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.statusHistory.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
status		1..1	codeBinding	There are no (further) constraints on this element Element id Encounter.statusHistory.status Short description planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Definition planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Current state of the encounter. EncounterStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
period	I	1..1	Period	There are no (further) constraints on this element Element id Encounter.statusHistory.period Short description The time that the episode was in the specified status Definition The time that the episode was in the specified status. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
class	S Σ	1..1	CodingBinding	Element id Encounter.class Short description Kontaktklasse Definition VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. Klassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere. 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. Data type Coding Binding Classification of the encounter. EncounterClassDE (required) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding w5: FiveWs.class v2: PV1-2 rim: .inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code
classHistory		0..*	BackboneElement	There are no (further) constraints on this element Element id Encounter.classHistory Short description List of past encounter classes 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. 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.classHistory.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.classHistory.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.classHistory.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
class		1..1	CodingBinding	There are no (further) constraints on this element Element id Encounter.classHistory.class Short description inpatient \| outpatient \| ambulatory \| emergency + Definition inpatient \| outpatient \| ambulatory \| emergency +. 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. Data type Coding Binding Classification of the encounter. v3.ActEncounterCode (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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
period	I	1..1	Period	There are no (further) constraints on this element Element id Encounter.classHistory.period Short description The time that the episode was in the specified class Definition The time that the episode was in the specified class. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
type	S Σ	0..*	CodeableConcept	Element id Encounter.type Short description Kontakttyp Definition Spezifischer Typ des Kontaktes Comments Since there are many ways to further classify encounters, this element is 0... Data type* CodeableConcept Sliced: Unordered, Open, by $this(Pattern) Binding The type of encounter. EncounterType (example) 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 workflow: Event.code w5: FiveWs.class v2: PV1-4 / PV1-18 rim: .code
Kontaktebene	S Σ	0..1	CodeableConceptBindingPattern	Element id Encounter.type:Kontaktebene Short description 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 Comments Since there are many ways to further classify encounters, this element is 0... Data type* CodeableConcept Binding Kontaktebene KontaktebeneDe (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/Kontaktebene" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code w5: FiveWs.class v2: PV1-4 / PV1-18 rim: .code
KontaktArt	S Σ	0..1	CodeableConceptBindingPattern	Element id Encounter.type:KontaktArt Short description Kontaktart Definition OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). Required Binding auf http://fhir.de/ValueSet/kontaktart-de Comments Since there are many ways to further classify encounters, this element is 0... Data type* CodeableConcept Binding The type of encounter. KontaktartDe (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/kontaktart-de" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code w5: FiveWs.class v2: PV1-4 / PV1-18 rim: .code
serviceType	S Σ	0..1	CodeableConcept	Element id Encounter.serviceType Short description Fachabteilung Definition Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert. 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 Broad categorization of the service that is to be provided. ServiceType (example) 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 workflow: Event.code v2: PV1-10
id		0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.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.serviceType.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
coding	S Σ	0..*	Coding	Element id Encounter.serviceType.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Fachabteilungsschluessel	S Σ	0..1	CodingBindingPattern	Element id Encounter.serviceType.coding:Fachabteilungsschluessel Short description Fachabteilungsschlüssel 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 Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Binding FachabteilungsschluesselVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.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.serviceType.coding:Fachabteilungsschluessel.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
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.version Short description Version of the system - if relevant 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. 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. 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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.code Short description Symbol in syntax defined by the system 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. 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 v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Encounter.serviceType.coding:Fachabteilungsschluessel.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
ErweiterterFachabteilungsschluessel	S Σ	0..1	CodingBindingPattern	Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel Short description Erweiterter Fachabteilungsschlüssel 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. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Binding ValueSetFachabteilungsschluesselErweitert (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.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.serviceType.coding:ErweiterterFachabteilungsschluessel.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
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.version Short description Version of the system - if relevant 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. 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. 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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code Short description Symbol in syntax defined by the system 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. 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 v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.serviceType.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. 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 v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
priority		0..1	CodeableConcept	There are no (further) constraints on this element Element id Encounter.priority Short description Indicates the urgency of the encounter Definition Indicates the urgency of the encounter. 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 Indicates the urgency of the encounter. v3.ActPriority (example) 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 w5: FiveWs.grade v2: PV2-25 rim: .priorityCode
subject	S Σ I	1..1	Reference(Patient \| Group)	Element id Encounter.subject Short description Patientenidentifikator Alternate names patient Definition VERPFLICHTEND, Referenz auf Patient:in. 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). Data type Reference(Patient \| Group) 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) workflow: Event.subject w5: FiveWs.subject[x] v2: PID-3 rim: .participation[typeCode=SBJ]/role[classCode=PAT] w5: FiveWs.subject
episodeOfCare	Σ I	0..*	Reference(EpisodeOfCare)	There are no (further) constraints on this element Element id Encounter.episodeOfCare Short description Episode(s) of care that this encounter should be recorded against 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). 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(EpisodeOfCare) 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) workflow: Event.context w5: FiveWs.context v2: PV1-54, PV1-53
basedOn	I	0..*	Reference(ServiceRequest)	There are no (further) constraints on this element Element id Encounter.basedOn Short description The ServiceRequest that initiated this encounter Alternate names incomingReferral Definition The request this encounter satisfies (e.g. incoming referral or procedure request). 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(ServiceRequest) 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) workflow: Event.basedOn rim: .reason.ClinicalDocument
participant	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element id Encounter.participant Short description List of participants involved in the encounter Definition The list of people responsible for providing the service. 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 workflow: Event.performer v2: ROL rim: .participation[typeCode=PFM]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.participant.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.participant.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.participant.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
type	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Encounter.participant.type Short description Role of participant in encounter Definition 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. Data type CodeableConcept Binding Role of participant in encounter. ParticipantType (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 workflow: Event.performer.function v2: ROL-3 (or maybe PRT-4) rim: .functionCode
period	I	0..1	Period	There are no (further) constraints on this element Element id Encounter.participant.period Short description Period of time during the encounter that the participant participated 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. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: ROL-5, ROL-6 (or maybe PRT-5) rim: .time
individual	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element id Encounter.participant.individual Short description Persons involved in the encounter other than the patient Definition Persons involved in the encounter other than the patient. 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(Practitioner \| PractitionerRole \| RelatedPerson) 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) workflow: Event.performer.actor w5: FiveWs.who v2: ROL-4 rim: .role
appointment	Σ I	0..*	Reference(Appointment)	There are no (further) constraints on this element Element id Encounter.appointment Short description The appointment that scheduled this encounter Definition The appointment that scheduled this encounter. 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(Appointment) 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) workflow: Event.basedOn v2: SCH-1 / SCH-2 rim: .outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]
period	S I	0..1	Period	Element id Encounter.period Short description Zeitraum des Kontaktes 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. Comments If not (yet) known, the end of the Period may be omitted. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Event.occurrence[x] w5: FiveWs.done[x] v2: PV1-44, PV1-45 rim: .effectiveTime (low & high)
id		0..1	string	There are no (further) constraints on this element Element id Encounter.period.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.period.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
start	S Σ I	0..1	dateTime	Element id Encounter.period.start Short description Beginndatum Definition Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter. Comments If the low element is missing, the meaning is that the low boundary is not known. 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 v2: DR.1 rim: ./low
end	S Σ I	0..1	dateTime	Element id Encounter.period.end Short description Enddatum Definition Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter. 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. Meaning when missing If the end of the period is missing, it means that the period is ongoing 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 v2: DR.2 rim: ./high
length	I	0..1	Duration	There are no (further) constraints on this element Element id Encounter.length Short description Quantity of time the encounter lasted (less time absent) Definition Quantity of time the encounter lasted. This excludes the time during leaves of absence. Comments May differ from the time the Encounter.period lasted because of leave of absence. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: PQ, IVL<PQ> depending on the values workflow: Event.occurrence[x] v2: (PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes rim: .lengthOfStayQuantity
reasonCode	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Encounter.reasonCode Short description Coded reason the encounter takes place Alternate names Indication, Admission diagnosis Definition Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. 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). Data type CodeableConcept Binding Reason why the encounter takes place. EncounterReasonCodes (preferred) 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 workflow: Event.reasonCode w5: FiveWs.why[x] v2: EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) rim: .reasonCode
reasonReference	Σ I	0..*	Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation)	There are no (further) constraints on this element Element id Encounter.reasonReference Short description Reason the encounter takes place (reference) Alternate names Indication, Admission diagnosis Definition Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. 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). Data type Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation) 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) workflow: Event.reasonCode w5: FiveWs.why[x] v2: EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) rim: .reasonCode
diagnosis	S Σ	0..*	BackboneElement	Element id Encounter.diagnosis Short description Diagnosen Definition OPTIONAL, Angaben zu Diagnosen 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 rim: .outboundRelationship[typeCode=RSON]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.diagnosis.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.diagnosis.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.diagnosis.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
condition	S Σ I	1..1	Reference(Condition \| Procedure)	Element id Encounter.diagnosis.condition Short description Referenz zu Diagnose-Ressource Alternate names Admission diagnosis, discharge diagnosis, indication Definition VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. Es SOLLTE nur die Primärdiagnose referenziert werden. 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). Data type Reference(Condition \| 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) workflow: Event.reasonReference w5: FiveWs.why[x] v2: Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively. rim: .outboundRelationship[typeCode=RSON].target
use	S	1..1	CodeableConceptBinding	Element id Encounter.diagnosis.use Short description Diagnosetyp 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` 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 The type of diagnosis this condition represents. MII_VS_Fall_Diagnosis_Use (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
id		0..1	string	There are no (further) constraints on this element Element id Encounter.diagnosis.use.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.diagnosis.use.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
coding	S Σ	1..*	Coding	Element id Encounter.diagnosis.use.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Sliced: Unordered, Open, by $this(Pattern) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Diagnosetyp	S Σ	0..1	CodingBinding	Element id Encounter.diagnosis.use.coding:Diagnosetyp Short description Diagnosetyp Definition Einweisungs-/Überweisungsdiagnose \| Behandlungsrelevante Diagnosen Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Binding DiagnoseTyp (required) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
