{
"description": "**Concept**\\r\\nA contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions. \\r\\n\\r\\nContacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This includes past and future contacts.\\r\\n**Purpose**\\r\\nContacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare professional and in which context these took place.\\r\\n**Evidence Base**\\r\\nThe codelists for Origin and Destination generally correspond to the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care)\\r\\n**Example Instances**\\r\\n\\r\\n**Instructions**\\r\\nExplanation ‘Eigen woonomgeving’ (Home) from the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care) (concepts Origin and Destination)\\r\\nThe home environment is the environment where the patient stays regular. This distinguishes between living in a private home and living in an institution for nursing and care. This distinction is the difference between \\\"independent living with any additional care\\\" and \\\"being taken care of including living\\\". Thus, residential homes are counted as the first and stay in a nursing home to the second.",
"_filename": "HdBe-Encounter.json",
"package_name": "healthdata.be.r4.cbb",
"date": null,
"derivation": "specialization",
"publisher": "Healthdata.be (Sciensano)",
"fhirVersion": "4.0.1",
"name": "HdBeEncounter",
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/encounter",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HdBe Encounter",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "**Concept**\r\nEen contact is een interactie, onafhankelijk van de situatie, tussen een patiënt en een zorgverlener, waarbij de zorgverlener de primaire verantwoordelijkheid heeft de conditie van de patiënt te diagnosticeren, te evalueren, te behandelen en de patiënt te informeren. Dit kunnen bezoeken, afspraken of niet face-to-face interacties zijn.\r\n\r\nContacten kunnen huisarts- of praktijkbezoeken, thuisbezoeken, opnames (in bijvoorbeeld ziekenhuizen, verpleeg/verzorgingstehuizen, psychiatrische inrichtingen of revalidatieklinieken) of andere relevante contacten betreffen. Het betreft historische en toekomstige contacten.\r\n**Purpose**\r\nContacten worden vastgelegd om een inzicht te geven over de uitgevoerde interacties tussen patient en zorgverlener en in welke context dit heeft plaatsgevonden.\r\n**Evidence Base**\r\nDe waardelijsten voor Herkomst en Bestemming komen op hoofdlijnen overeen met de Landelijke Basisregistratie Ziekenhuiszorg (LBZ)\r\n**Example Instances**\r\n\r\n**Instructions**\r\nUitleg ‘Eigen woonomgeving’ uit Landelijke Basisregistratie Ziekenhuiszorg (concepten Herkomst en Bestemming)\r\nDe eigen woonomgeving is die omgeving waar de patiënt regulier verblijft. Hierbij wordt onderscheid gemaakt tussen het wonen in een particulier (eigen) huis en het wonen in een instelling voor verpleging en verzorging. Bepalend voor dit onderscheid is het verschil tussen \"zelfstandig wonen met eventuele aanvullende zorg\" en \"verzorgd worden inclusief wonen\". Zo worden aanleunwoningen gerekend tot de eerste en verblijf in een verzorgingshuis of verpleeghuis tot de tweede.\r\n**References**\r\n1. Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].\r\n**Revision History**\r\nPublicatieversie 1.0 (15-02-2013)\r\n\r\nPublicatieversie 1.1 (01-07-2013)\r\n\r\nPublicatieversie 1.2 (01-04-2015)\r\nBevat: [ZIB-163](https://bits.nictiz.nl/browse/ZIB-163), [ZIB-164](https://bits.nictiz.nl/browse/ZIB-164), [ZIB-165](https://bits.nictiz.nl/browse/ZIB-165), [ZIB-306](https://bits.nictiz.nl/browse/ZIB-306), [ZIB-308](https://bits.nictiz.nl/browse/ZIB-308).\r\n\r\nIncl. algemene wijzigingsverzoeken: \r\n[ZIB-94](https://bits.nictiz.nl/browse/ZIB-94), [ZIB-154](https://bits.nictiz.nl/browse/ZIB-154), [ZIB-200](https://bits.nictiz.nl/browse/ZIB-200), [ZIB-201](https://bits.nictiz.nl/browse/ZIB-201), [ZIB-309](https://bits.nictiz.nl/browse/ZIB-309), [ZIB-324](https://bits.nictiz.nl/browse/ZIB-324), [ZIB-326](https://bits.nictiz.nl/browse/ZIB-326).\r\n\r\nPublicatieversie 3.0 (01-05-2016)\r\nBevat: [ZIB-453](https://bits.nictiz.nl/browse/ZIB-453).\r\n\r\nPublicatieversie 3.1 (04-09-2017)\r\nBevat: [ZIB-463](https://bits.nictiz.nl/browse/ZIB-463), [ZIB-465](https://bits.nictiz.nl/browse/ZIB-465), [ZIB-553](https://bits.nictiz.nl/browse/ZIB-553), [ZIB-563](https://bits.nictiz.nl/browse/ZIB-563), [ZIB-564](https://bits.nictiz.nl/browse/ZIB-564), [ZIB-565](https://bits.nictiz.nl/browse/ZIB-565), [ZIB-574](https://bits.nictiz.nl/browse/ZIB-574).\r\n\r\nPublicatieversie 4.0 (06-07-2019)\r\nBevat: [ZIB-701](https://bits.nictiz.nl/browse/ZIB-701), [ZIB-819](https://bits.nictiz.nl/browse/ZIB-819), [ZIB-821](https://bits.nictiz.nl/browse/ZIB-821), [ZIB-822](https://bits.nictiz.nl/browse/ZIB-822).\r\n\r\nPublicatieversie 4.0.1 (01-09-2020)\r\nBevat: [ZIB-1089](https://bits.nictiz.nl/browse/ZIB-1089), [ZIB-1189](https://bits.nictiz.nl/browse/ZIB-1189)."
