{
  "description": "Kontakt zu einer Einrichtung, Abteilung oder Versorgungsstelle",
  "_filename": "StructureDefinition-mii-pr-fall-kontakt-gesundheitseinrichtung.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.fall",
  "date": "2024-10-01",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Fall_KontaktGesundheitseinrichtung",
  "abstract": false,
  "type": "Encounter",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Fall Kontakt mit einer Gesundheitseinrichtung",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "c9b94604-e0c8-42ca-84f5-fde24f04a084",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "de-DE"
      }, {
        "url": "content",
        "valueString": "Fall - Kontakt mit einer Gesundheitseinrichtung"
      } ]
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "Treatment case - Encounter with Health Care Facility"
      } ]
    } ]
  },
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Encounter",
      "path": "Encounter",
      "constraint": [ {
        "key": "mii-enc-1",
        "human": "Falls der Encounter abgeschlossen wurde, MUSS ein Enddatum bekannt sein",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "error",
        "expression": "status = 'finished' implies period.end.exists()"
      }, {
        "key": "mii-enc-2",
        "human": "Abgeschlossene, stationäre Kontakte MÜSSEN einen Start- und End-Zeitpunkt angeben",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "error",
        "expression": "status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()"
      }, {
        "key": "mii-enc-3",
        "human": "Geplante Kontakte DÜRFEN NICHT einen Start- oder End-Zeitpunkt angeben",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "error",
        "expression": "status = 'planned' implies period.exists().not()"
      }, {
        "key": "mii-enc-4",
        "human": "Geplante Kontakte SOLLTEN die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "warning",
        "expression": "status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()"
      }, {
        "key": "mii-enc-5",
        "human": "In-Durchführung befindliche Kontakte MÜSSEN einen Start-Zeitpunkt angeben",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "error",
        "expression": "status = 'in-progress' implies period.start.exists()"
      }, {
        "key": "mii-enc-6",
        "human": "Kontakte mit Abwesenheitsstatus MÜSSEN einen Start-Zeitpunkt angeben",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "error",
        "expression": "status = 'onleave' implies period.start.exists()"
      }, {
        "key": "mii-enc-7",
        "human": "Kontakte mit unbekannten Status SOLLTEN einen Start-Zeitpunkt angeben",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung",
        "severity": "warning",
        "expression": "status = 'unknown' implies period.start.exists()"
      } ]
    }, {
      "id": "Encounter.id",
      "path": "Encounter.id",
      "definition": "Angabe OPTIONAL, vom Server automatisch vergebene system-abhängige ID",
      "mustSupport": true
    }, {
      "id": "Encounter.meta",
      "path": "Encounter.meta",
      "definition": "Angabe OPTIONAL zur Provenance und zum Profil",
      "mustSupport": true
    }, {
      "id": "Encounter.meta.source",
      "path": "Encounter.meta.source",
      "mustSupport": true
    }, {
      "id": "Encounter.meta.profile",
      "path": "Encounter.meta.profile",
      "mustSupport": true
    }, {
      "path": "Encounter.extension",
      "min": 0,
      "definition": "OPTIONAL, Aufnahmegrund entsprechend Schlüssel 1 der Anlage 2 der Datenübermittlung nach § 301 Abs. 3 SGB V",
      "short": "Aufnahmegrund",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmegrund nach Schlüssel 1, Anlage 2, Datenübermittlung nach § 301 Abs. 3 SGB V"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission reason according to key 1, appendix 2, data transmission according to § 301 para. 3 SGB V"
          } ]
        } ]
      },
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/Aufnahmegrund" ]
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmegrund"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission reason"
          } ]
        } ]
      },
      "sliceName": "Aufnahmegrund",
      "max": "1",
      "id": "Encounter.extension:Aufnahmegrund"
    }, {
      "id": "Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle",
      "path": "Encounter.extension.extension",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "1. und 2. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "1st and 2nd position"
          } ]
        } ]
      },
      "sliceName": "ErsteUndZweiteStelle",
      "definition": "OPTIONAL, Aufnahmegrund (1. und 2. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmegrund 1. und 2. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission reason 1st and 2nd position"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.extension:Aufnahmegrund.extension:DritteStelle",
