<status value="active" /> <date value="2019-01-17T11:39:09.790574+00:00" /> <description value="An instance of this profile represents an administrative case in medico - that is representated by table x1100pat." /> <fhirVersion value="3.0.1" /> <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" /> <short value="A case in medico" /> <definition value="An administrative case in medico (x1100pat). Within a logical tree this administrative case connects - upwards to the patient - downwards to a FHIR Encounter of type clinical case (x1200can) Important: medico tickets are not available using the medico FHIR Encounter resource" /> <mustSupport value="true" /> </element> <element id="Encounter.id"> <path value="Encounter.id" /> <short value="Internal Id of administrative case" /> <definition value="Internal Id of administrative case i.e. "Case-#####" An client should normally not use these Ids , except it was returned as part of a reference or search result" /> <min value="1" /> </element> <element id="Encounter.meta"> <path value="Encounter.meta" /> <min value="1" /> </element> <element id="Encounter.meta.id"> <path value="Encounter.meta.id" /> <max value="0" /> </element> <element id="Encounter.meta.versionId"> <path value="Encounter.meta.versionId" /> <max value="0" /> </element> <element id="Encounter.meta.lastUpdated"> <path value="Encounter.meta.lastUpdated" /> <max value="0" /> </element> <element id="Encounter.meta.profile"> <path value="Encounter.meta.profile" /> <code> <system value="http://medico-emr.net/profile" /> <code value="medicoEncounter-Case" /> </code> <min value="1" /> <max value="1" /> <fixedUri value="http://medico-emr.net/stu3/sd/Encounter-Case-1" /> </element> <element id="Encounter.meta.security"> <path value="Encounter.meta.security" /> <max value="0" /> </element> <element id="Encounter.meta.tag"> <path value="Encounter.meta.tag" /> <code> <system value="http://medico-emr.net/TagdischargeDateIsPreliminary" /> <version value="1" /> </code> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <definition value="Tags specific to the encounter of subtype case" /> <max value="1" /> </element> <element id="Encounter.meta.tag:encounterCaseTags"> <path value="Encounter.meta.tag" /> <sliceName value="encounterCaseTags" /> <definition value="Tags specified for Encounter of type case" /> <comment value="Tags specific to encounters of subtype case" /> <max value="1" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.id"> <path value="Encounter.meta.tag.id" /> <max value="0" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.system"> <path value="Encounter.meta.tag.system" /> <min value="1" /> <fixedUri value="http://medico-emr.net/cs1" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.version"> <path value="Encounter.meta.tag.version" /> <max value="0" /> <fixedString value="1" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.code"> <path value="Encounter.meta.tag.code" /> <min value="1" /> <fixedCode value="TagEncounterIsUserFavorite" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.meta.tag.display" /> <max value="0" /> </element> <element id="Encounter.meta.tag:encounterCaseTags.userSelected"> <path value="Encounter.meta.tag.userSelected" /> <max value="0" /> </element> <element id="Encounter.meta.extension"> <path value="Encounter.meta.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Encounter.meta.Extension:clinicalTag"> <path value="Encounter.meta.extension" /> <sliceName value="clinicalTag" /> <definition value="Defines a clinical tag extensions for the meta element Uses code system values below ClinicalTag/*" /> <type> <code value="Extension" /> <profile value="http://medico-emr.net/stu3/sd/MXT-ClinicalTag-1" /> </type> </element> <element id="Encounter.meta.Extension:clinicalTag.valueCodeableConcept:valueCodeableConcept.coding.system"> <path value="Encounter.meta.extension.valueCodeableConcept.coding.system" /> <min value="1" /> </element> <element id="Encounter.meta.Extension:clinicalTag.valueCodeableConcept:valueCodeableConcept.coding.code"> <path value="Encounter.meta.extension.valueCodeableConcept.coding.code" /> <min value="1" /> </element> <element id="Encounter.meta.Extension:administrativeTag"> <path value="Encounter.meta.extension" /> <sliceName value="administrativeTag" /> <type> <code value="Extension" /> <profile value="http://medico-emr.net/stu3/sd/MXT-AdminTag-1" /> </type> </element> <element id="Encounter.implicitRules"> <path value="Encounter.implicitRules" /> <max value="0" /> </element> <element id="Encounter.language"> <path value="Encounter.language" /> <max value="0" /> </element> <element id="Encounter.text"> <path value="Encounter.text" /> <max value="0" /> </element> <element id="Encounter.contained"> <path value="Encounter.contained" /> <max value="0" /> </element> <element id="Encounter.extension"> <path value="Encounter.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Encounter.extension:LastClinCase"> <path value="Encounter.extension" /> <sliceName value="LastClinCase" /> <type> <code value="Extension" /> <profile value="http://medico-emr.net/stu3/sd/MXT-Encounter-LastClinCase-1" /> </type> </element> <element id="Encounter.identifier"> <path value="Encounter.