} ]
} ]
},
"package_version": "0.4.0-alpha",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2020-09-01T00:00:00+02:00"
}
} ],
"status": "draft",
"language": "en-US",
"id": "6fd411ff-f223-4423-8d64-b507307ef962",
"kind": "logical",
"_name": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "HdBe-Contact"
} ]
} ]
},
"url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Encounter",
"version": null,
"differential": {
"element": [ {
"path": "encounter",
"min": 0,
"definition": "Root concept of the Contact information model. This concept contains all data elements of the Contact information model.",
"short": "Encounter",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Contact. Dit concept bevat alle gegevenselementen van de bouwsteen Contact."
} ]
} ]
},
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Contact"
} ]
} ]
},
"max": "*",
"id": "encounter",
"base": {
"max": "*",
"min": 0,
"path": "encounter"
}
}, {
"path": "encounter.contact_type",
"min": 1,
"definition": "The type of contact.",
"short": "ContactType",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Het type contact."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "ContactType"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/ContactType",
"description": "ContactType codes"
},
"max": "1",
"id": "encounter.contact_type",
"base": {
"max": "1",
"min": 1,
"path": "encounter.contact_type"
}
}, {
"path": "encounter.contact_with",
"min": 0,
"definition": "The health professional with whom the contact took or will take place. The specialty and role of the health professional can be entered in the HealthProfessional information model.",
"short": "ContactWith",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De zorgverlener waarmee het contact heeft plaatsgevonden of zal plaatsvinden. In de bouwsteen Zorgverlener kan tevens het specialisme en de rol van de zorgverlener vastgelegd worden."
} ]
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "ContactMet"
} ]
} ]
},
"max": "*",
"id": "encounter.contact_with",
"base": {
"max": "*",
"min": 0,
"path": "encounter.contact_with"
}
}, {
"path": "encounter.contact_with.health_professional",
"min": 1,
"definition": "Root concept of the HealthProfessional information model. This root concept contains all data elements of the HealthProfessional information model.\r\nWhen referring to this information model the role the health professional fulfils in the healthcare process can be addressed additionally. For health professionals, this could be for example main practitioner or referrer.",
"short": "HealthProfessional",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Zorgverlener. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgverlener. \r\nBij verwijzing naar deze bouwsteen kan tevens de rol die de zorgverlener in het zorgproces vervult, worden meegegeven. Voor zorgverleners kan dit bijvoorbeeld hoofdbehandelaar of verwijzer zijn"
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthProfessional" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Zorgverlener"
} ]
} ]
},
"max": "1",
"id": "encounter.contact_with.health_professional",
"base": {
"max": "1",
"min": 1,
"path": "encounter.contact_with.health_professional"
}
}, {
"path": "encounter.location",
"min": 0,
"definition": "The physical location at which the contact took or will take place.",
"short": "Location",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De fysieke locatie waar het contact heeft plaatsgevonden of zal plaatsvinden."
} ]
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Locatie"
} ]
} ]
},
"max": "1",
"id": "encounter.location",
"base": {
"max": "1",
"min": 0,
"path": "encounter.location"
}
}, {
"path": "encounter.location.healthcare_provider",
"min": 1,
"definition": "Root concept of the Healthcare Provider information model. This root concept contains all data elements of the Healthcare Provider information model.",
"short": "HealthcareProvider",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Zorgaanbieder. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgaanbieder."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthcareProvider" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Zorgaanbieder"
} ]
} ]
},
"max": "1",
"id": "encounter.location.healthcare_provider",
"base": {
"max": "1",
"min": 1,
"path": "encounter.location.healthcare_provider"
}
}, {
"path": "encounter.start_date_time",
"min": 1,
"definition": "The date and time at which the contact took or will take place.",
"short": "StartDateTime",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Datum en tijd waarop het contact heeft plaatsgevonden of zal plaatsvinden."