      "path": "Encounter.extension.extension",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "3. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "3rd position"
          } ]
        } ]
      },
      "sliceName": "DritteStelle",
      "definition": "OPTIONAL, Aufnahmegrund (3. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmegrund 3. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission reason 3rd position"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.extension:Aufnahmegrund.extension:VierteStelle",
      "path": "Encounter.extension.extension",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "4. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "4th position"
          } ]
        } ]
      },
      "sliceName": "VierteStelle",
      "definition": "OPTIONAL, Aufnahmegrund (4. Stelle), Datenübermittlung nach § 301 Abs. 3 SGB V.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmegrund 4. Stelle"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission reason 4th position"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.extension:plannedStartDate",
      "max": "1",
      "min": 0,
      "path": "Encounter.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate" ]
      } ],
      "sliceName": "plannedStartDate"
    }, {
      "id": "Encounter.extension:plannedEndDate",
      "max": "1",
      "min": 0,
      "path": "Encounter.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate" ]
      } ],
      "sliceName": "plannedEndDate"
    }, {
      "id": "Encounter.identifier",
      "path": "Encounter.identifier",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Identifikator"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Identifier"
          } ]
        } ]
      },
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kennung/en, unter der/denen dieser Kontakt bekannt ist."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Identifier/s by which this encounter is known."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Encounter.identifier",
      "min": 0,
      "definition": "OPTIONAL, Aufnahmenummer/Fallnummer, die Patient:innen bei der Planung einer Aufnahme oder bei der Aufnahme selbst bekommt. \nGenerell SOLLTE die Aufnahmenummer in allen Encounter-Ressourcen unabhängig von der Kontaktebene und dem Kontakttyp angegeben werden. \nAls Gründe würden dagegen sprechen, wenn die Aufnahmenummer nur in einem Encounter der Encounter-Hierarchie angegeben werden kann. \nIn diesem Fall SOLL auf die korrekte Encounter-Verlinkung über .partOf geachtet werden, \nsowie dass jeder Encounter einen eigenständigen Identifier mit unterschiedlichen Systemen enthält.",
      "short": "Aufnahmenummer",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmenummer/Fallnummer, die Patient:in bei einer Aufnahme bekommt."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission number, the patient receives during an admission."
          } ]
        } ]
      },
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Aufnahmenummer"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Admission number"
          } ]
        } ]
      },
      "sliceName": "Aufnahmenummer",
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "VN",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
          } ]
        }
      },
      "max": "1",
      "id": "Encounter.identifier:Aufnahmenummer"
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.type",
      "min": 1,
      "path": "Encounter.identifier.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/identifier-type-codes"
      },
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "VN",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.type.coding",
      "min": 1,
      "path": "Encounter.identifier.type.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type",
      "max": "1",
      "min": 1,
      "path": "Encounter.identifier.type.coding",
      "sliceName": "vn-type",
      "mustSupport": true,
      "patternCoding": {
        "code": "VN",
        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
      }
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system",
      "min": 1,
      "path": "Encounter.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code",
      "min": 1,
      "path": "Encounter.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.system",
      "min": 1,
      "path": "Encounter.identifier.system",
      "mustSupport": true
    }, {
      "id": "Encounter.identifier:Aufnahmenummer.value",
      "min": 1,
      "path": "Encounter.identifier.value",
      "mustSupport": true
    }, {
      "id": "Encounter.status",
      "path": "Encounter.status",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Status"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "status"