DiagnosesubTyp	S Σ	0..1	CodingBinding	Element id Encounter.diagnosis.use.coding:DiagnosesubTyp Short description Diagnosesubtyp Definition Operationsdiagnose \| Abteilung Hauptdiagnose \| Todesursache \| Infektionsschutzdiagnose + Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding Binding Diagnosesubtyp (required) 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.diagnosis.use.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. 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 v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
rank	S	0..1	positiveInt	Element id Encounter.diagnosis.rank Short description Rangfolge Definition OPTIONAL, Rangfolge der Diagnose Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=RSON].priority
account	I	0..*	Reference(Account)	There are no (further) constraints on this element Element id Encounter.account Short description The set of accounts that may be used for billing for this Encounter Definition The 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. Data type Reference(Account) 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) rim: .pertains.A_Account
hospitalization	S	0..1	BackboneElement	Element id Encounter.hospitalization Short description Klinikaufenthalt Definition OPTIONAL, Details zur Aufnahme und Entlassung 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. 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 rim: .outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.hospitalization.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.hospitalization.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.hospitalization.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
preAdmissionIdentifier		0..1	Identifier	There are no (further) constraints on this element Element id Encounter.hospitalization.preAdmissionIdentifier Short description Pre-admission identifier Definition Pre-admission identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier v2: PV1-5 rim: .id
origin	I	0..1	Reference(Location \| Organization)	There are no (further) constraints on this element Element id Encounter.hospitalization.origin Short description The location/organization from which the patient came before admission Definition The location/organization from which the patient came before admission. 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(Location \| Organization) 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) rim: .participation[typeCode=ORG].role
admitSource	S	1..1	CodeableConceptBinding	Element id Encounter.hospitalization.admitSource Short description Aufnahmeanlass Definition VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass 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 From where the patient was admitted. AufnahmeanlassVS (preferred) 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 v2: PV1-14 rim: .admissionReferralSourceCode
reAdmission		0..1	CodeableConcept	There are no (further) constraints on this element Element id Encounter.hospitalization.reAdmission Short description The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Definition Whether this hospitalization is a readmission and why if known. 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 The reason for re-admission of this hospitalization encounter. v2.0092 (example) 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 v2: PV1-13
dietPreference		0..*	CodeableConcept	There are no (further) constraints on this element Element id Encounter.hospitalization.dietPreference Short description Diet preferences reported by the patient Definition Diet preferences reported by the patient. 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. Comments For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive). Data type CodeableConcept Binding Medical, cultural or ethical food preferences to help with catering requirements. Diet (example) 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 v2: PV1-38 rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code="diet"]
specialCourtesy		0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Encounter.hospitalization.specialCourtesy Short description Special courtesies (VIP, board member) Definition Special courtesies (VIP, board member). 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 Special courtesies. SpecialCourtesy (preferred) 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 v2: PV1-16 rim: .specialCourtesiesCode
specialArrangement		0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Encounter.hospitalization.specialArrangement Short description Wheelchair, translator, stretcher, etc. Definition Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things. 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 Special arrangements. SpecialArrangements (preferred) 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 v2: PV1-15 / OBR-30 / OBR-43 rim: .specialArrangementCode
destination	I	0..1	Reference(Location \| Organization)	There are no (further) constraints on this element Element id Encounter.hospitalization.destination Short description Location/organization to which the patient is discharged Definition Location/organization to which the patient is discharged. 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(Location \| Organization) 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) v2: PV1-37 rim: .participation[typeCode=DST]
dischargeDisposition	S	0..1	CodeableConcept	Element id Encounter.hospitalization.dischargeDisposition Short description Entlassung Definition OPTIONAL Daten zur Entlassung 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 Discharge Disposition. DischargeDisposition (example) 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 v2: PV1-36 rim: .dischargeDispositionCode
id		0..1	string	There are no (further) constraints on this element Element id Encounter.hospitalization.dischargeDisposition.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.hospitalization.dischargeDisposition.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
Entlassungsgrund	S I	0..1	Extension(Complex)	Element id Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund Short description Entlassungsgrund Alternate names extensions, user content Definition OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V 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(Complex) Extension URL http://fhir.de/StructureDefinition/Entlassungsgrund 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
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element id Encounter.hospitalization.dischargeDisposition.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data type Coding 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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	There are no (further) constraints on this element Element id Encounter.hospitalization.dischargeDisposition.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. 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 v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
location		0..*	BackboneElement	Element id Encounter.location Short description Kontaktort Definition OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, 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". Data type BackboneElement Sliced: Unordered, Open, by physicalType(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=LOC]
(All Slices)				There are no (further) constraints on this element
id		0..1	string	There are no (further) constraints on this element Element id Encounter.location.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.location.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.location.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
location	I	1..1	Reference(Location)	There are no (further) constraints on this element Element id Encounter.location.location Short description Location the encounter takes place Definition The location where the encounter takes place. 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(Location) 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) workflow: Event.location w5: FiveWs.where[x] v2: PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 rim: .role
status		0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.location.status Short description planned \| active \| reserved \| completed 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. 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. Data type code Binding The status of the location. EncounterLocationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .role.statusCode
physicalType		0..1	CodeableConceptBinding	Element id Encounter.location.physicalType Short description Kontaktorttyp Definition SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type 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. Data type CodeableConcept Binding Physical form of the location. MII_VS_Fall_LocationPhysicalType (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
period	I	0..1	Period	There are no (further) constraints on this element Element id Encounter.location.period Short description Time period during which the patient was present at the location Definition Time period during which the patient was present at the location. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim: .time
Zimmer		0..1	BackboneElement	Element id Encounter.location:Zimmer Short description Zimmer Definition Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer 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". 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 rim: .participation[typeCode=LOC]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.location:Zimmer.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.location:Zimmer.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.location:Zimmer.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
location	I	1..1	Reference(Location)	There are no (further) constraints on this element Element id Encounter.location:Zimmer.location Short description Location the encounter takes place Definition The location where the encounter takes place. 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(Location) 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) workflow: Event.location w5: FiveWs.where[x] v2: PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 rim: .role
status		0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.location:Zimmer.status Short description planned \| active \| reserved \| completed 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. 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. Data type code Binding The status of the location. EncounterLocationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .role.statusCode
physicalType		1..1	CodeableConceptPattern	Element id Encounter.location:Zimmer.physicalType Short description The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Definition This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query. 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. Data type CodeableConcept Binding Physical form of the location. LocationType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "code": "ro" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
period	I	0..1	Period	There are no (further) constraints on this element Element id Encounter.location:Zimmer.period Short description Time period during which the patient was present at the location Definition Time period during which the patient was present at the location. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim: .time
Bett		0..1	BackboneElement	Element id Encounter.location:Bett Short description Bett Definition Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz. 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". 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 rim: .participation[typeCode=LOC]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.location:Bett.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.location:Bett.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.location:Bett.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
location	I	1..1	Reference(Location)	There are no (further) constraints on this element Element id Encounter.location:Bett.location Short description Location the encounter takes place Definition The location where the encounter takes place. 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(Location) 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) workflow: Event.location w5: FiveWs.where[x] v2: PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 rim: .role
status		0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.location:Bett.status Short description planned \| active \| reserved \| completed 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. 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. Data type code Binding The status of the location. EncounterLocationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .role.statusCode
physicalType		1..1	CodeableConceptPattern	Element id Encounter.location:Bett.physicalType Short description The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Definition This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query. 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. Data type CodeableConcept Binding Physical form of the location. LocationType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "code": "bd" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
period	I	0..1	Period	There are no (further) constraints on this element Element id Encounter.location:Bett.period Short description Time period during which the patient was present at the location Definition Time period during which the patient was present at the location. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim: .time
Station		0..1	BackboneElement	Element id Encounter.location:Station Short description Station Definition Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde. 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". 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 rim: .participation[typeCode=LOC]
id		0..1	string	There are no (further) constraints on this element Element id Encounter.location:Station.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.location:Station.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.location:Station.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
location	I	1..1	Reference(Location)	There are no (further) constraints on this element Element id Encounter.location:Station.location Short description Location the encounter takes place Definition The location where the encounter takes place. 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(Location) 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) workflow: Event.location w5: FiveWs.where[x] v2: PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 rim: .role
status		0..1	codeBinding	There are no (further) constraints on this element Element id Encounter.location:Station.status Short description planned \| active \| reserved \| completed 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. 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. Data type code Binding The status of the location. EncounterLocationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .role.statusCode
physicalType		1..1	CodeableConceptPattern	Element id Encounter.location:Station.physicalType Short description The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Definition This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query. 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. Data type CodeableConcept Binding Physical form of the location. LocationType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "code": "wa" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
period	I	0..1	Period	There are no (further) constraints on this element Element id Encounter.location:Station.period Short description Time period during which the patient was present at the location Definition Time period during which the patient was present at the location. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim: .time
serviceProvider	I	0..1	Reference(Organization)	Element id Encounter.serviceProvider Short description Leistungserbringer Definition OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. Referenz auf eine Organisation 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(Organization) 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) workflow: Event.performer.actor v2: PL.6 & PL.1 rim: .particiaption[typeCode=PFM].role
partOf	S I	0..1	Reference(Encounter)	Element id Encounter.partOf Short description Teil von Kontakt 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. 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. Data type Reference(Encounter) 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) workflow: Event.partOf rim: .inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]

