{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2024-02-06T08:13:46.7038451+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/sd/Encounter_Case_1",
  "version": "1",
  "name": "Encounter_Case_1",
  "title": "Encounter_Case_1",
  "status": "active",
  "date": "2019-01-17T11:39:09.790574+00:00",
  "description": "An instance of this profile represents an administrative case in medico - that is representated by table x1100pat.",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter",
        "path": "Encounter",
        "short": "A case in medico",
        "definition": "An administrative case in medico (x1100pat).\r\nWithin a logical tree this administrative case connects\r\n- upwards to the patient\r\n- downwards to a FHIR Encounter of type clinical case (x1200can)\r\n\r\nImportant: medico tickets are not available using the medico FHIR Encounter resource",
        "mustSupport": true
      },
      {
        "id": "Encounter.id",
        "path": "Encounter.id",
        "short": "Internal Id of administrative case",
        "definition": "Internal Id of administrative case \r\ni.e. \"Case-#####\"\r\nAn client should normally not use these Ids , except it was returned as part of a reference or search result",
        "min": 1
      },
      {
        "id": "Encounter.meta",
        "path": "Encounter.meta",
        "min": 1
      },
      {
        "id": "Encounter.meta.id",
        "path": "Encounter.meta.id",
        "max": "0"
      },
      {
        "id": "Encounter.meta.versionId",
        "path": "Encounter.meta.versionId",
        "max": "0"
      },
      {
        "id": "Encounter.meta.lastUpdated",
        "path": "Encounter.meta.lastUpdated",
        "mustSupport": true
      },
      {
        "id": "Encounter.meta.source",
        "path": "Encounter.meta.source",
        "max": "0"
      },
      {
        "id": "Encounter.meta.profile",
        "path": "Encounter.meta.profile",
        "code": [
          {
            "system": "https://medico-emr.net/medico/profile",
            "code": "medicoEncounter-Case"
          }
        ],
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://medico-emr.net/medico/r4/sd/Encounter_Case_1"
      },
      {
        "id": "Encounter.meta.security",
        "path": "Encounter.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Encounter.meta.security:InformationLock",
        "path": "Encounter.meta.security",
        "sliceName": "InformationLock",
        "definition": "This slice indicates if its allowed to provide information of this encounter to persons not working at the hospital e.g. visitors.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://medico-emr.net/medico/r4/vs/Encounter_InformationLock_1"
        }
      },
      {
        "id": "Encounter.meta.security:InformationLock.system",
        "path": "Encounter.meta.security.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1/InformationLock"
      },
      {
        "id": "Encounter.meta.security:InformationLock.code",
        "path": "Encounter.meta.security.code",
        "min": 1
      },
      {
        "id": "Encounter.meta.security:EncounterLock",
        "path": "Encounter.meta.security",
        "sliceName": "EncounterLock",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://medico-emr.net/medico/r4/vs/Encounter_EncounterLock_1"
        }
      },
      {
        "id": "Encounter.meta.security:EncounterLock.system",
        "path": "Encounter.meta.security.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1/EncounterLock"
      },
      {
        "id": "Encounter.meta.security:EncounterLock.code",
        "path": "Encounter.meta.security.code",
        "min": 1
      },
      {
        "id": "Encounter.meta.tag",
        "path": "Encounter.meta.tag",
        "code": [
          {
            "system": "https://medico-emr.net/medico/cs/cs1/TagdischargeDateIsPreliminary",
            "version": "1"
          }
        ],
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "definition": "Tags specific to the encounter of subtype case",
        "max": "1"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags",
        "path": "Encounter.meta.tag",
        "sliceName": "encounterCaseTags",
        "definition": "Tags specified for Encounter of type case",
        "comment": "Tags specific to encounters of subtype case",
        "max": "1"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.id",
        "path": "Encounter.meta.tag.id",
        "max": "0"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.system",
        "path": "Encounter.meta.tag.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.version",
        "path": "Encounter.meta.tag.version",
        "max": "0",
        "fixedString": "1"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.code",
        "path": "Encounter.meta.tag.code",
        "min": 1,
        "fixedCode": "TagEncounterIsUserFavorite"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.display",
        "path": "Encounter.meta.tag.display",
        "max": "0"
      },
      {
        "id": "Encounter.meta.tag:encounterCaseTags.userSelected",
        "path": "Encounter.meta.tag.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.meta.extension",
        "path": "Encounter.meta.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.meta.extension:clinicalTag",
        "path": "Encounter.meta.extension",
        "sliceName": "clinicalTag",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/ClinicalTag_1"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "https://medico-emr.net/medico/r4/vs/Encounter_ClinicalTags_1"
        }
      },
      {
        "id": "Encounter.implicitRules",
        "path": "Encounter.implicitRules",
        "max": "0"
      },
      {
        "id": "Encounter.language",
