German Practice Management FHIR Profiles (R4)
Version 0.99.1 - release

Resource Profile: Encounter Praxis Presence Confirmed

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/encounter-praxis-presence-confirmed Version: 0.99.1
Active as of 2026-08-22 Computable Name: EncounterPraxisPresenceConfirmed
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.89

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md.

Source-neutral confirmation that a patient was physically present for an ambulatory practice encounter. The profile uses standard Encounter fields only. The evidence source, such as an eGK card read or a validated future process, remains separate Provenance or adapter metadata.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis 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 Content/Rules for all slices
.... extension:wegegeldHausbesuch S 0..1 (Complex) Home-visit distance and zone for class=HH contacts
URL: https://fhir.cognovis.de/praxis/StructureDefinition/wegegeld-hausbesuch
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for statusHistory S 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
..... period S 1..1 Period The time that the episode was in the specified status
...... start SΣC 0..1 dateTime Starting time with inclusive boundary
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: arrived
..... period S 1..1 Period The time that the episode was in the specified status
...... start SΣC 1..1 dateTime Time confirmed presence began
... class SΣ 1..1 Coding AMB | HH — ambulatory contact or home visit
Binding: Encounter Praxis Class Value Set (required)
... subject SΣ 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... appointment SΣ 0..* Reference(Appointment) Appointment associated with the confirmed presence, when one exists
... period S 1..1 Period Time interval of the ambulatory contact
.... start SΣC 1..1 dateTime Start of the encounter associated with confirmed presence
... account S 0..* Reference(Ambulatory Billing Account DE) The set of accounts that may be used for billing for this Encounter
... location S 0..* BackboneElement Place the contact occurred at; use ISiK Location profiles for nursing-home home visits and in-practice sites
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(ISiKStandort | ISiKStandortRaum | ISiKStandortBettenstellplatz) Location the encounter takes place
.... physicalType S 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 S 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter Status ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory:presenceArrival.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Encounter Praxis Class Value Set 📦0.99.1 This IG
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()

This structure is derived from EncounterPraxis

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis An interaction during which services are provided to the patient
... status S 1..1 code Current encounter lifecycle status
... Slices for statusHistory 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Fixed Value: arrived
..... period
...... start 1..1 dateTime Time confirmed presence began
... subject S 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... period
.... start 1..1 dateTime Start of the encounter associated with confirmed presence
... location
.... period 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:wegegeldHausbesuch S 0..1 (Complex) Home-visit distance and zone for class=HH contacts
URL: https://fhir.cognovis.de/praxis/StructureDefinition/wegegeld-hausbesuch
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code Current encounter lifecycle status
Binding: Encounter Status ValueSet (required)
... Slices for statusHistory S 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:All Slices Content/Rules for all slices
..... 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 S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
..... period S 1..1 Period The time that the episode was in the specified status
...... 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 SΣC 0..1 dateTime Starting time with inclusive boundary
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... 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 S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: arrived
..... period S 1..1 Period The time that the episode was in the specified status
...... 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 SΣC 1..1 dateTime Time confirmed presence began
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... class SΣ 1..1 Coding AMB | HH — ambulatory contact or home visit
Binding: Encounter Praxis Class Value Set (required)
... 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 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter.
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:KBV-Fachgruppencodierung Σ 0..* Coding Code defined by a terminology system
Binding: KBV_VS_SFHIR_BAR2_ARZTNRFACHGRUPPE (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR2_ARZTNRFACHGRUPPE
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:HL7-Fachabteilungsschluessel Σ 0..* Coding Code defined by a terminology system
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:HL7-Fachabteilungsschluessel-erweitert Σ 0..* Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(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 | KBV_PR_Base_Practitioner(1.9.0) | KBV_PR_Base_PractitionerRole(1.9.0) | KBV_PR_Base_RelatedPerson(1.9.0)) Persons involved in the encounter other than the patient
... appointment SΣ 0..* Reference(Appointment) Appointment associated with the confirmed presence, when one exists
... period S 1..1 Period Time interval of the ambulatory contact
.... 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 SΣC 1..1 dateTime Start of the encounter associated with confirmed presence
.... 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): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation | KBV_PR_Base_Condition_Diagnosis(1.9.0) | KBV_PR_Base_Procedure(1.9.0) | KBV_PR_Base_Observation_Apgar_Score(1.9.0) | KBV_PR_Base_Observation_Blood_Pressure(1.9.0) | KBV_PR_Base_Observation_Body_Height(1.9.0) | KBV_PR_Base_Observation_Body_Temperature(1.9.0) | KBV_PR_Base_Observation_Body_Weight(1.9.0) | KBV_PR_Base_Observation_Breastfeeding_Status(1.9.0) | KBV_PR_Base_Observation_Care_Level(1.9.0) | KBV_PR_Base_Observation_Estimated_Date_of_Delivery(1.9.0) | KBV_PR_Base_Observation_Glucose_Concentration(1.9.0) | KBV_PR_Base_Observation_Head_Circumference(1.9.0) | KBV_PR_Base_Observation_Heart_Rate(1.9.0) | KBV_PR_Base_Observation_Pain_Scale_Score(1.9.0) | KBV_PR_Base_Observation_Peripheral_Oxygen_Saturation(1.9.0) | KBV_PR_Base_Observation_Pregnancy_Status(1.9.0) | KBV_PR_Base_Observation_Respiratory_Rate(1.9.0)) 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 S 0..* Reference(Ambulatory Billing Account DE) 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 S 0..* BackboneElement Place the contact occurred at; use ISiK Location profiles for nursing-home home visits and in-practice sites
.... 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 S 1..1 Reference(ISiKStandort | ISiKStandortRaum | ISiKStandortBettenstellplatz) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType S 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 S 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter
... 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 Encounter Status ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory:presenceArrival.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Encounter Praxis Class Value Set 📦0.99.1 This IG
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.3
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:KBV-Fachgruppencodierung Base required KBV_VS_SFHIR_BAR2_ARZTNRFACHGRUPPE 📦1.03 kbv.all.st-combined v1.47
Encounter.serviceType.​coding:HL7-Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.serviceType.​coding:HL7-Fachabteilungsschluessel-erweitert Base required FachabteilungsschluesselErweitert ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.3
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 v7.3
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()