Kontakt zu einer Einrichtung, Abteilung oder Versorgungsstelle

Feldname	Kurzbeschreibung
Encounter.id
Encounter.meta
Encounter.meta.source
Encounter.meta.profile
Encounter.extension:Aufnahmegrund	Aufnahmegrund
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle	1. und 2. Stelle
Encounter.extension:Aufnahmegrund.extension:DritteStelle	3. Stelle
Encounter.extension:Aufnahmegrund.extension:VierteStelle	4. Stelle
Encounter.identifier	Identifikator
Encounter.identifier:Aufnahmenummer	Aufnahmenummer
Encounter.identifier:Aufnahmenummer.type
Encounter.identifier:Aufnahmenummer.type.coding:vn-type
Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system
Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code
Encounter.identifier:Aufnahmenummer.system
Encounter.identifier:Aufnahmenummer.value
Encounter.status	Status
Encounter.class	Kontaktklasse
Encounter.type	Kontakttyp
Encounter.type:Kontaktebene	Kontaktebene
Encounter.type:KontaktArt	Kontaktart
Encounter.serviceType	Fachabteilung
Encounter.serviceType.coding
Encounter.serviceType.coding:Fachabteilungsschluessel	Fachabteilungsschlüssel
Encounter.serviceType.coding:Fachabteilungsschluessel.system
Encounter.serviceType.coding:Fachabteilungsschluessel.code
Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel	Erweiterter Fachabteilungsschlüssel
Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system
Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code
Encounter.subject	Patientenidentifikator
Encounter.period	Zeitraum des Kontaktes
Encounter.period.start	Beginndatum
Encounter.period.end	Enddatum
Encounter.diagnosis	Diagnosen
Encounter.diagnosis.condition	Referenz zu Diagnose-Ressource
Encounter.diagnosis.use	Diagnosetyp
Encounter.diagnosis.use.coding
Encounter.diagnosis.use.coding:Diagnosetyp	Diagnosetyp
Encounter.diagnosis.use.coding:DiagnosesubTyp	Diagnosesubtyp
Encounter.diagnosis.rank	Rangfolge
Encounter.hospitalization	Klinikaufenthalt
Encounter.hospitalization.admitSource	Aufnahmeanlass
Encounter.hospitalization.dischargeDisposition	Entlassung
Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund	Entlassungsgrund
Encounter.partOf	Teil von Kontakt