} ]
} ]
},
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "BeginDatumTijd"
} ]
} ]
},
"max": "1",
"id": "encounter.start_date_time",
"base": {
"max": "1",
"min": 1,
"path": "encounter.start_date_time"
}
}, {
"path": "encounter.end_date_time",
"min": 0,
"definition": "The date and time at which the contact ended or will end. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.",
"short": "EndDateTime",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Datum en tijd waarop het contact is geëindigd of zal eindigen. Als het contact een periode betreft wordt hiermee het einde van deze periode aangeduid, bijvoorbeeld bij een opname."
} ]
} ]
},
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "EindDatumTijd"
} ]
} ]
},
"max": "1",
"id": "encounter.end_date_time",
"base": {
"max": "1",
"min": 0,
"path": "encounter.end_date_time"
}
}, {
"path": "encounter.contact_reason",
"min": 0,
"definition": "Container of the ContactReason concept. This container contains all data elements of the ContactReason concept.",
"short": "ContactReason",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Container van het concept RedenContact. Deze container bevat alle gegevenselementen van het concept RedenContact."
} ]
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "RedenContact"
} ]
} ]
},
"max": "*",
"id": "encounter.contact_reason",
"base": {
"max": "*",
"min": 0,
"path": "encounter.contact_reason"
}
}, {
"path": "encounter.contact_reason.problem",
"min": 0,
"definition": "The problem that is the reason for the contact.",
"short": "Problem",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Het probleem dat aanleiding is voor het contact."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Probleem"
} ]
} ]
},
"max": "*",
"id": "encounter.contact_reason.problem",
"base": {
"max": "*",
"min": 0,
"path": "encounter.contact_reason.problem"
}
}, {
"path": "encounter.contact_reason.procedure",
"min": 0,
"definition": "The procedure carried out or will be carried out during the contact.",
"short": "Procedure",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De zorghandeling die tijdens het contact is uitgevoerd of zal worden uitgevoerd."
} ]
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Procedure" ]
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Verrichting"
} ]
} ]
},
"max": "*",
"id": "encounter.contact_reason.procedure",
"base": {
"max": "*",
"min": 0,
"path": "encounter.contact_reason.procedure"
}
}, {
"path": "encounter.contact_reason.deviating_result",
"min": 0,
"definition": "A deviating result which serves as the reason for the contact.",
"short": "DeviatingResult",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Een afwijkende uitslag die als reden voor het contact geldt."
} ]
} ]
},
"type": [ {
"code": "string"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "AfwijkendeUitslag"
} ]
} ]
},
"max": "*",
"id": "encounter.contact_reason.deviating_result",
"base": {
"max": "*",
"min": 0,
"path": "encounter.contact_reason.deviating_result"
}
}, {
"path": "encounter.contact_reason.comment_contact_reason",
"min": 0,
"definition": "Explanation of the reason for the contact",
"short": "CommentContactReason",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Toelichting op de reden voor het contact"
} ]
} ]
},
"type": [ {
"code": "string"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "ToelichtingRedenContact"
} ]
} ]
},
"max": "1",
"id": "encounter.contact_reason.comment_contact_reason",
"base": {
"max": "1",
"min": 0,
"path": "encounter.contact_reason.comment_contact_reason"
}
}, {
"path": "encounter.origin",
"min": 0,
"definition": "Location from which the patient comes before the encounter. In most cases this will only be used when the patient is admitted.",
"short": "Origin",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Locatie waar de patient vandaan komt voor het contact. Meestal zal dit alleen bij een ziekenhuisopname gebruikt worden."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Herkomst"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/Herkomst",
"description": "Origin codes"
},
"max": "1",
"id": "encounter.origin",
"base": {
"max": "1",
"min": 0,
"path": "encounter.origin"
}
}, {
"path": "encounter.destination",
"min": 0,
"definition": "Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.",
"short": "Destination",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Locatie waar de patient naar toe gaat na het contact. Meestal zal dit alleen bij een ziekenhuisontslag gebruikt worden."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Bestemming"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/Bestemming",
"description": "Destination codes"
},
"max": "1",
"id": "encounter.destination",
"base": {
"max": "1",
"min": 0,
"path": "encounter.destination"
}
} ]
},
"contact": [ {
"name": "Service portal – healthdata.be",
"telecom": [ {
"use": "work",
"value": "https://sciensano.service-now.com/sp",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}