Scope and usage

This model is used whenever an encounter is completed between a citizen and LTT.

The Encounter.type attribute is used to classify the type of activities that occur at the encounter. The encounters have been classified accordingly:

• Henvendelse
• Forsamtale
• Screening
• Behandling
• Afsluttende samtale
• Afslutning

Only encounters actually carried out should be documented. Consequently, 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 this implementation guide, always use 'AMB' Ambulatory.

The time of the encounter is documented in Encounter.period.start, and it is mandatory.

Encounter.extension[basedOnCarePlan] must be populated with a reference to the care plan.

Encounter.subject relates to the subject that the encounter is about. In LTT this is always the child or youth. Eventhough it can be the parents, legal guardians, etc. of the child or youth that are receiving the training or guiding. To document this, Encounter.participant can be used to tell whether it is the child/youth, who is present (maybe in companionship with the parents) or if it is just the parents, who participate in the encounter. Encounter.extension[deliveryType] is used to state, how encounters are delivered. Valid values are 'individual' and 'group based'. There's a difference in how the information is registered in the user interface and how it is reported to KL Gateway. The table below shows how the registrations from the user interface is represented in FHIR:

Conversions between Danish information model and FHIR profile

Nedenstående tabel definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter, der skal bruges til specifikation af indholdet.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type"
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
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: ActEncounterCode (extensible): Classification of the encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	Σ	1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
subject	Σ	0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
participant	Σ	0..1	BackboneElement	[DK] kontaktdeltagere
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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()
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: Lettilgængeligt Tilbud - Leveringstype (required)
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
identifier		0..0		Identifier(s) by which this encounter is known
status		1..1	code	[DK] kontaktstatus
statusHistory		0..0		List of past encounter statuses
class		1..1	Coding	[DK] kontaktklasse Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
system		1..1	uri	Identity of the terminology system
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0		If this coding was chosen directly by the user
classHistory		0..0		List of past encounter classes
type		1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
serviceType		0..0		Specific type of service
priority		0..0		Indicates the urgency of the encounter
subject		0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
episodeOfCare		0..0		Episode(s) of care that this encounter should be recorded against
basedOn		0..0		The ServiceRequest that initiated this encounter
participant		0..1	BackboneElement	[DK] kontaktdeltagere
type		1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
period		0..0		Period of time during the encounter that the participant participated
individual		0..0		Persons involved in the encounter other than the patient
appointment		0..0		The appointment that scheduled this encounter
period		1..1	Period	The start and end time of the encounter
start		1..1	dateTime	[DK] kontaktstart
end		0..0		End time with inclusive boundary, if not ongoing
length		0..0		Quantity of time the encounter lasted (less time absent)
reasonCode		0..0		Coded reason the encounter takes place
reasonReference		0..0		Reason the encounter takes place (reference)
diagnosis		0..0		The list of diagnosis relevant to this encounter
account		0..0		The set of accounts that may be used for billing for this Encounter
hospitalization		0..0		Details about the admission to a healthcare service
location		0..0		List of locations where the patient has been
serviceProvider		0..0		The organization (facility) responsible for this encounter
partOf		0..0		Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.extension:deliveryType.​value[x].coding	Base	required	Lettilgængeligt Tilbud - Leveringstype	📦1.0.1	This IG
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type"
value[x]		0..1	CodeableConcept	Value of extension
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	0..*	Coding	Code defined by a terminology system Binding: Lettilgængeligt Tilbud - Leveringstype (required)
text	Σ	0..1	string	Plain text representation of the concept
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
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: ActEncounterCode (extensible): Classification of the encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type	Σ	1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (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	Code defined by a terminology system
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	0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
participant	Σ	0..1	BackboneElement	[DK] kontaktdeltagere
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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.extension:deliveryType.​value[x].coding	Base	required	Lettilgængeligt Tilbud - Leveringstype	📦1.0.1	This IG