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-fall-kontakt-gesundheitseinrichtung" />
    <extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
        <valueCodeableConcept>
            <coding>
                <system value="http://hl7.org/fhir/spdx-license" />
                <code value="CC-BY-4.0" />
                <display value="Creative Commons Attribution 4.0 International" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
    <version value="2025.0.0" />
    <name value="MII_PR_Fall_KontaktGesundheitseinrichtung" />
    <title value="MII PR Fall Kontakt mit einer Gesundheitseinrichtung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Fall - Kontakt mit einer Gesundheitseinrichtung" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Treatment case - Encounter with Health Care Facility" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2024-12-10" />
    <description value="Kontakt zu einer Einrichtung, Abteilung oder Versorgungsstelle" />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Encounter" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter" />
    <derivation value="constraint" />
    <differential>
        <element id="Encounter">
            <path value="Encounter" />
            <constraint>
                <key value="mii-enc-1" />
                <severity value="error" />
                <human value="Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein" />
                <expression value="status = &#39;finished&#39; implies period.end.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-2" />
                <severity value="error" />
                <human value="Abgeschlossene, station&#228;re Kontakte M&#220;SSEN einen Start- und End-Zeitpunkt angeben" />
                <expression value="status = &#39;finished&#39; and class = &#39;IMP&#39; implies period.start.exists() and period.end.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-3" />
                <severity value="error" />
                <human value="Geplante Kontakte D&#220;RFEN NICHT einen Start- oder End-Zeitpunkt angeben" />
                <expression value="status = &#39;planned&#39; implies period.exists().not()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-4" />
                <severity value="warning" />
                <human value="Geplante Kontakte SOLLTEN die Extensions f&#252;r den geplanten Start- oder End-Zeitpunkt verwenden" />
                <expression value="status = &#39;planned&#39; implies extension.where(url = &#39;http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate&#39;).exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-5" />
                <severity value="error" />
                <human value="In-Durchf&#252;hrung befindliche Kontakte M&#220;SSEN einen Start-Zeitpunkt angeben" />
                <expression value="status = &#39;in-progress&#39; implies period.start.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-6" />
                <severity value="error" />
                <human value="Kontakte mit Abwesenheitsstatus M&#220;SSEN einen Start-Zeitpunkt angeben" />
                <expression value="status = &#39;onleave&#39; implies period.start.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
            <constraint>
                <key value="mii-enc-7" />
                <severity value="warning" />
                <human value="Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben" />
                <expression value="status = &#39;unknown&#39; implies period.start.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung" />
            </constraint>
        </element>
        <element id="Encounter.id">
            <path value="Encounter.id" />
            <definition value="Angabe OPTIONAL, vom Server automatisch vergebene system-abh&#228;ngige ID" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.meta">
            <path value="Encounter.meta" />
            <definition value="Angabe OPTIONAL zur Provenance und zum Profil" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.meta.source">
            <path value="Encounter.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.meta.profile">
            <path value="Encounter.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.extension:Aufnahmegrund">
            <path value="Encounter.extension" />
            <sliceName value="Aufnahmegrund" />
            <short value="Aufnahmegrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmegrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission reason" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Aufnahmegrund entsprechend Schl&#252;ssel 1 der Anlage 2 der Daten&#252;bermittlung nach &#167; 301 Abs. 3 SGB V">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmegrund nach Schl&#252;ssel 1, Anlage 2, Daten&#252;bermittlung nach &#167; 301 Abs. 3 SGB V" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission reason according to key 1, appendix 2, data transmission according to &#167; 301 para. 3 SGB V" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/Aufnahmegrund" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle">
            <path value="Encounter.extension.extension" />
            <sliceName value="ErsteUndZweiteStelle" />
            <short value="1. und 2. Stelle">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="1. und 2. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="1st and 2nd position" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Daten&#252;bermittlung nach &#167; 301 Abs. 3 SGB V.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmegrund 1. und 2. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission reason 1st and 2nd position" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.extension:Aufnahmegrund.extension:DritteStelle">
            <path value="Encounter.extension.extension" />
            <sliceName value="DritteStelle" />
            <short value="3. Stelle">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="3. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="3rd position" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Aufnahmegrund (3. Stelle), Daten&#252;bermittlung nach &#167; 301 Abs. 3 SGB V.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmegrund 3. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission reason 3rd position" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.extension:Aufnahmegrund.extension:VierteStelle">
            <path value="Encounter.extension.extension" />
            <sliceName value="VierteStelle" />
            <short value="4. Stelle">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="4. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="4th position" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Aufnahmegrund (4. Stelle), Daten&#252;bermittlung nach &#167; 301 Abs. 3 SGB V.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmegrund 4. Stelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission reason 4th position" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.extension:plannedStartDate">
            <path value="Encounter.extension" />
            <sliceName value="plannedStartDate" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate" />
            </type>
        </element>
        <element id="Encounter.extension:plannedEndDate">
            <path value="Encounter.extension" />
            <sliceName value="plannedEndDate" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate" />
            </type>
        </element>
        <element id="Encounter.identifier">
            <path value="Encounter.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Identifikator">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifikator" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier" />
                    </extension>
                </extension>
            </short>
            <definition value="Kennung/en, unter der/denen dieser Kontakt bekannt ist.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kennung/en, unter der/denen dieser Kontakt bekannt ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier/s by which this encounter is known." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer">
            <path value="Encounter.identifier" />
            <sliceName value="Aufnahmenummer" />
            <short value="Aufnahmenummer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmenummer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission number" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Aufnahmenummer/Fallnummer, die Patient:innen bei der Planung einer Aufnahme oder bei der Aufnahme selbst bekommt. \nGenerell SOLLTE die Aufnahmenummer in allen Encounter-Ressourcen unabh&#228;ngig von der Kontaktebene und dem Kontakttyp angegeben werden. \nAls Gr&#252;nde w&#252;rden dagegen sprechen, wenn die Aufnahmenummer nur in einem Encounter der Encounter-Hierarchie angegeben werden kann. \nIn diesem Fall SOLL auf die korrekte Encounter-Verlinkung &#252;ber .partOf geachtet werden, \nsowie dass jeder Encounter einen eigenst&#228;ndigen Identifier mit unterschiedlichen Systemen enth&#228;lt.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmenummer/Fallnummer, die Patient:in bei einer Aufnahme bekommt." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Admission number, the patient receives during an admission." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                        <code value="VN" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.type">
            <path value="Encounter.identifier.type" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                    <code value="VN" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes" />
            </binding>
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.type.coding">
            <path value="Encounter.identifier.type.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.type.coding:vn-type">
            <path value="Encounter.identifier.type.coding" />
            <sliceName value="vn-type" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                <code value="VN" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system">
            <path value="Encounter.identifier.type.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code">
            <path value="Encounter.identifier.type.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.system">
            <path value="Encounter.identifier.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.identifier:Aufnahmenummer.value">
            <path value="Encounter.identifier.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.status">
            <path value="Encounter.status" />
            <short value="Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="status" />
                    </extension>
                </extension>
            </short>
            <definition value="VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="geplant | im Gange | beurlaubt | abgeschlossen | abgebrochen | fehlerhafte Eingabe | unbekannt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="planned | in-progress | onleave | finished | cancelled | entered-in-error | unknown" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/EncounterStatusDe" />
            </binding>
        </element>
        <element id="Encounter.class">
            <path value="Encounter.class" />
            <short value="Kontaktklasse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontaktklasse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Classification of patient encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. \nKlassifizierung des Kontaktes in station&#228;r, ambulant, teilstation&#228;r oder andere.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ambulant | station&#228;r | vorstation&#228;r | virtuell | teilstation&#228;r | h&#228;usliche Pflege" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="ambulatory | inpatient encounter | pre-admission | virtual | short stay | home health" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/EncounterClassDE" />
            </binding>
        </element>
        <element id="Encounter.type">
            <path value="Encounter.type" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Kontakttyp">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Typ des Kontaktes" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Type of encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="Spezifischer Typ des Kontaktes">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Spezifischer Typ des Kontaktes" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Specific type of encounter" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.type:Kontaktebene">
            <path value="Encounter.type" />
            <sliceName value="Kontaktebene" />
            <short value="Kontaktebene">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontaktebene" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Level of encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. \nDie Gliederung gilt f&#252;r station&#228;re Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Unterscheidung der Kontakt-Hierarchieebenen: Einrichtungskontakt | Abteilungskontakt | Versorgungsstellenkontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Differentiation of the encounter hierarchy levels: facility contact | department contact | care provider contact" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://fhir.de/CodeSystem/Kontaktebene" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Kontaktebene" />
                <valueSet value="http://fhir.de/ValueSet/kontaktebene-de" />
            </binding>
        </element>
        <element id="Encounter.type:KontaktArt">
            <path value="Encounter.type" />
            <sliceName value="KontaktArt" />
            <short value="Kontaktart">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontaktart" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Type of encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstation&#228;r, nachstation&#228;r, intensivstation&#228;r). \nRequired Binding auf http://fhir.de/ValueSet/kontaktart-de">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontaktarten wie vorstation&#228;r | nachstation&#228;r | intensivstation&#228;r" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Type of encounter such as pre-admission | post-admission | intensive care" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://fhir.de/CodeSystem/kontaktart-de" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/kontaktart-de" />
            </binding>
        </element>
        <element id="Encounter.serviceType">
            <path value="Encounter.serviceType" />
            <short value="Fachabteilung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fachabteilung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Department" />
                    </extension>
                </extension>
            </short>
            <definition value="Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschl&#252;ssel klassifiziert.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fachabteilung Klassifizierung durch Fachabteilungsschl&#252;ssel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Department classification by department key" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.serviceType.coding">
            <path value="Encounter.serviceType.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.serviceType.coding:Fachabteilungsschluessel">
            <path value="Encounter.serviceType.coding" />
            <sliceName value="Fachabteilungsschluessel" />
            <short value="Fachabteilungsschl&#252;ssel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fachabteilungsschl&#252;ssel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Department key" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel\nFachabteilungen gem&#228;&#223; Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fachabteilungen gem&#228;&#223; Anhang 1 der Bundespflegesatzverordnung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Departments according to appendix 1 of the Bundespflegesatzverordnung" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel" />
            </binding>
        </element>
        <element id="Encounter.serviceType.coding:Fachabteilungsschluessel.system">
            <path value="Encounter.serviceType.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.serviceType.coding:Fachabteilungsschluessel.code">
            <path value="Encounter.serviceType.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel">
            <path value="Encounter.serviceType.coding" />
            <sliceName value="ErweiterterFachabteilungsschluessel" />
            <short value="Erweiterter Fachabteilungsschl&#252;ssel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Erweiterter Fachabteilungsschl&#252;ssel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Extended department key" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert\nFachabteilungen gem&#228;&#223; Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fachabteilungen gem&#228;&#223; Anhang 1 der Bundespflegesatzverordnung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Departments according to appendix 1 of the Bundespflegesatzverordnung" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert" />
            </binding>
        </element>
        <element id="Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system">
            <path value="Encounter.serviceType.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code">
            <path value="Encounter.serviceType.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.subject">
            <path value="Encounter.subject" />
            <short value="Patientenidentifikator" />
            <definition value="VERPFLICHTEND, Referenz auf Patient:in." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.period">