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="type.coding.system" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Encounter.identifier:medicoResourceId"> <path value="Encounter.identifier" /> <sliceName value="medicoResourceId" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.identifier:medicoResourceId.id"> <path value="Encounter.identifier.id" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.use"> <path value="Encounter.identifier.use" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type"> <path value="Encounter.identifier.type" /> <min value="1" /> </element> <element id="Encounter.identifier:medicoResourceId.type.id"> <path value="Encounter.identifier.type.id" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding"> <path value="Encounter.identifier.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.id"> <path value="Encounter.identifier.type.coding.id" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.system"> <path value="Encounter.identifier.type.coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/ValueSet/identifier-type" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.version"> <path value="Encounter.identifier.type.coding.version" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.code"> <path value="Encounter.identifier.type.coding.code" /> <min value="1" /> <fixedCode value="MR" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.identifier.type.coding.display" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type.coding.userSelected"> <path value="Encounter.identifier.type.coding.userSelected" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.type.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.identifier.type.text" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.system"> <path value="Encounter.identifier.system" /> <definition value="Must be a constant underneath http://medico-emr.net/%KUNDE%/sid1/Case" /> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier Dynamically resolved for validation --FixedValue=http://medico-emr.net/%KUNDE%/sid1/Case " /> <min value="1" /> </element> <element id="Encounter.identifier:medicoResourceId.value"> <path value="Encounter.identifier.value" /> <definition value="medico's internal id for this type of medico resource This value must be unique within medico - for a given value of "system" " /> <min value="1" /> </element> <element id="Encounter.identifier:medicoResourceId.period"> <path value="Encounter.identifier.period" /> <max value="0" /> </element> <element id="Encounter.identifier:medicoResourceId.assigner"> <path value="Encounter.identifier.assigner" /> <max value="0" /> </element> <element id="Encounter.status"> <path value="Encounter.status" /> <short value="planned | in-progress | finished | cancelled" /> <definition value="The type of current encounter medico supports planned | in-progress | finished | cancelled Unsupported values are arrived | triaged | onleave" /> </element> <element id="Encounter.statusHistory"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="StatusHistory" /> </extension> <path value="Encounter.statusHistory" /> <max value="0" /> </element> <element id="Encounter.class"> <path value="Encounter.class" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <definition value="medioco case supports the following values: From the standard: inpatient | outpatient partial_inpatient = Teilstationär pre/post_inpatient = Vor/Nachstationär Tickets are not transfered using this resource!" /> <min value="1" /> </element> <element id="Encounter.class:HL7ActEncounterCode"> <path value="Encounter.class" /> <sliceName value="HL7ActEncounterCode" /> <definition value="Codes: IMP (impatient), AMB (ambulatory/outpatient), EMER (emergency) inpatient | outpatient | ambulatory | emergency +." /> <min value="1" /> </element> <element id="Encounter.class:HL7ActEncounterCode.id"> <path value="Encounter.class.id" /> <max value="0" /> </element> <element id="Encounter.class:HL7ActEncounterCode.system"> <path value="Encounter.class.system" /> <min value="1" /> <fixedUri value="https://www.hl7.org/fhir/v3/ActEncounterCode" /> </element> <element id="Encounter.class:HL7ActEncounterCode.version"> <path value="Encounter.class.version" /> <max value="0" /> </element> <element id="Encounter.class:HL7ActEncounterCode.code"> <path value="Encounter.class.code" /> <min value="1" /> </element> <element id="Encounter.class:HL7ActEncounterCode.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.class.display" /> <max value="0" /> </element> <element id="Encounter.class:HL7ActEncounterCode.userSelected"> <path value="Encounter.class.userSelected" /> <max value="0" /> </element> <element id="Encounter.classHistory"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="ClassHistory" /> </extension> <path value="Encounter.classHistory" /> <max value="0" /> </element> <element id="Encounter.type"> <path value="Encounter.type" /> <slicing> <discriminator> <type value="value" /> <path value="coding.system" /> </discriminator> <rules value="open" /> </slicing> <definition value="Defines the subresource usage in medico: the current profile states usage as a medico case (x1100pat)" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.type:EncounterCaseType"> <path value="Encounter.type" /> <sliceName value="EncounterCaseType" /> <definition value="The type of case: CaseInpatient, CasePartInpatient, CasePreInpatient, CasePostInpatient, CaseOutpatient" /> <min value="1" /> <max value="1" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EncounterType" /> </extension> <strength value="preferred" /> <valueSetReference> <reference value="http://medico-emr.net/stu3/vs/Encounter-Case-CaseTypes-1" /> </valueSetReference> </binding> </element> <element id="Encounter.type:EncounterCaseType.id"> <path value="Encounter.type.id" /> <max value="0" /> </element> <element id="Encounter.type:EncounterCaseType.coding"> <path value="Encounter.