This structure is derived from EncounterPraxis

Summary

Mandatory: 6 elements
Must-Support: 5 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.statusHistory

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis 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 Content/Rules for all slices
.... extension:wegegeldHausbesuch S 0..1 (Complex) Home-visit distance and zone for class=HH contacts
URL: https://fhir.cognovis.de/praxis/StructureDefinition/wegegeld-hausbesuch
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for statusHistory S 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
..... period S 1..1 Period The time that the episode was in the specified status
...... start SΣC 0..1 dateTime Starting time with inclusive boundary
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: arrived
..... period S 1..1 Period The time that the episode was in the specified status
...... start SΣC 1..1 dateTime Time confirmed presence began
... class SΣ 1..1 Coding AMB | HH — ambulatory contact or home visit
Binding: Encounter Praxis Class Value Set (required)
... subject SΣ 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... appointment SΣ 0..* Reference(Appointment) Appointment associated with the confirmed presence, when one exists
... period S 1..1 Period Time interval of the ambulatory contact
.... start SΣC 1..1 dateTime Start of the encounter associated with confirmed presence
... account S 0..* Reference(Ambulatory Billing Account DE) The set of accounts that may be used for billing for this Encounter
... location S 0..* BackboneElement Place the contact occurred at; use ISiK Location profiles for nursing-home home visits and in-practice sites
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(ISiKStandort | ISiKStandortRaum | ISiKStandortBettenstellplatz) Location the encounter takes place
.... physicalType S 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 S 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter Status ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory:presenceArrival.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Encounter Praxis Class Value Set 📦0.99.1 This IG
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()

