Scope and usage

klgateway-119-encounter is used whenever a citizen meets the prevention/health promotion staff in a Danish municipality context.

In the context of the prevention/health promotion reporting, all Encounter.status values may be used, but not all are mandatory. The mandatory part is:

• To report all carried out encounters. For encounters carried out, use Encounter.status ‘finished’.
• To report errors using 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’

Encounters can also be related to the CarePlan or PlannedIntervention on which they are a delivery. Use Encounter.extension[basedOnCarePlan].

The time of the encounter is documented in Encounter.period.start and Encounter.periode.end, and both attributes are 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.

Encounter.subject relates to the citizen that the encounter is about.

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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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
coding		0..0
text		0..0
serviceType		0..0
priority		0..0
subject		1..1	Reference(KLGateway119Citizen) {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		1..1	dateTime	[DK] kontaktslut
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		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/prevention/ValueSet/EncounterClassCodes 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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension"
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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)
subject	Σ	1..1	Reference(KLGateway119Citizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	1..1	dateTime	[DK] kontaktslut
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/prevention/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension"
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of 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
subject	Σ	1..1	Reference(KLGateway119Citizen) {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	1..1	dateTime	[DK] kontaktslut
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/prevention/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
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
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type 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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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
coding		0..0
text		0..0
serviceType		0..0
priority		0..0
subject		1..1	Reference(KLGateway119Citizen) {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		1..1	dateTime	[DK] kontaktslut
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		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/prevention/ValueSet/EncounterClassCodes 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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension"
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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)
subject	Σ	1..1	Reference(KLGateway119Citizen) {b}	[DK] kontaktsubjekt
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	[DK] kontaktstart
end	ΣC	1..1	dateTime	[DK] kontaktslut
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/prevention/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

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
basedOnCarePlan		0..1	(Complex)	[DK] kontaktBaseretPå URL: http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/prevention/StructureDefinition/BasedOnCarePlanExtension"
value[x]		1..1	Reference(KLGateway119CarePlan | KLGateway119PlannedIntervention) {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	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of 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
subject	Σ	1..1	Reference(KLGateway119Citizen) {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	1..1	dateTime	[DK] kontaktslut
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/prevention/ValueSet/EncounterClassCodes from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
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
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type 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