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type"
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
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: ActEncounterCode (extensible): Classification of the encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	Σ	1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
subject	Σ	0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
participant	Σ	0..1	BackboneElement	[DK] kontaktdeltagere
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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()
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: Lettilgængeligt Tilbud - Leveringstype (required)
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
identifier		0..0		Identifier(s) by which this encounter is known
status		1..1	code	[DK] kontaktstatus
statusHistory		0..0		List of past encounter statuses
class		1..1	Coding	[DK] kontaktklasse Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
system		1..1	uri	Identity of the terminology system
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0		If this coding was chosen directly by the user
classHistory		0..0		List of past encounter classes
type		1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
serviceType		0..0		Specific type of service
priority		0..0		Indicates the urgency of the encounter
subject		0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
episodeOfCare		0..0		Episode(s) of care that this encounter should be recorded against
basedOn		0..0		The ServiceRequest that initiated this encounter
participant		0..1	BackboneElement	[DK] kontaktdeltagere
type		1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
period		0..0		Period of time during the encounter that the participant participated
individual		0..0		Persons involved in the encounter other than the patient
appointment		0..0		The appointment that scheduled this encounter
period		1..1	Period	The start and end time of the encounter
start		1..1	dateTime	[DK] kontaktstart
end		0..0		End time with inclusive boundary, if not ongoing
length		0..0		Quantity of time the encounter lasted (less time absent)
reasonCode		0..0		Coded reason the encounter takes place
reasonReference		0..0		Reason the encounter takes place (reference)
diagnosis		0..0		The list of diagnosis relevant to this encounter
account		0..0		The set of accounts that may be used for billing for this Encounter
hospitalization		0..0		Details about the admission to a healthcare service
location		0..0		List of locations where the patient has been
serviceProvider		0..0		The organization (facility) responsible for this encounter
partOf		0..0		Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.extension:deliveryType.​value[x].coding	Base	required	Lettilgængeligt Tilbud - Leveringstype	📦1.0.1	This IG
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: klgateway-ltt-encounter-participants-and-deliveryType
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..1	(Complex)	[DK] kontaktLeveringstype URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type"
value[x]		0..1	CodeableConcept	Value of extension
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	0..*	Coding	Code defined by a terminology system Binding: Lettilgængeligt Tilbud - Leveringstype (required)
text	Σ	0..1	string	Plain text representation of the concept
extension:basedOnCarePlan		1..1	Reference(KLGatewayLTTCarePlan)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan
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: ActEncounterCode (extensible): Classification of the encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type	Σ	1..1	CodeableConcept	[DK] kontakttype Binding: Lettilgængeligt Tilbud - Kontakttyper (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	Code defined by a terminology system
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	0..1	Reference(KLGatewayLTTCitizen)	[DK] kontaktsubjekt
participant	Σ	0..1	BackboneElement	[DK] kontaktdeltagere
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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: Lettilgængeligt Tilbud - Deltagere i kontakt (required)
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.extension:deliveryType.​value[x].coding	Base	required	Lettilgængeligt Tilbud - Leveringstype	📦1.0.1	This IG
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Lettilgængeligt Tilbud - Kontakttyper	📦1.0.1	This IG
Encounter.participant.​type	Base	required	Lettilgængeligt Tilbud - Deltagere i kontakt	📦1.0.1	This IG
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
klgateway-ltt-encounter-participants-and-deliveryType	error	Encounter	If the encounter is of type 'Behandling', then the encounter must have participant and deliveryType.	type.coding.code = 'b7f9217c-2315-4d6f-bba5-5117e202302c' implies (participant.type.coding.exists() and extension.where(url='http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type').value.coding.exists())

This structure is derived from Encounter

Summary

Mandatory: 8 elements(1 nested mandatory element)
Prohibited: 25 elements

Structures

This structure refers to these other structures:

• KLGatewayLTTCitizen (http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-citizen)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-delivery-type
• http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-encounter-based-on-care-plan