KLChildren implementation guide, an implementation of FBU
2.0.1 - Release

This page is part of the KLChildren (v2.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: KLGatewayChildrenEncounter

Official URL: http://fhir.kl.dk/children/StructureDefinition/klgateway-children-encounter Version: 2.0.1
Active as of 2024-07-01 Computable Name: KLGatewayChildrenEncounter

Encounter for health prevention and need-based visits from childrens nurses

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

FKI-attribut Definition FHIR
borgerkontakttype Klasse der udtrykker typen af aktivitet der gennemføres ved kontakten Encounter.type.coding
borgerkontaktstatus Klasse der indikerer om kontakten er igangværende, eller om dokumentationen repræsentere en fremtidig intention eller er historisk Encounter.status
borgerkontaktklasse Klasse, der udtrykker en generel kategori for kontakten, som rækker ud over den kommunale kontekst. Encounter.class
borgerkontaktstart Kontaktens start, eller planlagte start Encounter.period.start
borgerkontaktslut Kontaktens sluttidspunkt, eller planlagte sluttidspunkt Encounter.period.end
borgerkontaktsubjekt Den borger kontakten vedrører Encounter.subject
borgerkontaktBaseretPå Den behovsindsats, der er grunden til at denne kontakt udføres Encounter.extension:basedOnIntervention

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard

Constraints

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

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredEncounterClassCodes
http://fhir.kl.dk/children/ValueSet/EncounterClassCodes
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredEncounterTypes
http://fhir.kl.dk/children/ValueSet/EncounterTypes
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard

Constraints

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

 

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