          } ]
        } ]
      },
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/EncounterStatusDe"
      },
      "definition": "VERPFLICHTEND, required Binding auf http://fhir.de/ValueSet/EncounterStatusDe",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "geplant | im Gange | beurlaubt | abgeschlossen | abgebrochen | fehlerhafte Eingabe | unbekannt"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "planned | in-progress | onleave | finished | cancelled | entered-in-error | unknown"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.class",
      "path": "Encounter.class",
      "short": "Kontaktklasse",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kontaktklasse"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Classification of patient encounter"
          } ]
        } ]
      },
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/EncounterClassDE"
      },
      "definition": "VERPFLICHTEND, Kontaktklasse. Required Binding auf http://fhir.de/ValueSet/EncounterClassDE. \nKlassifizierung des Kontaktes in stationär, ambulant, teilstationär oder andere.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "ambulant, stationär, vorstationär, virtuell, teilstationär, häusliche Pflege"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "ambulatory, inpatient encounter, pre-admission, virtual, short stay, home health"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.type",
      "path": "Encounter.type",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Typ des Kontaktes"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Type of encounter"
          } ]
        } ]
      },
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Spezifischer Typ des Kontaktes"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Specific type of encounter"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Encounter.type",
      "min": 0,
      "definition": "OPTIONAL, Unterscheidung der Kontakt-Hierarchieebenen Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt. \nDie Gliederung gilt für stationäre Kontakte. Required Binding auf http://fhir.de/ValueSet/kontaktebene-de",
      "short": "Kontaktebene",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Unterscheidung der Kontakt-Hierarchieebenen: Einrichtungskontakt | Abteilungskontakt | Versorgungsstellenkontakt"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Differentiation of the encounter hierarchy levels: facility contact | department contact | care provider contact"
          } ]
        } ]
      },
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kontaktebene"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Level of encounter"
          } ]
        } ]
      },
      "sliceName": "Kontaktebene",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/kontaktebene-de",
        "description": "Kontaktebene"
      },
      "max": "1",
      "id": "Encounter.type:Kontaktebene",
      "patternCodeableConcept": {
        "coding": [ {
          "system": "http://fhir.de/CodeSystem/Kontaktebene"
        } ]
      }
    }, {
      "path": "Encounter.type",
      "min": 0,
      "definition": "OPTIONAL, Differenzierung zwischen verschiedenen Arten von Kontakten (z.B. vorstationär, nachstationär, intensivstationär). \nRequired Binding auf http://fhir.de/ValueSet/kontaktart-de",
      "short": "Kontaktart",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kontaktarten wie vorstationär | nachstationär | intensivstationär"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Type of encounter such as pre-admission | post-admission | intensive care"
          } ]
        } ]
      },
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kontaktart"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Type of encounter"
          } ]
        } ]
      },
      "sliceName": "KontaktArt",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/kontaktart-de"
      },
      "max": "1",
      "id": "Encounter.type:KontaktArt",
      "patternCodeableConcept": {
        "coding": [ {
          "system": "http://fhir.de/CodeSystem/kontaktart-de"
        } ]
      }
    }, {
      "id": "Encounter.serviceType",
      "path": "Encounter.serviceType",
      "short": "Fachabteilung",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Fachabteilung"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Department"
          } ]
        } ]
      },
      "definition": "Die Fachdisziplin bzw. Fachabteilung wird durch einen vierstelligen Fachabteilungsschlüssel klassifiziert.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Fachabteilung Klassifizierung durch Fachabteilungsschlüssel"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Department classification by department key"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.serviceType.coding",
      "path": "Encounter.serviceType.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Encounter.serviceType.coding",