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.type:EncounterCaseType.coding.id"> <path value="Encounter.type.coding.id" /> <max value="0" /> </element> <element id="Encounter.type:EncounterCaseType.coding.system"> <path value="Encounter.type.coding.system" /> <min value="1" /> <fixedUri value="http://medico-emr.net/cs1" /> </element> <element id="Encounter.type:EncounterCaseType.coding.version"> <path value="Encounter.type.coding.version" /> <max value="0" /> </element> <element id="Encounter.type:EncounterCaseType.coding.code"> <path value="Encounter.type.coding.code" /> <min value="1" /> </element> <element id="Encounter.type:EncounterCaseType.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.type.coding.display" /> <max value="0" /> </element> <element id="Encounter.type:EncounterCaseType.coding.userSelected"> <path value="Encounter.type.coding.userSelected" /> <max value="0" /> </element> <element id="Encounter.type:EncounterCaseType.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.type.text" /> <max value="0" /> </element> <element id="Encounter.priority"> <path value="Encounter.priority" /> <max value="0" /> </element> <element id="Encounter.subject"> <path value="Encounter.subject" /> <short value="The patient representing this encounter" /> <definition value="The patient representing this encounter" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <profile value="http://medico-emr.net/stu3/sd/Reference-SubjectPatient-1" /> <targetProfile value="http://medico-emr.net/stu3/sd/Patient-Patient-1" /> </type> </element> <element id="Encounter.episodeOfCare"> <path value="Encounter.episodeOfCare" /> <max value="0" /> </element> <element id="Encounter.incomingReferral"> <path value="Encounter.incomingReferral" /> <type> <code value="Reference" /> <targetProfile value="http://medico-emr.net/stu3/sd/ReferralRequest-ReferralRequest-1" /> </type> </element> <element id="Encounter.incomingReferral.id"> <path value="Encounter.incomingReferral.id" /> <max value="0" /> </element> <element id="Encounter.incomingReferral.reference"> <path value="Encounter.incomingReferral.reference" /> <short value="the referral by which the patient was sent" /> <definition value="optional referral of general practioner who had formally sent the patient to the hospital" /> <min value="1" /> </element> <element id="Encounter.incomingReferral.identifier"> <path value="Encounter.incomingReferral.identifier" /> <max value="0" /> </element> <element id="Encounter.incomingReferral.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.incomingReferral.display" /> <max value="0" /> </element> <element id="Encounter.participant"> <path value="Encounter.participant" /> <slicing> <discriminator> <type value="value" /> <path value="type.coding.code" /> </discriminator> <rules value="open" /> </slicing> <definition value="The list of people responsible for providing the service. For medico this is a list of physicians outside the hospital involved in the treatment of the patient." /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians"> <path value="Encounter.participant" /> <sliceName value="ExternalInvolvedPhysicians" /> <short value="Involved physicians, behandelnde Ärzte" /> <definition value="External involved physicians, behandelnde Ärzte Physicians recorded as being involved in the treatment of a patient - external to the hospital, possibly general practioners" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.id"> <path value="Encounter.participant.id" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type"> <path value="Encounter.participant.type" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.id"> <path value="Encounter.participant.type.id" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding"> <path value="Encounter.participant.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.id"> <path value="Encounter.participant.type.coding.id" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <min value="1" /> <fixedUri value="http://medico-emr.net/cs1" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.version"> <path value="Encounter.participant.type.coding.version" /> <max value="0" /> <fixedString value="1" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <fixedCode value="ExternalInvolvedPhysician" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.participant.type.coding.display" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.coding.userSelected"> <path value="Encounter.participant.type.coding.userSelected" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.type.