            <path value="Encounter.period" />
            <short value="Zeitraum des Kontaktes">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitraum des Kontaktes" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Period of encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="Beginn- und Endzeitpunkt des Kontaktes. \n    DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \n    abh&#228;ngig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beginn- und Endzeitpunkt des Kontaktes." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Start and end time of the encounter." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.period.start">
            <path value="Encounter.period.start" />
            <short value="Beginndatum" />
            <definition value="Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabh&#228;ngig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter." />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.period.end">
            <path value="Encounter.period.end" />
            <short value="Enddatum" />
            <definition value="Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabh&#228;ngig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter." />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.diagnosis">
            <path value="Encounter.diagnosis" />
            <short value="Diagnosen">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Diagnosen" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Diagnoses" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Angaben zu Diagnosen">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Angaben zu f&#252;r den Kontakt relevanten Diagnosen" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Information about diagnoses relevant for the encounter" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.diagnosis.condition">
            <path value="Encounter.diagnosis.condition" />
            <short value="Referenz zu Diagnose-Ressource" />
            <definition value="VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. \nEs SOLLTE nur die Prim&#228;rdiagnose referenziert werden." />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.diagnosis.use">
            <path value="Encounter.diagnosis.use" />
            <short value="Diagnosetyp" />
            <definition value="Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines station&#228;ren Aufenthaltes zu betrachten\nund werden daher als Eigenschaft des Encounters modelliert. \nVERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. \nWeitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role`" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use" />
            </binding>
        </element>
        <element id="Encounter.diagnosis.use.coding">
            <path value="Encounter.diagnosis.use.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.diagnosis.use.coding:Diagnosetyp">
            <path value="Encounter.diagnosis.use.coding" />
            <sliceName value="Diagnosetyp" />
            <short value="Diagnosetyp" />
            <definition value="Einweisungs-/&#220;berweisungsdiagnose | Behandlungsrelevante Diagnosen" />
            <min value="0" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/DiagnoseTyp" />
            </binding>
        </element>
        <element id="Encounter.diagnosis.use.coding:DiagnosesubTyp">
            <path value="Encounter.diagnosis.use.coding" />
            <sliceName value="DiagnosesubTyp" />
            <short value="Diagnosesubtyp" />
            <definition value="Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose +" />
            <min value="0" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/Diagnosesubtyp" />
            </binding>
        </element>
        <element id="Encounter.diagnosis.rank">
            <path value="Encounter.diagnosis.rank" />
            <short value="Rangfolge" />
            <definition value="OPTIONAL, Rangfolge der Diagnose" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.hospitalization">
            <path value="Encounter.hospitalization" />
            <short value="Klinikaufenthalt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Klinikaufenthalt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Hospitalization" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Details zur Aufnahme und Entlassung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details zur Aufnahme und Entlassung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details about admission and discharge" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.hospitalization.admitSource">
            <path value="Encounter.hospitalization.admitSource" />
            <short value="Aufnahmeanlass" />
            <definition value="VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <valueSet value="http://fhir.de/ValueSet/dgkev/Aufnahmeanlass" />
            </binding>
        </element>
        <element id="Encounter.hospitalization.dischargeDisposition">
            <path value="Encounter.hospitalization.dischargeDisposition" />
            <short value="Entlassung" />
            <definition value="OPTIONAL Daten zur Entlassung" />
            <mustSupport value="true" />
        </element>
        <element id="Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund">
            <path value="Encounter.hospitalization.dischargeDisposition.extension" />
            <sliceName value="Entlassungsgrund" />
            <short value="Entlassungsgrund" />
            <definition value="OPTIONAL, Entlassungs-/Verlegungsgrund nach &#167; 301 Abs. 3 SGB V" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/Entlassungsgrund" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Encounter.location">
            <path value="Encounter.location" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="physicalType" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Kontaktort">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontaktort" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Location" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details zum Kontaktort wie Zimmer, Bett, Station" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details about location such as room, bed, ward" />
                    </extension>
                </extension>
            </definition>
        </element>
        <element id="Encounter.location.physicalType">
            <path value="Encounter.location.physicalType" />
            <short value="Kontaktorttyp" />
            <definition value="SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type" />
            <binding>
                <strength value="extensible" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type" />
            </binding>
        </element>
        <element id="Encounter.location:Zimmer">
            <path value="Encounter.location" />
            <sliceName value="Zimmer" />
            <short value="Zimmer" />
            <definition value="Von Patient oder Patientin w&#228;hrend des Kontaktes belegtes Zimmer auf einer Station." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Encounter.location:Zimmer.physicalType">
            <path value="Encounter.location.physicalType" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" />
                    <code value="ro" />
                </coding>
            </patternCodeableConcept>
        </element>
        <element id="Encounter.location:Bett">
            <path value="Encounter.location" />
            <sliceName value="Bett" />
            <short value="Bett" />
            <definition value="Von Patient oder Patientin w&#228;hrend des Kontaktes belegter Bettenstellplatz." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Encounter.location:Bett.physicalType">
            <path value="Encounter.location.physicalType" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" />
                    <code value="bd" />
                </coding>
            </patternCodeableConcept>
        </element>
        <element id="Encounter.location:Station">
            <path value="Encounter.location" />
            <sliceName value="Station" />
            <short value="Station" />
            <definition value="Die Station, auf welcher der Patient oder die Patientin w&#228;hrend des Kontaktes behandelt wurde." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Encounter.location:Station.physicalType">
            <path value="Encounter.location.physicalType" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" />
                    <code value="wa" />
                </coding>
            </patternCodeableConcept>
        </element>
        <element id="Encounter.serviceProvider">
            <path value="Encounter.serviceProvider" />
            <short value="Leistungserbringer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Leistungserbringer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Service Provider" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL. Leistungserbringer, der f&#252;r den Kontakt verantwortlich ist. \nReferenz auf eine Organisation">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Leistungserbringer, der f&#252;r den Kontakt verantwortlich ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Service provider responsible for the encounter." />
                    </extension>
                </extension>
            </definition>
        </element>
        <element id="Encounter.partOf">
            <path value="Encounter.partOf" />
            <short value="Teil von Kontakt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Teil von Kontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Part of encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, \nwenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes \noder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Hierarchy between encounter levels by referencing further encounters." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-fall-kontakt-gesundheitseinrichtung",
    "extension":  [
        {
            "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "CC-BY-4.0",
                        "system": "http://hl7.org/fhir/spdx-license",
                        "display": "Creative Commons Attribution 4.0 International"
                    }
                ]
            }
        }
    ],
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
    "version": "2025.0.0",
    "name": "MII_PR_Fall_KontaktGesundheitseinrichtung",
    "title": "MII PR Fall Kontakt mit einer Gesundheitseinrichtung",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Fall - Kontakt mit einer Gesundheitseinrichtung"
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Treatment case - Encounter with Health Care Facility"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2024-12-10",
    "description": "Kontakt zu einer Einrichtung, Abteilung oder Versorgungsstelle",
    "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",
                "constraint":  [
                    {
                        "key": "mii-enc-1",
                        "severity": "error",
                        "human": "Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein",
                        "expression": "status = 'finished' implies period.end.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-2",
                        "severity": "error",
                        "human": "Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben",
                        "expression": "status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-3",
                        "severity": "error",
                        "human": "Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben",
                        "expression": "status = 'planned' implies period.exists().not()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-4",
                        "severity": "warning",
                        "human": "Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden",
                        "expression": "status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-5",
                        "severity": "error",
                        "human": "In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben",
                        "expression": "status = 'in-progress' implies period.start.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-6",
                        "severity": "error",
                        "human": "Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben",
                        "expression": "status = 'onleave' implies period.start.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    },
                    {
                        "key": "mii-enc-7",
                        "severity": "warning",
                        "human": "Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben",
                        "expression": "status = 'unknown' implies period.start.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung"
                    }
                ]
            },
            {
                "id": "Encounter.id",
                "path": "Encounter.id",
                "definition": "Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID",
                "mustSupport": true
            },
            {
                "id": "Encounter.meta",
                "path": "Encounter.meta",
                "definition": "Angabe OPTIONAL zur Provenance und zum Profil",
                "mustSupport": true
            },
            {
                "id": "Encounter.meta.source",
                "path": "Encounter.meta.source",
                "mustSupport": true
            },
            {
                "id": "Encounter.meta.profile",
                "path": "Encounter.meta.profile",
                "mustSupport": true
            },
            {
                "id": "Encounter.extension:Aufnahmegrund",
                "path": "Encounter.extension",
                "sliceName": "Aufnahmegrund",
                "short": "Aufnahmegrund",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmegrund"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission reason"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmegrund nach Schlüssel 1, Anlage 2, Datenübermittlung nach § 301 Abs. 3 SGB V"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission reason according to key 1, appendix 2, data transmission according to § 301 para. 3 SGB V"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/Aufnahmegrund"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle",
                "path": "Encounter.extension.extension",
                "sliceName": "ErsteUndZweiteStelle",
                "short": "1. und 2. Stelle",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "1. und 2. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "1st and 2nd position"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmegrund 1. und 2. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission reason 1st and 2nd position"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.extension:Aufnahmegrund.extension:DritteStelle",
                "path": "Encounter.extension.extension",
                "sliceName": "DritteStelle",
                "short": "3. Stelle",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "3. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "3rd position"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmegrund 3. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission reason 3rd position"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.extension:Aufnahmegrund.extension:VierteStelle",
                "path": "Encounter.extension.extension",
                "sliceName": "VierteStelle",
                "short": "4. Stelle",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "4. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "4th position"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmegrund 4. Stelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission reason 4th position"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.extension:plannedStartDate",
                "path": "Encounter.extension",
                "sliceName": "plannedStartDate",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.extension:plannedEndDate",
                "path": "Encounter.extension",
                "sliceName": "plannedEndDate",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.identifier",
                "path": "Encounter.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Identifikator",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifikator"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifier"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Kennung/en, unter der/denen dieser Kontakt bekannt ist.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kennung/en, unter der/denen dieser Kontakt bekannt ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifier/s by which this encounter is known."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer",
                "path": "Encounter.identifier",
                "sliceName": "Aufnahmenummer",
                "short": "Aufnahmenummer",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmenummer"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission number"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Aufnahmenummer/Fallnummer, die Patient:innen bei der Planung einer Aufnahme oder bei der Aufnahme selbst bekommt. \nGenerell SOLLTE die Aufnahmenummer in allen Encounter-Ressourcen unabhängig von der Kontaktebene und dem Kontakttyp angegeben werden. \nAls Gründe würden dagegen sprechen, wenn die Aufnahmenummer nur in einem Encounter der Encounter-Hierarchie angegeben werden kann. \nIn diesem Fall SOLL auf die korrekte Encounter-Verlinkung über .partOf geachtet werden, \nsowie dass jeder Encounter einen eigenständigen Identifier mit unterschiedlichen Systemen enthält.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmenummer/Fallnummer, die Patient:in bei einer Aufnahme bekommt."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Admission number, the patient receives during an admission."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "VN",
