Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
Slices for identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	SΣ	1..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
Slices for type	SΣ	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): The type of encounter.
type:kbv-scheinart	SΣ	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART Binding: EncounterType (example): The type of encounter.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
code	SΣ	1..1	code	Symbol in syntax defined by the system
type:praxis-scheinart	SΣ	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS) Binding: EncounterType (example): The type of encounter.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
code	SΣ	1..1	code	Symbol in syntax defined by the system
serviceType	SΣ	0..1	CodeableConcept	Behandlungsart / Leistungsbereich Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:scheinNummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG
Encounter.serviceType	Base	example	Service 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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Slices for identifier	S	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	S	1..1	Identifier	Identifier(s) by which this encounter is known
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	S	1..1	string	The value that is unique
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
Slices for type	S	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system
type:kbv-scheinart	S	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART
coding	S	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
code	S	1..1	code	Symbol in syntax defined by the system
type:praxis-scheinart	S	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS)
coding	S	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
code	S	1..1	code	Symbol in syntax defined by the system
serviceType	S	0..1	CodeableConcept	Behandlungsart / Leistungsbereich
subject	S	1..1	Reference(Patient)	The patient or group present at the encounter
participant	S	0..*	BackboneElement	List of participants involved in the encounter
individual	S	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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
Slices for identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	SΣ	1..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	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	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
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
Slices for type	SΣ	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): The type of encounter.
type:kbv-scheinart	SΣ	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART Binding: EncounterType (example): The type of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
type:praxis-scheinart	SΣ	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS) Binding: EncounterType (example): The type of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
serviceType	SΣ	0..1	CodeableConcept	Behandlungsart / Leistungsbereich Binding: ServiceType (example): Broad categorization of the service that is to be provided.
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)	The patient or group present at the encounter
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	SΣ	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	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..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	SΣC	0..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): Reason why the encounter takes place.
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 the encounter takes place
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		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier:scheinNummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:scheinNummer.​type	Base	extensible	IdentifierType	📍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 v7.1
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.1
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 v7.1
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()

Summary

Mandatory: 5 elements(6 nested mandatory elements)
Must-Support: 21 elements

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
Slices for identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	SΣ	1..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
Slices for type	SΣ	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): The type of encounter.
type:kbv-scheinart	SΣ	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART Binding: EncounterType (example): The type of encounter.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
code	SΣ	1..1	code	Symbol in syntax defined by the system
type:praxis-scheinart	SΣ	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS) Binding: EncounterType (example): The type of encounter.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
code	SΣ	1..1	code	Symbol in syntax defined by the system
serviceType	SΣ	0..1	CodeableConcept	Behandlungsart / Leistungsbereich Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:scheinNummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG
Encounter.serviceType	Base	example	Service 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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Slices for identifier	S	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	S	1..1	Identifier	Identifier(s) by which this encounter is known
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	S	1..1	string	The value that is unique
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
Slices for type	S	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system
type:kbv-scheinart	S	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART
coding	S	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
code	S	1..1	code	Symbol in syntax defined by the system
type:praxis-scheinart	S	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS)
coding	S	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
code	S	1..1	code	Symbol in syntax defined by the system
serviceType	S	0..1	CodeableConcept	Behandlungsart / Leistungsbereich
subject	S	1..1	Reference(Patient)	The patient or group present at the encounter
participant	S	0..*	BackboneElement	List of participants involved in the encounter
individual	S	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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
Slices for identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:scheinNummer	SΣ	1..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description 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.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.cognovis.de/praxis/sid/scheinNummer
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	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	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
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
Slices for type	SΣ	0..*	CodeableConcept	Scheinart (KBV SFHIR und/oder PVS-intern) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): The type of encounter.
type:kbv-scheinart	SΣ	0..1	CodeableConcept	Scheinart gemaess KBV SFHIR Schluessel KBV_VS_SFHIR_KBV_SCHEINART Binding: EncounterType (example): The type of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_SCHEINART
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
type:praxis-scheinart	SΣ	0..1	CodeableConcept	PVS-interne Scheinart (ScheinartCS) Binding: EncounterType (example): The type of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: Scheinart (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/scheinart
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
serviceType	SΣ	0..1	CodeableConcept	Behandlungsart / Leistungsbereich Binding: ServiceType (example): Broad categorization of the service that is to be provided.
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)	The patient or group present at the encounter
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	SΣ	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	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..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	SΣC	0..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): Reason why the encounter takes place.
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 the encounter takes place
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		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier:scheinNummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:scheinNummer.​type	Base	extensible	IdentifierType	📍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 v7.1
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.1
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:kbv-scheinart.​coding	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_SCHEINART	Not State	Unknown
Encounter.type:praxis-scheinart	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:praxis-scheinart.​coding	Base	required	Scheinart	📦0.49.0	This IG
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.1
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 v7.1
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()

Summary

Mandatory: 5 elements(6 nested mandatory elements)
Must-Support: 21 elements

Slices

This structure defines the following Slices:

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