{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2022-08-02T09:17:57.479+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/sd/Encounter_ClinCase_1",
  "name": "Encounter_ClinCase_1",
  "status": "active",
  "date": "2019-01-17T11:38:28.7680998+00:00",
  "description": "A condition resource based on this profile represents a clinical case in medico.\r\nTable: x1200can",
  "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": "Clinical Case",
        "definition": "This Encounter represents a clinical case in medico - i.e. x1200can"
      },
      {
        "id": "Encounter.id",
        "path": "Encounter.id",
        "definition": "Internal Id of clinical case \r\nCurrent format:  ClinCase-####\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",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.meta.versionId",
        "max": "0"
      },
      {
        "id": "Encounter.meta.lastUpdated",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.meta.lastUpdated",
        "mustSupport": true
      },
      {
        "id": "Encounter.meta.source",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.meta.source",
        "max": "0"
      },
      {
        "id": "Encounter.meta.profile",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://medico-emr.net/medico/r4/sd/Encounter_ClinCase_1"
      },
      {
        "id": "Encounter.meta.security",
        "path": "Encounter.meta.security",
        "max": "0"
      },
      {
        "id": "Encounter.meta.tag",
        "path": "Encounter.meta.tag",
        "code": [
          {
            "system": "MEDICO/TagIsPrivatePatient_1",
            "display": "Sign wether the patient is a private patient"
          }
        ],
        "comment": "Code is 0 or 1 - whether the patient is private or not",
        "max": "0"
      },
      {
        "id": "Encounter.implicitRules",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.implicitRules",
        "max": "0"
      },
      {
        "id": "Encounter.language",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.language",
        "max": "0"
      },
      {
        "id": "Encounter.text",
        "path": "Encounter.text",
        "max": "0"
      },
      {
        "id": "Encounter.contained",
        "path": "Encounter.contained",
        "max": "0"
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.identifier:MedicoResourceId",
        "path": "Encounter.identifier",
        "sliceName": "MedicoResourceId",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "Encounter.identifier:MedicoResourceId.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.identifier.system",
        "definition": "Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/ClinCase",
        "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/ClinCase"
      },
      {
        "id": "Encounter.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.status",
        "short": "medico uses in-progress, finished, cancelled",
        "definition": "medico uses in-progress, finished, cancelled\r\n\r\nplanned | arrived | triaged | in-progress | onleave | finished | cancelled +."
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "0"
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "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"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode",
        "path": "Encounter.class",
        "sliceName": "HL7ActEncounterCode",
        "definition": "Possible codes: IMP (impatient), AMB (ambulatory/outpatient)",
        "min": 1
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.id",
        "path": "Encounter.class.id",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.class.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.class.version",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.class.code",
        "min": 1
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.class.display",
        "max": "0"
      },
      {
        "id": "Encounter.class:HL7ActEncounterCode.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "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"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.type:EncounterCaseType",
        "path": "Encounter.type",
        "sliceName": "EncounterCaseType",
        "min": 1,
        "max": "1"
      },
      {
        "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",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.type.coding.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.type.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.type.coding.code",
        "min": 1,
        "fixedCode": "ClinCase-SubEncounter"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.type.coding.display",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.type:EncounterCaseType.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "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"
        },
        "definition": "medico currently supports an emergency flag - see slice below"
      },
      {
        "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",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActPriority"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.coding.code",
        "min": 1,
        "fixedCode": "EM"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.coding.display",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.priority:emergencyFlag.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.priority.text",
        "max": "0"
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "short": "The patient present at the encounter",
        "definition": "The patient present at the 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": "0"
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "max": "0"
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "max": "0"
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "definition": "The period of the clinical case.\r\nStart date must be present , end date is optional (could still be open)",
        "min": 1
      },
      {
        "id": "Encounter.period.id",
        "path": "Encounter.period.id",
        "max": "0"
      },
      {
        "id": "Encounter.period.start",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.period.start",
        "min": 1
      },
      {
        "id": "Encounter.length",
        "path": "Encounter.length",
        "max": "0"
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference",
        "path": "Encounter.reasonReference",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "use.coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain",
        "path": "Encounter.diagnosis",
        "sliceName": "DiagAdmissionMain",
        "definition": "Main admission diagnosis per clinical case"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.id",
        "path": "Encounter.diagnosis.id",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.condition",
        "path": "Encounter.diagnosis.condition",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_1"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.condition.id",
        "path": "Encounter.diagnosis.condition.id",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.condition.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.diagnosis.condition.reference",
        "min": 1
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.condition.identifier",
        "path": "Encounter.diagnosis.condition.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.condition.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Encounter.diagnosis.condition.display",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.use",
        "path": "Encounter.diagnosis.use",
        "min": 1
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.use.id",
        "path": "Encounter.diagnosis.use.id",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.use.coding",
        "path": "Encounter.diagnosis.use.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.diagnosis:DiagAdmissionMain.use.coding.id",
        "path": "Encounter.diagnosis.use.coding.id",
        "max": "0"
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}