                                "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.type",
                "path": "Encounter.identifier.type",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "VN",
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes"
                }
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.type.coding",
                "path": "Encounter.identifier.type.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type",
                "path": "Encounter.identifier.type.coding",
                "sliceName": "vn-type",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "code": "VN",
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system",
                "path": "Encounter.identifier.type.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code",
                "path": "Encounter.identifier.type.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.system",
                "path": "Encounter.identifier.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.identifier:Aufnahmenummer.value",
                "path": "Encounter.identifier.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.status",
                "path": "Encounter.status",
                "short": "Status",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "status"
                                }
                            ]
                        }
                    ]
                },
                "definition": "VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "geplant | im Gange | beurlaubt | abgeschlossen | abgebrochen | fehlerhafte Eingabe | unbekannt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "planned | in-progress | onleave | finished | cancelled | entered-in-error | unknown"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/EncounterStatusDe"
                }
            },
            {
                "id": "Encounter.class",
                "path": "Encounter.class",
                "short": "Kontaktklasse",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontaktklasse"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Classification of patient encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. \nKlassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ambulant | stationär | vorstationär | virtuell | teilstationär | häusliche Pflege"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ambulatory | inpatient encounter | pre-admission | virtual | short stay | home health"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/EncounterClassDE"
                }
            },
            {
                "id": "Encounter.type",
                "path": "Encounter.type",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Kontakttyp",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Typ des Kontaktes"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Type of encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Spezifischer Typ des Kontaktes",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Spezifischer Typ des Kontaktes"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Specific type of encounter"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.type:Kontaktebene",
                "path": "Encounter.type",
                "sliceName": "Kontaktebene",
                "short": "Kontaktebene",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontaktebene"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Level of encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. \nDie Gliederung gilt für stationäre Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Unterscheidung der Kontakt-Hierarchieebenen: Einrichtungskontakt | Abteilungskontakt | Versorgungsstellenkontakt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Differentiation of the encounter hierarchy levels: facility contact | department contact | care provider contact"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://fhir.de/CodeSystem/Kontaktebene"
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/kontaktebene-de",
                    "description": "Kontaktebene"
                }
            },
            {
                "id": "Encounter.type:KontaktArt",
                "path": "Encounter.type",
                "sliceName": "KontaktArt",
                "short": "Kontaktart",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontaktart"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Type of encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). \nRequired Binding auf http://fhir.de/ValueSet/kontaktart-de",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontaktarten wie vorstationär | nachstationär | intensivstationär"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Type of encounter such as pre-admission | post-admission | intensive care"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://fhir.de/CodeSystem/kontaktart-de"
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/kontaktart-de"
                }
            },
            {
                "id": "Encounter.serviceType",
                "path": "Encounter.serviceType",
                "short": "Fachabteilung",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fachabteilung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Department"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fachabteilung Klassifizierung durch Fachabteilungsschlüssel"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Department classification by department key"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.serviceType.coding",
                "path": "Encounter.serviceType.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.serviceType.coding:Fachabteilungsschluessel",
                "path": "Encounter.serviceType.coding",
                "sliceName": "Fachabteilungsschluessel",
                "short": "Fachabteilungsschlüssel",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fachabteilungsschlüssel"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Department key"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel\nFachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fachabteilungen gemäß Anhang 1 der Bundespflegesatzverordnung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Departments according to appendix 1 of the Bundespflegesatzverordnung"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel"
                }
            },
            {
                "id": "Encounter.serviceType.coding:Fachabteilungsschluessel.system",
                "path": "Encounter.serviceType.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.serviceType.coding:Fachabteilungsschluessel.code",
                "path": "Encounter.serviceType.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel",
                "path": "Encounter.serviceType.coding",
                "sliceName": "ErweiterterFachabteilungsschluessel",
                "short": "Erweiterter Fachabteilungsschlüssel",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Erweiterter Fachabteilungsschlüssel"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Extended department key"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert\nFachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fachabteilungen gemäß Anhang 1 der Bundespflegesatzverordnung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Departments according to appendix 1 of the Bundespflegesatzverordnung"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert"
                }
            },
            {
                "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system",
                "path": "Encounter.serviceType.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code",
                "path": "Encounter.serviceType.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.subject",
                "path": "Encounter.subject",
                "short": "Patientenidentifikator",
                "definition": "VERPFLICHTEND, Referenz auf Patient:in.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.period",
                "path": "Encounter.period",
                "short": "Zeitraum des Kontaktes",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitraum des Kontaktes"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Period of encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Beginn- und Endzeitpunkt des Kontaktes. \n    DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \n    abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Beginn- und Endzeitpunkt des Kontaktes."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Start and end time of the encounter."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.period.start",
                "path": "Encounter.period.start",
                "short": "Beginndatum",
                "definition": "Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
                "mustSupport": true
            },
            {
                "id": "Encounter.period.end",
                "path": "Encounter.period.end",
                "short": "Enddatum",
                "definition": "Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
                "mustSupport": true
            },
            {
                "id": "Encounter.diagnosis",
                "path": "Encounter.diagnosis",
                "short": "Diagnosen",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Diagnosen"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Diagnoses"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Angaben zu Diagnosen",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Angaben zu für den Kontakt relevanten Diagnosen"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Information about diagnoses relevant for the encounter"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.diagnosis.condition",
                "path": "Encounter.diagnosis.condition",
                "short": "Referenz zu Diagnose-Ressource",
                "definition": "VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. \nEs SOLLTE nur die Primärdiagnose referenziert werden.",
                "mustSupport": true
            },
            {
                "id": "Encounter.diagnosis.use",
                "path": "Encounter.diagnosis.use",
                "short": "Diagnosetyp",
                "definition": "Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines stationären Aufenthaltes zu betrachten\nund werden daher als Eigenschaft des Encounters modelliert. \nVERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. \nWeitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role`",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use"
                }
            },
            {
                "id": "Encounter.diagnosis.use.coding",
                "path": "Encounter.diagnosis.use.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Encounter.diagnosis.use.coding:Diagnosetyp",
                "path": "Encounter.diagnosis.use.coding",
                "sliceName": "Diagnosetyp",
                "short": "Diagnosetyp",
                "definition": "Einweisungs-/Überweisungsdiagnose | Behandlungsrelevante Diagnosen",
                "min": 0,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/DiagnoseTyp"
                }
            },
            {
                "id": "Encounter.diagnosis.use.coding:DiagnosesubTyp",
                "path": "Encounter.diagnosis.use.coding",
                "sliceName": "DiagnosesubTyp",
                "short": "Diagnosesubtyp",
                "definition": "Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose +",
                "min": 0,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/Diagnosesubtyp"
                }
            },
            {
                "id": "Encounter.diagnosis.rank",
                "path": "Encounter.diagnosis.rank",
                "short": "Rangfolge",
                "definition": "OPTIONAL, Rangfolge der Diagnose",
                "mustSupport": true
            },
            {
                "id": "Encounter.hospitalization",
                "path": "Encounter.hospitalization",
                "short": "Klinikaufenthalt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Klinikaufenthalt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Hospitalization"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Details zur Aufnahme und Entlassung",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details zur Aufnahme und Entlassung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details about admission and discharge"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Encounter.hospitalization.admitSource",
                "path": "Encounter.hospitalization.admitSource",
                "short": "Aufnahmeanlass",
                "definition": "VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "valueSet": "http://fhir.de/ValueSet/dgkev/Aufnahmeanlass"
                }
            },
            {
                "id": "Encounter.hospitalization.dischargeDisposition",
                "path": "Encounter.hospitalization.dischargeDisposition",
                "short": "Entlassung",
                "definition": "OPTIONAL Daten zur Entlassung",
                "mustSupport": true
            },
            {
                "id": "Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund",
                "path": "Encounter.hospitalization.dischargeDisposition.extension",
                "sliceName": "Entlassungsgrund",
                "short": "Entlassungsgrund",
                "definition": "OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/Entlassungsgrund"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Encounter.location",
                "path": "Encounter.location",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "physicalType"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Kontaktort",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontaktort"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Location"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details zum Kontaktort wie Zimmer, Bett, Station"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details about location such as room, bed, ward"
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "Encounter.location.physicalType",
                "path": "Encounter.location.physicalType",
                "short": "Kontaktorttyp",
                "definition": "SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type",
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type"
                }
            },
            {
                "id": "Encounter.location:Zimmer",
                "path": "Encounter.location",
                "sliceName": "Zimmer",
                "short": "Zimmer",
                "definition": "Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer Station.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Encounter.location:Zimmer.physicalType",
                "path": "Encounter.location.physicalType",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "ro",
                            "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                        }
                    ]
                }
            },
            {
                "id": "Encounter.location:Bett",
                "path": "Encounter.location",
                "sliceName": "Bett",
                "short": "Bett",
                "definition": "Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Encounter.location:Bett.physicalType",
                "path": "Encounter.location.physicalType",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "bd",
                            "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                        }
                    ]
                }
            },
            {
                "id": "Encounter.location:Station",
                "path": "Encounter.location",
                "sliceName": "Station",
                "short": "Station",
                "definition": "Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Encounter.location:Station.physicalType",
                "path": "Encounter.location.physicalType",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "wa",
                            "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                        }
                    ]
                }
            },
            {
                "id": "Encounter.serviceProvider",
                "path": "Encounter.serviceProvider",
                "short": "Leistungserbringer",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Leistungserbringer"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Service Provider"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. \nReferenz auf eine Organisation",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Leistungserbringer, der für den Kontakt verantwortlich ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Service provider responsible for the encounter."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "Encounter.partOf",
                "path": "Encounter.partOf",
                "short": "Teil von Kontakt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Teil von Kontakt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Part of encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, \nwenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes \noder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Hierarchy between encounter levels by referencing further encounters."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            }
        ]
    }
}