        "path": "Encounter.language",
        "max": "0"
      },
      {
        "id": "Encounter.text",
        "path": "Encounter.text",
        "max": "0"
      },
      {
        "id": "Encounter.contained",
        "path": "Encounter.contained",
        "max": "0"
      },
      {
        "id": "Encounter.extension:LastClinCase",
        "path": "Encounter.extension",
        "sliceName": "LastClinCase",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Encounter_LastClinCase_1"
            ]
          }
        ]
      },
      {
        "id": "Encounter.extension:encounter-reasonCancelled",
        "path": "Encounter.extension",
        "sliceName": "encounter-reasonCancelled",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"
            ]
          }
        ]
      },
      {
        "id": "Encounter.extension:encounter-reasonCancelled.id",
        "path": "Encounter.extension.id",
        "max": "0"
      },
      {
        "id": "Encounter.extension:encounter-reasonCancelled.value[x].id",
        "path": "Encounter.extension.value[x].id",
        "max": "0"
      },
      {
        "id": "Encounter.extension:encounter-reasonCancelled.value[x].coding",
        "path": "Encounter.extension.value[x].coding",
        "max": "0"
      },
      {
        "id": "Encounter.extension:encounter-reasonCancelled.value[x].text",
        "path": "Encounter.extension.value[x].text",
        "definition": "medico: The reason for the cancellation in human-readable form\r\nmaps to x1109tex.text where x1100pat.pat=x1109text.pat and x1100pat.admerrord is not null",
        "min": 1
      },
      {
        "id": "Encounter.extension:Aufnahmegrund-DKGEV",
        "path": "Encounter.extension",
        "sliceName": "Aufnahmegrund-DKGEV",
        "definition": "Aufnhamegrund §301 - nach DKGEV",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/Aufnahmegrund"
            ]
          }
        ]
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Encounter.identifier:medicoResourceId",
        "path": "Encounter.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.id",
        "path": "Encounter.identifier.id",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type",
        "path": "Encounter.identifier.type",
        "min": 1
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.id",
        "path": "Encounter.identifier.type.id",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding",
        "path": "Encounter.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.id",
        "path": "Encounter.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.system",
        "path": "Encounter.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/ValueSet/identifier-type"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.version",
        "path": "Encounter.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.code",
        "path": "Encounter.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "MR"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.display",
        "path": "Encounter.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.coding.userSelected",
        "path": "Encounter.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.type.text",
        "path": "Encounter.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.system",
        "path": "Encounter.identifier.system",
        "definition": "Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/Case",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/Case",
        "min": 1
      },
      {
        "id": "Encounter.identifier:medicoResourceId.value",
        "path": "Encounter.identifier.value",
        "definition": "medico's internal id for this type of medico resource\r\nThis value must be unique within medico - for a given value of \"system\"",
        "min": 1
      },
      {
        "id": "Encounter.identifier:medicoResourceId.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:medicoResourceId.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "short": "planned | in-progress | finished | cancelled",
        "definition": "The type of current encounter medico supports\r\nplanned | in-progress | finished | cancelled \r\n\r\nUnsupported values are\r\narrived | triaged | onleave"
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "0"
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "definition": "medioco case supports the following values:\r\nFrom the standard:  inpatient | outpatient \r\n\r\npartial_inpatient = Teilstationär\r\npre/post_inpatient = Vor/Nachstationär\r\n\r\nTickets are not transfered using this resource!"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode",
        "path": "Encounter.class",
        "sliceName": "HL7ActEncounterCode",
        "definition": "medico - possible values:\r\nAMB    (=ambulatory) - the default value for all medico consultations (not consils) \r\nEMER   (Emergency) - an ambulatory encounter/consultation especially marked",
        "min": 1
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.id",
        "path": "Encounter.class.id",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.system",
        "path": "Encounter.class.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.version",
        "path": "Encounter.class.version",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.code",
        "path": "Encounter.class.code",
        "min": 1
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.display",
        "path": "Encounter.class.display",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.userSelected",
        "path": "Encounter.class.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.classHistory",
        "path": "Encounter.classHistory",
        "max": "0"
