NAPKON Vaccination Module
1.0.0 - trial-use

NAPKON Vaccination Module - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: Medical Treatment For Vaccination Adverse Reaction

Defining URL:https://www.napkon.de/fhir/StructureDefinition/medical-treatment-for-vaccination-adverse-reaction
Version:1.0.0
Name:MedicalTreatmentForVaccinationAdverseReaction
Title:Medical Treatment For Vaccination Adverse Reaction
Status:Active as of 2021-10-05
Definition:

Whether a patient underwent medical treatment for a potential or actual adverse reaction to a vaccination event

Publisher:Charité - Universitätsmedizin Berlin
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://www.napkon.de/fhir/StructureDefinition/medical-treatment-for-vaccination-adverse-reaction

Guidance

This Encounter profile is used to specify a medical encounter due to suspected or confirmed side effects of a COVID-19 immunization. The type of encounter (ambulatory vs inpatient) is specified in the Encounter.class attribute. The reason for the encounter is specified either as an Encounter.reasonReference to a General Complaints After Vaccination instance or as free text in the Encounter.reasonCode.text attribute. This is enforced by the reason-code-or-reference-set invariant.

Parameter Case Report Form Response Options
Have you received medical treatment for suspected or confirmed side effects? No /
Yes, treatment in doctor’s office or emergency room /
Yes, treatment with admission to hospital
If yes: Why did you seek medical treatment? free text / General Complaints After Vaccination
Response Option Encounter instance Encounter.class Encounter.reasonReference Encounter.reasonCode.text
No No instance of this Encounter - -  
Yes, treatment in doctor’s office or emergency room Yes #AMB "ambulatory" reference to a General Complaints After Vaccination instance treatment reason as free text
Yes, treatment with admission to hospital Yes #IMP "inpatient reference to a General Complaints After Vaccination instance treatment reason as free text

This profile of a FHIR Encounter is derived from the KontaktGesundheitseinrichtung profile of the Medical Informatics Initiative (MII).

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*KontaktGesundheitseinrichtungAn interaction during which services are provided to the patient
reason-code-or-reference-set: Either reasonReference or reasonCode.text must be set
... id SΣ0..1stringLogical id of this artifact
... meta SΣ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source SΣ0..1uriIdentifies where the resource comes from
.... profile SΣ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... Slices for modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:aufnahmenummer SΣ0..1IdentifierIdentifier(s) by which this encounter is known

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:vn-type SΣ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
........ display0..1stringRepresentation defined by the system
........ userSelected0..1booleanIf this coding was chosen directly by the user
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ1..1uriIdentity of the terminology system
........ version Σ0..1stringVersion of the system - if relevant
........ code SΣ1..1codeSymbol in syntax defined by the system
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period ΣI0..1PeriodTime period when id is/was valid for use
..... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | | in-progress | onleave | finished | cancelled +
Binding: Medizininformatik-Initiative - ValueSet - RestrictedEncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period I1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: Encounter Ambulatory Emergency Inpatient (extensible)
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period I1..1PeriodThe time that the episode was in the specified class
... Slices for type SΣ0..*CodeableConceptSpecific type of encounter
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.


.... type:kontaktebene SΣ0..1CodeableConceptSpecific type of encounter
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Kontaktebene (required): Kontaktebene



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Kontaktebene
...... version0..1stringVersion of the system - if relevant
...... code0..1codeSymbol in syntax defined by the system
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... serviceType SΣ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:fachabteilungsschluessel SΣ0..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Fachabteilungsschluessel (extensible)

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Fachabteilungsschluessel
...... version0..1stringVersion of the system - if relevant
...... code0..1codeSymbol in syntax defined by the system
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣI1..1Reference(Patient | Group)A reference from one resource to another
... episodeOfCare ΣI0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn I0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period I0..1PeriodPeriod of time during the encounter that the participant participated
.... individual ΣI0..1Reference(Practitioner | PractitionerRole | RelatedPerson)Persons involved in the encounter other than the patient
... appointment ΣI0..*Reference(Appointment)The appointment that scheduled this encounter
... period SI1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... data-absent-reason S0..1codeunknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


..... value 0..1dateTimePrimitive value for dateTime
.... end SΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... length I0..1DurationQuantity of time the encounter lasted (less time absent)
Binding: CommonUCUMCodesForDuration (extensible)
Max Binding: AllUCUMExpressionForTime: Appropriate units for Duration.

... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:aufnahmegrund Σ0..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/modul-fall/core/ValueSet/Aufnahmegrund (required)

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/modul-fall/core/CodeSystem/Aufnahmegrund
...... version0..1stringVersion of the system - if relevant
...... code0..1codeSymbol in syntax defined by the system
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... reasonReference SΣI0..*Reference(General Complaints After Vaccination)Reason the encounter takes place (reference)
... diagnosis SΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣI0..1Reference(Condition | Procedure)A reference from one resource to another
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... account I0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin I0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:aufnahmeanlass Σ1..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Aufnahmeanlass (required)

Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Aufnahmeanlass
....... version0..1stringVersion of the system - if relevant
....... code0..1codeSymbol in syntax defined by the system
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Aufnahmeanlass
....... version Σ0..1stringVersion of the system - if relevant
....... code SΣ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... reAdmission 0..1CodeableConceptThe 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..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination I0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:entlassungsgrund SΣ1..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Entlassungsgrund (required)

Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Entlassungsgrund
....... version0..1stringVersion of the system - if relevant
....... code0..1codeSymbol in syntax defined by the system
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Entlassungsgrund
....... version Σ0..1stringVersion of the system - if relevant
....... code SΣ1..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... location S0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location I1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe 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 I0..1PeriodTime period during which the patient was present at the location
... serviceProvider SI0..1Reference(Organization)The organization (facility) responsible for this encounter
... partOf SI0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*KontaktGesundheitseinrichtungAn interaction during which services are provided to the patient
reason-code-or-reference-set: Either reasonReference or reasonCode.text must be set
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:aufnahmenummer Σ0..1IdentifierIdentifier(s) by which this encounter is known

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... coding:vn-type Σ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... system Σ1..1uriIdentity of the terminology system
....... code Σ1..1codeSymbol in syntax defined by the system
..... system Σ1..1uriThe namespace for the identifier value
..... value Σ1..1stringThe value that is unique
... class Σ1..1CodingClassification of patient encounter
Binding: Encounter Ambulatory Emergency Inpatient (extensible)
... Slices for type Σ0..*CodeableConceptSpecific type of encounter
Slice: Unordered, Open by pattern:$this
Binding: EncounterType (example): The type of encounter.


.... type:kontaktebene Σ0..1CodeableConceptSpecific type of encounter
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Kontaktebene (required): Kontaktebene



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Kontaktebene
... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:fachabteilungsschluessel Σ0..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Fachabteilungsschluessel (extensible)

Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Fachabteilungsschluessel
...... system Σ1..1uriIdentity of the terminology system
...... code Σ1..1codeSymbol in syntax defined by the system
... subject ΣI1..1Reference(Patient | Group)A reference from one resource to another
... period I1..1PeriodThe start and end time of the encounter
.... start ΣI1..1dateTimeStarting time with inclusive boundary
..... data-absent-reason 0..1codeunknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:aufnahmegrund Σ0..1CodingCode defined by a terminology system

Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/modul-fall/core/CodeSystem/Aufnahmegrund
...... system Σ1..1uriIdentity of the terminology system
...... code Σ1..1codeSymbol in syntax defined by the system
... reasonReference ΣI0..*Reference(General Complaints After Vaccination)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... condition ΣI0..1Reference(Condition | Procedure)A reference from one resource to another
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

..... coding:aufnahmeanlass Σ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Aufnahmeanlass
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Aufnahmeanlass
...... code Σ1..1codeSymbol in syntax defined by the system
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

..... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:entlassungsgrund Σ1..1CodingCode defined by a terminology system
Binding: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/Entlassungsgrund (required)

Required Pattern: At least the following
....... system1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Entlassungsgrund
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/core/modul-fall/CodeSystem/Entlassungsgrund
....... code Σ1..1codeSymbol in syntax defined by the system
... location 0..*BackboneElementList of locations where the patient has been
... serviceProvider I0..1Reference(Organization)The organization (facility) responsible for this encounter
... partOf I0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

This structure is derived from KontaktGesundheitseinrichtung

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*KontaktGesundheitseinrichtungAn interaction during which services are provided to the patient
reason-code-or-reference-set: Either reasonReference or reasonCode.text must be set
... class 1..1CodingClassification of patient encounter
Binding: Encounter Ambulatory Emergency Inpatient (extensible)
... period
.... start
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... data-absent-reason S0..1codeunknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.

... reasonReference S0..*Reference(General Complaints After Vaccination)Reason the encounter takes place (reference)

doco Documentation for this format

This structure is derived from KontaktGesundheitseinrichtung

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Constraints

PathConformanceValueSet / Code
Encounter.meta.securityextensibleAll Security Labels
Encounter.meta.tagexampleCommonTags
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier:aufnahmenummer.userequiredIdentifierUse
Encounter.identifier:aufnahmenummer.typeextensibleIdentifier Type Codes
Encounter.statusrequiredMedizininformatik-Initiative - ValueSet - RestrictedEncounterStatus (missing link)
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleEncounterAmbulatoryEmergencyInpatient
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.type:kontaktebenerequiredPattern: null
Encounter.serviceTypeexampleServiceType
Encounter.serviceType.coding:fachabteilungsschluesselextensiblePattern: null
Encounter.priorityexampleActPriority
Encounter.participant.typeextensibleParticipantType
Encounter.lengthextensibleCommonUCUMCodesForDuration
Max Binding:

AllUCUMExpressionForTime

Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.reasonCode.coding:aufnahmegrundrequiredPattern: null
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.admitSource.coding:aufnahmeanlassrequiredPattern: null
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.hospitalization.dischargeDisposition.coding:entlassungsgrundrequiredPattern: null
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType
IdPathDetailsRequirements
reason-code-or-reference-setEncounterEither reasonReference or reasonCode.text must be set
: reasonReference.exists() or reasonCode.text.exists()