MII PR Fall Kontakt mit einer Gesundheitseinrichtung

Repräsentation der Fallarten in FHIR

Siehe auch Leitfaden FHIR DE Basisprofile:

Zur Kodierung von Encounter.class wird auf das ValueSet ActEncounterCode verwiesen.

Primärkontakte

Fallart	Code in HL7 V2	Repräsentation in FHIR
Ambulant	O	Encounter.class = AMB
Ambulantes Operieren	O	Encounter.class = AMB Encounter.type = operation
Stationär	I	Encounter.class = IMP
Normalstationär	I	Encounter.class = IMP Encounter.type = normalstationaer
Intensivstationär	I	Encounter.class = IMP Encounter.type = intensivstationaer
Wiederaufnahme	R	Encounter.class = IMP Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 07
Voraufnahme	P	Encounter.class = PRENC
Virtuell	-	Encounter.class = VR
Vorstationär	V	Encounter.class = AMB Encounter.type = vorstationaer
Nachstationär	NS	Encounter.class = AMB Encounter.type = nachstationaer
Teilstationär	TS	Encounter.class = IMP oder SS Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 03 Encounter.type = teilstationaer \| tagesklinik \| nachtklinik
Begleitperson	H	Encounter.class = IMP Encounter.type = begleitperson
Stationsäquivalent	-	Encounter.class = HH Encounter.type = stationsaequivalent Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 10
Entbindung	-	Encounter.class = IMP Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle = 05
Notfall	-	Encounter.class = AMB Encounter.extension:Aufnahmegrund.VierteStelle = 7 Falls eine anschließende stationäre Aufnahme erfolgt, kann Encounter.hospitalization.admitSource = "N" verwendet werden. Wenn der Aspekt der Dringlichkeit der Behandlung hervorgehoben werden soll, kann Encounter.priority = `http://terminology.hl7.org/CodeSystem/v3-ActPriority\|EM` verwendet werden.

Sekundärkontakte bei stationärem Aufenthalt

Fallart	Code in HL7 V2	Repräsentation in FHIR
Untersuchung und Behandlung	-	Encounter.class = IMP Encounter.type = ub
Konsil	-	Encounter.class = IMP Encounter.type = konsil
Operation	-	Encounter.class = IMP Encounter.type = operation

Kontaktort

Unter Encounter.location können OPTIONAL Details zum Ort, an dem der Kontakt stattfindet, angegeben werden. Die vorgegebene Detaillierung der Slices (Zimmer, Bett, Station) sind hauptsächlich im Kontakt vom Typ Versorgungsstellenkontakt anzulegen.

Geplante Kontake

Geplante Kontake werden mit Encounter.status = planned abgebildet und SOLLTEN zusätzlich das geplante Start- bzw. Enddatum mittels Extension in Encounter.extension angeben.

Must-Support FHIR Datenelemente

FHIR-Element	Kurze Beschreibung
Encounter.id	Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID
Encounter.meta	Angabe OPTIONAL zur Provenance und zum Profil
Encounter.extension:Aufnahmegrund	OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 zur § 301-Vereinbarung
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle	OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. Required Binding auf `http://fhir.de/ValueSet/dkgev/AufnahmegrundErsteUndZweiteStelle`
Encounter.extension:Aufnahmegrund.extension:DritteStelle	OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. Required Binding auf `http://fhir.de/ValueSet/dkgev/AufnahmegrundDritteStelle`
Encounter.extension:Aufnahmegrund.extension:VierteStelle	OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V. Required Binding auf `http://fhir.de/ValueSet/dkgev/AufnahmegrundVierteStelle`
Encounter.identifier:Aufnahmenummer	OPTIONAL, Aufnahmenummer/Fallnummer, die Patient:innen bei der Planung einer Aufnahme oder bei der Aufnahme selbst bekommt. Generell SOLLTE die Aufnahmenummer in allen Encounter-Ressourcen unabhängig von der Kontaktebene und dem Kontakttyp angegeben werden. Als Gründe würden dagegen sprechen, wenn die Aufnahmenummer nur in einem Encounter der Encounter-Hierarchie angegeben werden kann. In diesem Fall SOLL auf die korrekte Encounter-Verlinkung über .partOf geachtet werden, sowie dass jeder Encounter einen eigenständigen Identifier mit unterschiedlichen Systemen enthält.
Encounter.status	VERPFLICHTEND, required Binding auf `http://fhir.de/ValueSet/EncounterStatusDe`
Encounter.class	VERPFLICHTEND, Kontaktklasse. Required Binding auf `http://fhir.de/ValueSet/EncounterClassDE`
Encounter.type:Kontaktebene	OPTIONAL, 3 Ebenen: Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. Required Binding auf `http://fhir.de/ValueSet/kontaktebene-de`
Encounter.type:KontaktArt	OPTIONAL Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). Required Binding auf `http://fhir.de/ValueSet/kontaktart-de`
Encounter.serviceType.coding:Fachabteilungsschluessel	OPTIONAL, required Binding auf `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel`
Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel	OPTIONAL, required Binding auf `http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert`
Encounter.subject	VERPFLICHTEND Referenz auf Patient:in
Encounter.period	VERPFLICHTEND, Zeitraum des Kontaktes
Encounter.period.start	VERPFLICHTEND, Start des Kontakt Zeitraums
Encounter.period.end	OPTIONAL, Ende des Kontakt Zeitraums
Encounter.diagnosis	OPTIONAL Angaben zu Diagnose(n)
Encounter.diagnosis.condition	VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. Es SOLLTE nur die Primärdiagnose referenziert werden.
Encounter.diagnosis.use.coding:	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`
Encounter.diagnosis.use.coding:DiagnoseTyp	OPTIONAL, required Binding auf `http://fhir.de/ValueSet/DiagnoseTyp`
Encounter.diagnosis.use.coding:Diagnosesubtyp	OPTIONAL, required Binding auf `http://fhir.de/ValueSet/Diagnosesubtyp`
Encounter.diagnosis.rank	OPTIONAL
Encounter.hospitalization	OPTIONAL, Daten zur Aufnahme und Entlassung
Encounter.hospitalization.admitSource	VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf `http://fhir.de/ValueSet/dgkev/Aufnahmeanlass`
Encounter.hospitalization.dischargeDisposition	OPTIONAL, Entlassungsdaten
Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund	OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V. `http://fhir.de/StructureDefinition/Entlassungsgrund`
Encounter.location	OPTIONAL Details zum Kontaktort wie Zimmer, Bett, Station
Encounter.location.physicalType	SOLL extensible Binding auf `https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type`
Encounter.serviceProvider	OPTIONAL Referenz auf eine Einrichtung
Encounter.partOf	OPTIONAL Referenz auf andere Kontaktinstanzen

Mapping FHIR Element - Logical Model

FHIR Element	Logischer Datensatz
Encounter.type	Fall.Einrichtungskontakt.KontaktEbene
Encounter.type	Fall.Einrichtungskontakt.KontaktArt
Encounter.subject	Fall.Einrichtungskontakt.PatientenIdentifikator
Encounter.identifier	Fall.Einrichtungskontakt.Aufnahmenummer
Encounter.hospitalization.admitSource	Fall.Einrichtungskontakt.Aufnahmeanlass
Encounter.reasonCode	Fall.Einrichtungskontakt.Aufnahmegrund
Encounter.period.start	Fall.Einrichtungskontakt.Beginndatum
Encounter.period.end	Fall.Einrichtungskontakt.Enddatum
Encounter.hospitalization.dischargeDisposition	Fall.Einrichtungskontakt.Entlassungsgrund
Encounter.type	Fall.Abteilungskontakt.KontaktEbene
Encounter.type	Fall.Abteilungskontakt.KontaktArt
Encounter.subject	Fall.Abteilungskontakt.PatientenIdentifikator
Encounter.identifier	Fall.Abteilungskontakt.Aufnahmenummer
Encounter.period.start	Fall.Abteilungskontakt.Beginndatum
Encounter.period.end	Fall.Abteilungskontakt.Enddatum
Encounter.type	Fall.Versorgungsstellenkontakt.KontaktEbene
Encounter.type	Fall.Versorgungsstellenkontakt.KontaktArt
Encounter.subject	Fall.Versorgungsstellenkontakt.PatientenIdentifikator
Encounter.identifier	Fall.Versorgungsstellenkontakt.Aufnahmenummer
Encounter.period.start	Fall.Versorgungsstellenkontakt.Beginndatum
Encounter.period.end	Fall.Versorgungsstellenkontakt.Enddatum

