Scope and usage

KLGatewayChildrenEncounter is used whenever a child with or without family members meet the health nurse (sundhedsplejerske) in a Danish municipality context.

The Encounter.type.coding attribute is used to classify the type of activities that occur at the encounter. The encounters have been classified according to the guidance document from the Health Authorities (Sundhedsstyrelsen).

• Graviditetsbesøg
• Barselsbesøg
• Etableringsbesøg
• Andet besøg inden første måned
• Besøg hos det ca. 2 måneder gamle barn
• Besøg hos det 4-6 måneder gamle barn
• Besøg hos det 8-11 måneder gamle barn
• Almindelig forebyggende småbørnskontakt 
• Behovskontakt med småbørnssundhedsplejen
• Indskolingsundersøgelse
• Undersøgelse i mellemtrin, med måling
• Udskolingsundersøgelse
• Almindelig forebyggende skolebørnskontakt
• Behovskontakt med skolesundhedsplejen

Sometimes, it might be difficult to apply the correct type to an encounter. The following guiding principles exists:

• The encounter in which most of the activities of a certain visit or examination (as described in the guidance document) is carried out, is classified as that type of visit or examination. This holds true even if the guidance document describes this encounter or examination for a child of a certain age, and the child examined is in fact younger or older. (fx hvis man besøger et 12 måneder gammelt barn, og udfører de ting sundhedsstyrelsen vejledning beskriver for ‘Besøg hos det 8-11 måneder gamle barn’, så klassificeres det som ‘Besøg hos det 8-11 måneder gamle barn’.)
• If certain mandatory activities are not carried out, and another encounter is planned and completed to account for this, classify this secondary encounter as ‘Almindelig forebyggende småbørnskontakt’ or ‘Almindelig forebyggende skolebørnskontakt’.
• If local encounter types exists, report them as the most specific type which is still true. Be especially aware if the reason for the encounter is prevention, or a specific need in the family. E.g. a municipality may have a specific encounter type to help mothers that have problems with breastfeeding. These should be reported as ‘Behovskontakt med småbørnssundhedsplejen’. If the municipality has regular extra visits with all children in the 3rd month, they should be reported as ‘Almindelig forebyggende småbørnskontakt’.

In the context of the children database, only encounters actually carried out should be documented. Consequently, for most intends and purposes the encounter.status should be ‘finished’. However, if errors have been reported use the ‘entered-in-error’ status as described by the FHIR-documentation.

Encounter.class is mandatory in FHIR. In Danish municipalities the values are used as follows.

• Visits in citizens homes have the code ‘HH’ Home health, the code is also used for services that are not strictly health related e.g. help with cleaning. This code is also used, even if the activities stretch outside the citizens residence e.g. a physiotherapist that want to see a citizen walk outside, or a social worker helping with shopping activities.
• Sessions where the citizens visit municipality facilities e.g. for training or health prevention have the code ‘AMB’ Ambulatory.
• Encounters delivered as a screen visit should be registered as ‘Skærmbesøg’.
• Encounters delivered using a phone should be registered as ‘Telefonisk’

For school nurse encounters, the Danish school-code should be registered as well, using Encounter.location that relates to a Location resource. Note that the school code should be registered even though the encounter does not take place at the school. FHIR Locations can be used to describe a more abstract location, and as such the school nurse works in the context of a school when seeing the child. If the child does not have a school affiliation, a school-code should not be registered.

The time of the encounter is documented in Encounter.period.start, and it is mandatory. The end time is not mandatory. If Encounter.period.end is reported it may be either planned end time or actual end time.

Encounter.subject relates to the subject that the encounter is about. In the context of the children database, primarily the children’s encounters are documented. This should be respected even though many visits are directed at the family as a whole. However, before the child is born, this is not possible. For pregnancy visits/’Graviditetsbesøg’, the encounter is linked to one of the parents (typically the mother). For need-based encounters, they should be linked to citizen who has the intervention, whether this is the child, one of the parents or both. Consequently, one visit might result in more than one encounter if both parent and child has a need-based intervention going on.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificere hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter			Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
identifier		0..0
status		1..1	code	[DK] kontaktstatus
statusHistory		0..0
class		1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
version		0..0
userSelected		0..0
classHistory		0..0
type		1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
coding		1..1	Coding	[DK] kontakttype
version		0..0
userSelected		0..0
text		0..0
serviceType		0..0
priority		0..0
subject		1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
episodeOfCare		0..0
basedOn		0..0
participant		0..0
appointment		0..0
period		1..1	Period	The start and end time of the encounter
start		1..1	dateTime	[DK] kontaktstart
end		0..1	dateTime	[DK] kontaktslut
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		0..1	BackboneElement	List of locations where the patient has been
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
status		0..0
physicalType		0..0
period		0..0
serviceProvider		0..0
partOf		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension"
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] kontaktstatus Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
type	Σ	1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
coding	Σ	1..1	Coding	[DK] kontakttype
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	0..1	dateTime	[DK] kontaktslut
location		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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-4	error	Encounter	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-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension"
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] kontaktstatus Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type	Σ	1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] kontakttype
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	0..1	dateTime	[DK] kontaktslut
location		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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-4	error	Encounter	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-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter			Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
identifier		0..0
status		1..1	code	[DK] kontaktstatus
statusHistory		0..0
class		1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
version		0..0
userSelected		0..0
classHistory		0..0
type		1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
coding		1..1	Coding	[DK] kontakttype
version		0..0
userSelected		0..0
text		0..0
serviceType		0..0
priority		0..0
subject		1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
episodeOfCare		0..0
basedOn		0..0
participant		0..0
appointment		0..0
period		1..1	Period	The start and end time of the encounter
start		1..1	dateTime	[DK] kontaktstart
end		0..1	dateTime	[DK] kontaktslut
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		0..1	BackboneElement	List of locations where the patient has been
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
status		0..0
physicalType		0..0
period		0..0
serviceProvider		0..0
partOf		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension"
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] kontaktstatus Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
type	Σ	1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
coding	Σ	1..1	Coding	[DK] kontakttype
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	0..1	dateTime	[DK] kontaktslut
location		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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-4	error	Encounter	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-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnIntervention		0..*	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension"
value[x]		1..1	Reference(KLGatewayChildrenIntervention) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] kontaktstatus Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	[DK] kontaktklasse Binding: KontaktKlasseKoder (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type	Σ	1..1	CodeableConcept	Specific type of encounter Binding: SundhedsplejeKontaktTyper (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] kontakttype
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	0..1	dateTime	[DK] kontaktslut
location		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(KLGatewayChildrenLocation) {b}	[DK] kontaktLokation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	EncounterClassCodes http://fhir.kl.dk/children/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	EncounterTypes http://fhir.kl.dk/children/ValueSet/EncounterTypes from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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-4	error	Encounter	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-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 5 elements
Prohibited: 25 elements

Structures

This structure refers to these other structures:

• KLGatewayChildrenIntervention (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-intervention)
• KLGatewayChildrenCitizen (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-citizen)
• KLGatewayChildrenLocation (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-location)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/children/StructureDefinition/BasedOnInterventionExtension