abstractbaseDefinitioncopyrightdescriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | EncounterReport (http://fhir.hl7.nl/zorgviewer/StructureDefinition/EncounterReport) |
| Right: | EncounterReport (http://fhir.hl7.nl/zorgviewer/StructureDefinition/EncounterReport) |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://nictiz.nl/fhir/StructureDefinition/gp-EncounterReport | ||
| copyright | |||
| description | SOEPVerslag | ||
| experimental | |||
| fhirVersion | 3.0.2 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#NL | ||
| kind | resource | ||
| name | EncounterReport | ||
| publisher | RIVO-NN HL7NL | ||
| purpose | |||
| status | draft | ||
| title | EncounterReport | ||
| type | Composition | ||
| url | http://fhir.hl7.nl/zorgviewer/StructureDefinition/EncounterReport | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Composition | 0..* | gp EncounterReport | A set of resources composed into a single coherent clinical statement with clinical attestation | 0..* | gp EncounterReport | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (extensible): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (extensible): A human language.
| |||||||||||
| 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 | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional Content defined by implementations | 0..* | Extension | Additional Content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..1 | Identifier | Logical identifier of composition (version-independent) | Σ | 0..1 | Identifier | Logical identifier of composition (version-independent) | |||||||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ?? (required): The workflow/clinical status of the composition. | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ?? (required): The workflow/clinical status of the composition. | |||||||||
 type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: ?? (preferred): Type of a composition. | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: ?? (preferred): Type of a composition. | |||||||||
 id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| Slices for extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | Σ | 0..* | Coding | Code defined by a terminology system | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| Slices for extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version | Σ | 0..1 | string | Version of the system - if relevant | Σ | 0..1 | string | Version of the system - if relevant | |||||||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |||||||||
| display | Σ | 0..1 | string | Representation defined by the system | Σ | 0..1 | string | Representation defined by the system | |||||||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept | |||||||||
| class | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | |||||||||
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about | |||||||||
| encounter | Σ | 1..1 | Reference(gp-Encounter | HCIM Encounter) | Context of the Composition | Σ | 1..1 | Reference(gp-Encounter | HCIM Encounter) | Context of the Composition | |||||||||
| date | SΣ | 1..1 | dateTime | Composition editing time | SΣ | 1..1 | dateTime | Composition editing time | |||||||||
| author | Σ | 1..* | Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson) | Who and/or what authored the composition | Σ | 1..* | Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson) | Who and/or what authored the composition | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| Slices for extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display | SΣ | 0..1 | string | Text alternative for the resource | SΣ | 0..1 | string | Text alternative for the resource | |||||||||
| title | SΣ | 1..1 | string | Human Readable name/title | SΣ | 1..1 | string | Human Readable name/title | |||||||||
| confidentiality | ?!Σ | 0..1 | code | As defined by affinity domain Binding: ?? (required): Codes specifying the level of confidentiality of the composition. | ?!Σ | 0..1 | code | As defined by affinity domain Binding: ?? (required): Codes specifying the level of confidentiality of the composition. | |||||||||
| attester | Σ | 0..* | BackboneElement | Attests to accuracy of composition | Σ | 0..* | BackboneElement | Attests to accuracy of composition | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| extension | 0..* | Extension | Additional Content defined by implementations | 0..* | Extension | Additional Content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| mode | Σ | 1..* | code | personal | professional | legal | official Binding: ?? (required): The way in which a person authenticated a composition. | Σ | 1..* | code | personal | professional | legal | official Binding: ?? (required): The way in which a person authenticated a composition. | |||||||||
| time | Σ | 0..1 | dateTime | When the composition was attested | Σ | 0..1 | dateTime | When the composition was attested | |||||||||
 party | Σ | 0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-organization) | Who attested the composition | Σ | 0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-organization) | Who attested the composition | |||||||||
 id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| Slices for extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||
| custodian | Σ | 0..1 | Reference(nl-core-organization) | Organization which maintains the composition | Σ | 0..1 | Reference(nl-core-organization) | Organization which maintains the composition | |||||||||
| relatesTo | Σ | 0..* | BackboneElement | Relationships to other compositions/documents | Σ | 0..* | BackboneElement | Relationships to other compositions/documents | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| extension | 0..* | Extension | Additional Content defined by implementations | 0..* | Extension | Additional Content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| code | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | |||||||||
| target[x] | Σ | 1..1 | Identifier, Reference(Composition) | Target of the relationship | Σ | 1..1 | Identifier, Reference(Composition) | Target of the relationship | |||||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | Σ | 0..* | BackboneElement | The clinical service(s) being documented | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| extension | 0..* | Extension | Additional Content defined by implementations | 0..* | Extension | Additional Content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ?? (example): This list of codes represents the main clinical acts being documented. | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ?? (example): This list of codes represents the main clinical acts being documented. | |||||||||
| period | Σ | 0..1 | Period | The period covered by the documentation | Σ | 0..1 | Period | The period covered by the documentation | |||||||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | Σ | 0..* | Reference(Resource) | The event(s) being documented | |||||||||
| section | C | 0..* | BackboneElement | Composition is broken into sections | C | 0..* | BackboneElement | Composition is broken into sections | |||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | 0..1 | string | xml:id (or equivalent in JSON) | |||||||||||
| Slices for extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| title | 0..1 | string | Label for section (e.g. for ToC) | 0..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: ?? (required): Classification of a section of a composition/document. | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: ?? (required): Classification of a section of a composition/document. | |||||||||
| text | SC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | SC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| mode | ?!Σ | 0..1 | code | working | snapshot | changes Binding: ?? (required): The processing mode that applies to this section. | ?!Σ | 0..1 | code | working | snapshot | changes Binding: ?? (required): The processing mode that applies to this section. | |||||||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. | |||||||||||
| entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | C | 0..* | Reference(Resource) | A reference to data that supports this section | |||||||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. | |||||||||
 section | C | 0..* | See section (Composition) | Nested Section | C | 0..* | See section (Composition) | Nested Section | |||||||||
| Documentation for this format | |||||||||||||||||