Differential View

This structure is derived from EncounterPraxis

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis An interaction during which services are provided to the patient
... status S 1..1 code Current encounter lifecycle status
... Slices for statusHistory 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Fixed Value: arrived
..... period
...... start 1..1 dateTime Time confirmed presence began
... subject S 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... period
.... start 1..1 dateTime Start of the encounter associated with confirmed presence
... location
.... period 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterPraxis 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:wegegeldHausbesuch S 0..1 (Complex) Home-visit distance and zone for class=HH contacts
URL: https://fhir.cognovis.de/praxis/StructureDefinition/wegegeld-hausbesuch
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code Current encounter lifecycle status
Binding: Encounter Status ValueSet (required)
... Slices for statusHistory S 1..* BackboneElement Earlier lifecycle stages of the ambulatory contact
Slice: Unordered, Open by value:status
.... statusHistory:All Slices Content/Rules for all slices
..... 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 S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
..... period S 1..1 Period The time that the episode was in the specified status
...... 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 SΣC 0..1 dateTime Starting time with inclusive boundary
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... statusHistory:presenceArrival S 1..1 BackboneElement Confirmed patient arrival
..... 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 S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: arrived
..... period S 1..1 Period The time that the episode was in the specified status
...... 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 SΣC 1..1 dateTime Time confirmed presence began
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... class SΣ 1..1 Coding AMB | HH — ambulatory contact or home visit
Binding: Encounter Praxis Class Value Set (required)
... 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 0..* CodeableConcept Specific type of encounter
Binding: EncounterType (example): The type of encounter.
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:KBV-Fachgruppencodierung Σ 0..* Coding Code defined by a terminology system
Binding: KBV_VS_SFHIR_BAR2_ARZTNRFACHGRUPPE (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR2_ARZTNRFACHGRUPPE
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:HL7-Fachabteilungsschluessel Σ 0..* Coding Code defined by a terminology system
Binding: Fachabteilungsschlüssel ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:HL7-Fachabteilungsschluessel-erweitert Σ 0..* Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(Patient | KBV_PR_Base_Patient) Patient whose physical presence was confirmed
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(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 | KBV_PR_Base_Practitioner(1.9.0) | KBV_PR_Base_PractitionerRole(1.9.0) | KBV_PR_Base_RelatedPerson(1.9.0)) Persons involved in the encounter other than the patient
... appointment SΣ 0..* Reference(Appointment) Appointment associated with the confirmed presence, when one exists
... period S 1..1 Period Time interval of the ambulatory contact
.... 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 SΣC 1..1 dateTime Start of the encounter associated with confirmed presence
.... 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): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation | KBV_PR_Base_Condition_Diagnosis(1.9.0) | KBV_PR_Base_Procedure(1.9.0) | KBV_PR_Base_Observation_Apgar_Score(1.9.0) | KBV_PR_Base_Observation_Blood_Pressure(1.9.0) | KBV_PR_Base_Observation_Body_Height(1.9.0) | KBV_PR_Base_Observation_Body_Temperature(1.9.0) | KBV_PR_Base_Observation_Body_Weight(1.9.0) | KBV_PR_Base_Observation_Breastfeeding_Status(1.9.0) | KBV_PR_Base_Observation_Care_Level(1.9.0) | KBV_PR_Base_Observation_Estimated_Date_of_Delivery(1.9.0) | KBV_PR_Base_Observation_Glucose_Concentration(1.9.0) | KBV_PR_Base_Observation_Head_Circumference(1.9.0) | KBV_PR_Base_Observation_Heart_Rate(1.9.0) | KBV_PR_Base_Observation_Pain_Scale_Score(1.9.0) | KBV_PR_Base_Observation_Peripheral_Oxygen_Saturation(1.9.0) | KBV_PR_Base_Observation_Pregnancy_Status(1.9.0) | KBV_PR_Base_Observation_Respiratory_Rate(1.9.0)) 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 S 0..* Reference(Ambulatory Billing Account DE) 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 S 0..* BackboneElement Place the contact occurred at; use ISiK Location profiles for nursing-home home visits and in-practice sites
.... 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 S 1..1 Reference(ISiKStandort | ISiKStandortRaum | ISiKStandortBettenstellplatz) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType S 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 S 0..1 Period Time physically present at the referenced real Location
... serviceProvider S 1..1 Reference(Organization | KBV_PR_Base_Organization(1.9.0)) Practice organization responsible for the encounter
... 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 Encounter Status ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory:presenceArrival.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Encounter Praxis Class Value Set 📦0.99.1 This IG
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.3
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.serviceType.​coding:KBV-Fachgruppencodierung Base required KBV_VS_SFHIR_BAR2_ARZTNRFACHGRUPPE 📦1.03 kbv.all.st-combined v1.47
Encounter.serviceType.​coding:HL7-Fachabteilungsschluessel Base required Fachabteilungsschlüssel ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.serviceType.​coding:HL7-Fachabteilungsschluessel-erweitert Base required FachabteilungsschluesselErweitert ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.3
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 v7.3
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()

This structure is derived from EncounterPraxis

Summary

Mandatory: 6 elements
Must-Support: 5 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.statusHistory

 

Other representations of profile: CSV, Excel, Schematron