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "definition": "Defines the subresource usage in medico:\r\nthe current profile states usage as a medico case (x1100pat)",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.type:EncounterCaseType",
        "path": "Encounter.type",
        "sliceName": "EncounterCaseType",
        "definition": "The type of case:\r\nCaseInpatient, CasePartInpatient, CasePreInpatient, CasePostInpatient, CaseOutpatient",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "preferred"
        }
      },
      {
        "id": "Encounter.type:EncounterCaseType.id",
        "path": "Encounter.type.id",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding",
        "path": "Encounter.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.id",
        "path": "Encounter.type.coding.id",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.system",
        "path": "Encounter.type.coding.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.version",
        "path": "Encounter.type.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.code",
        "path": "Encounter.type.coding.code",
        "min": 1
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.display",
        "path": "Encounter.type.coding.display",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.userSelected",
        "path": "Encounter.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.text",
        "path": "Encounter.type.text",
        "max": "0"
      },
      {
        "id": "Encounter.serviceType",
        "path": "Encounter.serviceType",
        "max": "0"
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.priority:emergencyFlag",
        "path": "Encounter.priority",
        "sliceName": "emergencyFlag",
        "definition": "medico - this flag is expressed as http://terminology.hl7.org/CodeSystem/v3-ActPriority|EM"
      },
      {
        "id": "Encounter.priority:emergencyFlag.id",
        "path": "Encounter.priority.id",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding",
        "path": "Encounter.priority.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.id",
        "path": "Encounter.priority.coding.id",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.system",
        "path": "Encounter.priority.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActPriority"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.version",
        "path": "Encounter.priority.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.code",
        "path": "Encounter.priority.coding.code",
        "min": 1,
        "fixedCode": "EM"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.display",
        "path": "Encounter.priority.coding.display",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.userSelected",
        "path": "Encounter.priority.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.text",
        "path": "Encounter.priority.text",
        "max": "0"
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "short": "The patient representing this encounter",
        "definition": "The patient representing this encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_SubjectPatient_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Patient_Patient_1"
            ]
          }
        ]
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/ServiceRequest_ReferralRequest_1"
            ]
          }
        ],
        "mustSupport": false
      },
      {
        "id": "Encounter.basedOn.id",
        "path": "Encounter.basedOn.id",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn.reference",
        "path": "Encounter.basedOn.reference",
        "min": 1
      },
      {
        "id": "Encounter.basedOn.type",
        "path": "Encounter.basedOn.type",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/r4/sd/ServiceRequest_ReferralRequest_1"
      },
      {
        "id": "Encounter.basedOn.identifier",
        "path": "Encounter.basedOn.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn.display",
        "path": "Encounter.basedOn.display",
        "max": "0"
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.code"
            }
          ],
          "rules": "open"
        },
        "definition": "The list of people responsible for providing the service.\r\nFor medico this is a list of physicians outside the hospital involved in the treatment of the patient."
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians",
        "path": "Encounter.participant",
        "sliceName": "ExternalInvolvedPhysicians",
        "short": "Involved physicians, behandelnde Ärzte",
        "definition": "External involved physicians, behandelnde Ärzte\r\nPhysicians recorded as being involved in the treatment of a patient -  external to the hospital, possibly general practioners"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.id",
        "path": "Encounter.participant.id",
        "max": "0"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type",
        "path": "Encounter.participant.type",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type.id",
        "path": "Encounter.participant.type.id",
        "max": "0"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type.coding",
        "path": "Encounter.participant.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type.coding.id",
        "path": "Encounter.participant.type.coding.id",
        "max": "0"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type.coding.system",
        "path": "Encounter.participant.type.coding.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Encounter.participant:ExternalInvolvedPhysicians.type.coding.version",
        "path": "Encounter.participant.type.coding.version",
        "max": "0",
        "fixedString": "1"
      },
      {
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}