HL7 Norge
FHIR Implementation Guide for the Norwegian Municipal Sector
Shared starting point for understanding and consistent use of FHIR in municipal health and care services.
Norwegian

FHIR Implementation Guide for the Norwegian Municipal Sector
0.3.0 - Norway flag

FHIR Implementation Guide for the Norwegian Municipal Sector - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: no-kommune-Encounter

Official URL: https://kommune.conteir.no/StructureDefinition/kommune-encounter Version: 0.3.0
Draft as of 2026-10-02 Computable Name: KommuneEncounter

Municipal contact profile for an actual completed contact, assessment, meeting, visit or stay in municipal health and care services. The profile is used when a system needs to share that a municipal contact has taken place, and provides a shared minimum for patient, timing, contact form, responsible unit, participants and location. The contact can be linked to a municipal episode through episodeOfCare, to a request through basedOn, and to a planned appointment through appointment when the contact fulfills a previously shared Appointment.

Contact and service

type describes the contact form, such as a home visit. serviceType describes the service within which the visit occurs. KPR service type (9151) may be used in serviceType when the service concept matches.

In the KPR functional assessment example, Encounter describes the assessment visit. Results are standard Observation resources that reference the visit through encounter. The contact may link to its episode through episodeOfCare and to the request through basedOn.

See the follow-up visit and Norwegian Context for the relationship between assessments and municipal follow-up.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the contact
... class Σ 1..1 Coding Context for the contact
Binding: ActEncounterCode (extensible): Classification of the encounter.
... type Σ 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... serviceType Σ 0..1 CodeableConcept Municipal service area or service context
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151.
Example Example: visit within home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare Σ 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... appointment Σ 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... period 1..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📦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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... identifier 0..* Identifier Optional business identifier for the contact
... class 1..1 Coding Context for the contact
... type 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... subject 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... participant
.... individual 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Participant - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-RelatedPerson
... appointment 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... period 1..1 Period The start and end time of the encounter
.... start 1..1 dateTime Starting time with inclusive boundary
... reasonCode 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... diagnosis
.... condition 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
... location
.... location 1..1 Reference(Location) Location - SHOULD reference no-basis-Location
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the contact
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... 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
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Context for the contact
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... 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
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... serviceType Σ 0..1 CodeableConcept Municipal service area or service context
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151.
Example Example: visit within home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare Σ 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... 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 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Participant - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-RelatedPerson
... appointment Σ 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... 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 Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... 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
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* 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(Location) Location - SHOULD reference no-basis-Location
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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 v7.4
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.4
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
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 📦3.0.0 THO v7.4
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the contact
... class Σ 1..1 Coding Context for the contact
Binding: ActEncounterCode (extensible): Classification of the encounter.
... type Σ 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... serviceType Σ 0..1 CodeableConcept Municipal service area or service context
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151.
Example Example: visit within home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare Σ 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... appointment Σ 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... period 1..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📦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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... identifier 0..* Identifier Optional business identifier for the contact
... class 1..1 Coding Context for the contact
... type 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... subject 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... participant
.... individual 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Participant - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-RelatedPerson
... appointment 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... period 1..1 Period The start and end time of the encounter
.... start 1..1 dateTime Starting time with inclusive boundary
... reasonCode 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... diagnosis
.... condition 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
... location
.... location 1..1 Reference(Location) Location - SHOULD reference no-basis-Location
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the contact
... status ?!Σ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... 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
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Context for the contact
Binding: ActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... 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
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 1..* CodeableConcept Contact type
Binding: EncounterType (preferred): Advisory value set for contact type.
... serviceType Σ 0..1 CodeableConcept Municipal service area or service context
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151.
Example Example: visit within home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... episodeOfCare Σ 0..* Reference(no-kommune-EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(no-kommune-ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement List of participants involved in the encounter
.... 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 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Participant - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-RelatedPerson
... appointment Σ 0..* Reference(Appointment) Planned appointment fulfilled by this contact
... 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 Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): ICPC-2, ICD-10 and other suitable reason codes may be used according to the source.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... 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
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* 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(Location) Location - SHOULD reference no-basis-Location
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 1..1 Reference(Organization) Responsible unit - SHOULD reference no-basis-Organization
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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 v7.4
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base preferred Encounter type 📦4.0.1 FHIR Std.
Encounter.serviceType Base example Municipal service types – illustrative examples 📦0.3.0 This IG
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.4
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
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 📦3.0.0 THO v7.4
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()

 

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