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.participant.type.text" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.period"> <path value="Encounter.participant.period" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.individual"> <path value="Encounter.participant.individual" /> <short value="The physican involved" /> <definition value="The physician outside of the hospital involved in the treatment of the patient" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> </type> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.individual.id"> <path value="Encounter.participant.individual.id" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.individual.reference"> <path value="Encounter.participant.individual.reference" /> <min value="1" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.individual.identifier"> <path value="Encounter.participant.individual.identifier" /> <max value="0" /> </element> <element id="Encounter.participant:ExternalInvolvedPhysicians.individual.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.participant.individual.display" /> <max value="0" /> </element> <element id="Encounter.appointment"> <path value="Encounter.appointment" /> <max value="0" /> </element> <element id="Encounter.period"> <path value="Encounter.period" /> <min value="1" /> </element> <element id="Encounter.period.id"> <path value="Encounter.period.id" /> <max value="0" /> </element> <element id="Encounter.period.extension"> <path value="Encounter.period.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Encounter.period.extension:PreliminaryDischargeDateOfficial"> <path value="Encounter.period.extension" /> <sliceName value="PreliminaryDischargeDateOfficial" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://medico-emr.net/stu3/sd/MXT-Encounter-Case-PreliminaryDischargeDateOfficial-1" /> </type> </element> <element id="Encounter.period.start"> <path value="Encounter.period.start" /> <definition value="Date and Time of admission / KHEntG" /> <min value="1" /> </element> <element id="Encounter.period.end"> <path value="Encounter.period.end" /> <short value="Date of discharge/transfer" /> <definition value="Date of discharge/transfer Es ist das Entlassungs-/Verlegungsdatum (Tag und Uhrzeit) aus der vollstationären oder teilstationären Behandlung anzugeben. (Bei interner Verlegung in einen anderen Entgeltbereich ohne nachfolgende Rückverlegung wird das Verlegungsdatum angegeben; die Behandlungsepisode in dem anderen Entgeltbereich wird als gesonderter Fall dokumentiert.) Bei nur vorstationär behandelten Fällen ist das Entlassungsdatum der letzte vorstationäre Behandlungstag." /> </element> <element id="Encounter.length"> <path value="Encounter.length" /> <max value="0" /> </element> <element id="Encounter.reason"> <path value="Encounter.reason" /> <max value="0" /> </element> <element id="Encounter.reason.id"> <path value="Encounter.reason.id" /> <max value="0" /> </element> <element id="Encounter.reason.coding.id"> <path value="Encounter.reason.coding.id" /> <max value="0" /> </element> <element id="Encounter.diagnosis"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Diagnosis" /> </extension> <path value="Encounter.diagnosis" /> <slicing> <discriminator> <type value="value" /> <path value="role.coding.code" /> </discriminator> <rules value="open" /> </slicing> <definition value="Diagnosis specific to admission and discharge (DRG, administrative diagnosis)" /> <max value="3" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Diagnosis" /> </extension> <path value="Encounter.diagnosis" /> <sliceName value="MainWorkingDiagnosis" /> <definition value="The main working diagnosis for this encounter i.e. the one with lowest value for x1280dia.control - from those diagnosis where x1280dia.dit = x9021dit.dit and x9021dit.control=4" /> <max value="1" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.id"> <path value="Encounter.diagnosis.id" /> <max value="0" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.condition"> <path value="Encounter.diagnosis.condition" /> <type> <code value="Reference" /> <targetProfile value="http://medico-emr.net/stu3/sd/Condition-Diagnosis-1" /> </type> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.condition.id"> <path value="Encounter.diagnosis.condition.id" /> <max value="0" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.condition.reference"> <path value="Encounter.diagnosis.condition.reference" /> <min value="1" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.condition.identifier"> <path value="Encounter.diagnosis.condition.identifier" /> <max value="0" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.condition.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Encounter.diagnosis.condition.display" /> <max value="0" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.role"> <path value="Encounter.diagnosis.role" /> <min value="1" /> </element> <element id="Encounter.diagnosis:MainWorkingDiagnosis.role.id"> <path value="Encounter.diagnosis.role.id" /> <max value="0" /> </element> <element 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