Invarianten

Folgende Invarianten müssen bei der Implementierung des Profils beachtet werden:

Constraints:

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

Terminology Bindings

Path	Name	Strength	URL
Encounter.identifier.type	identifier-type-codes	extensible	https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes
Encounter.status	EncounterStatusDe	required	http://fhir.de/ValueSet/EncounterStatusDe
Encounter.class	EncounterClassDE	required	http://fhir.de/ValueSet/EncounterClassDE
Encounter.type	kontaktebene-de	required	http://fhir.de/ValueSet/kontaktebene-de
Encounter.type	kontaktart-de	required	http://fhir.de/ValueSet/kontaktart-de
Encounter.serviceType.coding	dkgev/Fachabteilungsschluessel	required	http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel
Encounter.serviceType.coding	dkgev/Fachabteilungsschluessel-erweitert	required	http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert
Encounter.diagnosis.use	mii-vs-fall-diagnosis-use	extensible	https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use
Encounter.diagnosis.use.coding	DiagnoseTyp	required	http://fhir.de/ValueSet/DiagnoseTyp
Encounter.diagnosis.use.coding	Diagnosesubtyp	required	http://fhir.de/ValueSet/Diagnosesubtyp
Encounter.hospitalization.admitSource	dgkev/Aufnahmeanlass	preferred	http://fhir.de/ValueSet/dgkev/Aufnahmeanlass
Encounter.location.physicalType	location-physical-type	extensible	https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type

Suchparameter

Folgende Suchparameter sind für das Modul Fall relevant, auch in Kombination:

Name	Definition	Type	Expectation
_id	http://hl7.org/fhir/SearchParameter/Resource-id	token	SHALL
_lastUpdated	http://hl7.org/fhir/SearchParameter/Resource-lastUpdated	date	SHALL
_profile	http://hl7.org/fhir/SearchParameter/Resource-profile	uri	SHALL
identifier	http://hl7.org/fhir/SearchParameter/clinical-identifier	token	SHALL
status	http://hl7.org/fhir/SearchParameter/Encounter-status	token	SHALL
class	http://hl7.org/fhir/SearchParameter/Encounter-class	token	SHALL
type	http://hl7.org/fhir/SearchParameter/clinical-type	token	SHALL
category	http://hl7.org/fhir/SearchParameter/Condition-category	token	SHALL
subject	http://hl7.org/fhir/SearchParameter/Encounter-subject	reference	SHALL
date	http://hl7.org/fhir/SearchParameter/clinical-date	date	SHALL
diagnosis	http://hl7.org/fhir/SearchParameter/Encounter-diagnosis	reference	SHALL
location	http://hl7.org/fhir/SearchParameter/Encounter-location	reference	SHALL
service-provider	http://hl7.org/fhir/SearchParameter/Encounter-service-provider	reference	SHALL
part-of	http://hl7.org/fhir/SearchParameter/Encounter-part-of	reference	SHALL
service-type	https://www.medizininformatik-initiative.de/fhir/modul-meta/SearchParameter/mii-sp-meta-encounter-servicetype	token	SHALL
diagnosis-use	https://www.medizininformatik-initiative.de/fhir/modul-meta/SearchParameter/mii-sp-meta-encounter-diagnosis-use	token	SHALL
hospitalization-admitsource	https://www.medizininformatik-initiative.de/fhir/core/modul-fall/SearchParameter/Encounter-hospitalization-admitSource	token	SHALL
location-physical-type	https://www.medizininformatik-initiative.de/fhir/modul-meta/SearchParameter/mii-sp-meta-encounter-location-physical-type	token	SHALL

Beispiele

Beispiel Einrichtungskontakt:

{
    "resourceType": "Encounter",
    "id": "mii-exa-fall-kontakt-gesundheitseinrichtung-1",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung|2025.0.0"
        ]
    },
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://fhir.de/CodeSystem/Kontaktebene",
                    "code": "einrichtungskontakt",
                    "display": "Einrichtungskontakt"
                }
            ]
        }
    ],
    "status": "finished",
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "VN",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "http://medizininformatik-initiative.de/fhir/NamingSystem/Aufnahmenummer/MusterKrankenhaus",
            "value": "F_0000002"
        }
    ],
    "class": {
        "code": "IMP",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "display": "inpatient encounter"
    },
    "subject": {
        "reference": "Patient/2b9d3335-70df-4055-b33d-27a55fe00855"
    },
    "serviceProvider": {
        "identifier": {
            "system": "http://medizininformatik-initiative.de/fhir/NamingSystem/Einrichtungsidentifikator/MusterKrankenhaus",
            "value": "260123451_MusterKrankenhaus"
        }
    },
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/e6b6895c-549b-47c5-a842-41100761385d"
            },
            "use": {
                "coding":  [
                    {
                        "code": "treatment-diagnosis",
                        "system": "http://fhir.de/CodeSystem/KontaktDiagnoseProzedur",
                        "display": "Behandlungsrelevante Diagnosen"
                    },
                    {
                        "code": "DD",
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "display": "Discharge diagnosis"
                    }
                ]
            }
        }
    ],
    "hospitalization": {
        "admitSource": {
            "coding":  [
                {
                    "code": "N",
                    "system": "http://fhir.de/CodeSystem/dgkev/Aufnahmeanlass"
                }
            ]
        },
        "dischargeDisposition": {
            "extension":  [
                {
                    "url": "http://fhir.de/StructureDefinition/Entlassungsgrund",
                    "extension":  [
                        {
                            "url": "ErsteUndZweiteStelle",
                            "valueCoding": {
                                "code": "01",
                                "system": "http://fhir.de/CodeSystem/dkgev/EntlassungsgrundErsteUndZweiteStelle",
                                "display": "Behandlung regulär beendet"
                            }
                        },
                        {
                            "url": "DritteStelle",
                            "valueCoding": {
                                "code": "1",
                                "system": "http://fhir.de/CodeSystem/dkgev/EntlassungsgrundDritteStelle",
                                "display": "arbeitsfähig entlassen"
                            }
                        }
                    ]
                }
            ]
        }
    },
    "period": {
        "start": "2020-01-08T07:00:00+01:00",
        "end": "2020-01-11T05:00:00+01:00"
    }
}

Beispiel Abteilungskontakt:

{
    "resourceType": "Encounter",
    "id": "mii-exa-fall-kontakt-gesundheitseinrichtung-2",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung|2025.0.0"
        ]
    },
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://fhir.de/CodeSystem/Kontaktebene",
                    "code": "abteilungskontakt",
                    "display": "Abteilungskontakt"
                }
            ]
        }
    ],
    "serviceType": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel",
                "code": "0100",
                "display": "Innere Medizin"
            }
        ]
    },
    "location":  [
        {
            "physicalType": {
                "coding":  [
                    {
                        "code": "ro",
                        "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                    }
                ]
            },
            "location": {
                "identifier": {
                    "system": "https://www.charite.de/fhir/sid/Zimmernummern",
                    "value": "RHC-06-210b"
                },
                "display": "RHC-06-210b"
            }
        },
        {
            "physicalType": {
                "coding":  [
                    {
                        "code": "bd",
                        "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                    }
                ]
            },
            "location": {
                "identifier": {
                    "system": "https://www.charite.de/fhir/sid/Bettennummern",
                    "value": "RHC-06-210b-02"
                },
                "display": "RHC-06-210b-02"
            }
        },
        {
            "physicalType": {
                "coding":  [
                    {
                        "code": "wa",
                        "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
                    }
                ]
            },
            "location": {
                "identifier": {
                    "system": "https://www.charite.de/fhir/sid/Stationsnummern",
                    "value": "RHC-06"
                },
                "display": "RHC-06"
            }
        }
    ],
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "VN",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "http://medizininformatik-initiative.de/fhir/NamingSystem/Aufnahmenummer/MusterKrankenhaus",
            "value": "F_0000001"
        }
    ],
    "status": "finished",
    "class": {
        "code": "IMP",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "display": "inpatient encounter"
    },
    "subject": {
        "reference": "Patient/P_0000000"
    },
    "period": {
        "start": "2020-11-02T03:00:00+00:00",
        "end": "2020-11-02T03:59:59+00:00"
    },
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/D_0000001"
            },
            "use": {
                "coding":  [
                    {
                        "code": "treatment-diagnosis",
                        "system": "http://fhir.de/CodeSystem/KontaktDiagnoseProzedur",
                        "display": "Behandlungsrelevante Diagnosen"
                    },
                    {
                        "code": "department-main-diagnosis",
                        "system": "http://fhir.de/CodeSystem/KontaktDiagnoseProzedur",
                        "display": "Abteilung Hauptdiagnose"
                    }
                ]
            }
        }
    ],
    "serviceProvider": {
        "identifier": {
            "system": "http://medizininformatik-initiative.de/fhir/NamingSystem/Abteilungsidentifikator/MusterKrankenhaus",
            "value": "1500_ACHI"
        }
    }
}