Scope and usage

The Encounter may be instantiated whenever citizens and practitioners meet in a Danish municipality context.

It is mandatory in FSIII to be able to express follow-up encounters on Conditions. In the planning state, these are documented by setting Encounter.status = 'planned', and Encounter.type.coding = 'opfølgning'.

Encounters which are finished may also be reported. This can be especially relevant for Encounter.type.coding = 'opfølgning' and Encounter.type.coding = 'udførelse af planlagt indsats'. Use Encounter.status 'finished'. Reporting on finished encounters is optional.

To report errors use status 'entered-in-error'

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'

The time of the encounter is documented in Encounter.period.start and Encounter.periode.end, and Encounter.period.start is mandatory. Only planned time is mandatory to report. There is no expectation that the staff update the time if they finish a little earlier or a little later. Time of day is also not mandatory. Encounter.periode.end and time of day is encouraged when reporting on finished Encounters.

Encounters can be related to the PlannedIntervention on which they are a delivery. Use Encounter.extension[basedOnCarePlan]. Encounters can also be related to the condition or conditions which are the reason for having the encounter. This is used for documenting the condition follow-up encounter. Use Encounter.reasonReference

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