      "min": 0,
      "definition": "OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel\nFachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung",
      "short": "Fachabteilungsschlüssel",
      "mustSupport": true,
      "sliceName": "Fachabteilungsschluessel",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel"
      },
      "max": "1",
      "id": "Encounter.serviceType.coding:Fachabteilungsschluessel",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel"
      }
    }, {
      "id": "Encounter.serviceType.coding:Fachabteilungsschluessel.system",
      "min": 1,
      "path": "Encounter.serviceType.coding.system",
      "mustSupport": true
    }, {
      "id": "Encounter.serviceType.coding:Fachabteilungsschluessel.code",
      "min": 1,
      "path": "Encounter.serviceType.coding.code",
      "mustSupport": true
    }, {
      "path": "Encounter.serviceType.coding",
      "min": 0,
      "definition": "OPTIONAL, required Binding auf http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert\nFachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung inkl. Spezialisierungen.",
      "short": "Erweiterter Fachabteilungsschlüssel",
      "mustSupport": true,
      "sliceName": "ErweiterterFachabteilungsschluessel",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert"
      },
      "max": "1",
      "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert"
      }
    }, {
      "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.system",
      "min": 1,
      "path": "Encounter.serviceType.coding.system",
      "mustSupport": true
    }, {
      "id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel.code",
      "min": 1,
      "path": "Encounter.serviceType.coding.code",
      "mustSupport": true
    }, {
      "id": "Encounter.subject",
      "min": 1,
      "path": "Encounter.subject",
      "short": "Patientenidentifikator",
      "definition": "VERPFLICHTEND, Referenz auf Patient:in.",
      "mustSupport": true
    }, {
      "id": "Encounter.period",
      "path": "Encounter.period",
      "short": "Zeitraum des Kontaktes",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Zeitraum des Kontaktes"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Period of encounter"
          } ]
        } ]
      },
      "definition": "Beginn- und Endzeitpunkt des Kontaktes. \n    DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \n    abhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Beginn- und Endzeitpunkt des Kontaktes."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Start and end time of the encounter."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.period.start",
      "path": "Encounter.period.start",
      "short": "Beginndatum",
      "definition": "Start des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
      "mustSupport": true
    }, {
      "id": "Encounter.period.end",
      "path": "Encounter.period.end",
      "short": "Enddatum",
      "definition": "Ende des Kontaktzeitraums. DARF NICHT vorhanden sein, kann OPTIONAL oder VERPFLICHTEND sein, \nabhängig vom Status des Kontaktes - siehe Invarianten auf Ebene Encounter.",
      "mustSupport": true
    }, {
      "id": "Encounter.diagnosis",
      "path": "Encounter.diagnosis",
      "short": "Diagnosen",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Diagnosen"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Diagnoses"
          } ]
        } ]
      },
      "definition": "OPTIONAL, Angaben zu Diagnosen",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Angaben zu für den Kontakt relevanten Diagnosen"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Information about diagnoses relevant for the encounter"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.diagnosis.condition",
      "path": "Encounter.diagnosis.condition",
      "short": "Referenz zu Diagnose-Ressource",
      "definition": "VERPFLICHTEND, wenn Diagnosedaten angegeben werden, dann MUSS diese referenziert werden. \nEs SOLLTE nur die Primärdiagnose referenziert werden.",
      "mustSupport": true
    }, {
      "id": "Encounter.diagnosis.use",
      "min": 1,
      "path": "Encounter.diagnosis.use",
      "short": "Diagnosetyp",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/mii-vs-fall-diagnosis-use"
      },
      "definition": "Attribute wie Aufnahme- oder Entlassdiagnose sind immer im Kontext eines stationären Aufenthaltes zu betrachten\nund werden daher als Eigenschaft des Encounters modelliert. \nVERPFLICHTEND mindestens die Angabe eines Codings. EMPFOHLEN ist die Angabe mittels Diagnosetyp- und DiagnosesubTyp-Coding. \nWeitere Codings OPTIONAL. Extensible Binding auf `http://hl7.org/fhir/ValueSet/diagnosis-role`",
      "mustSupport": true
    }, {
      "id": "Encounter.diagnosis.use.coding",
      "min": 1,
      "path": "Encounter.diagnosis.use.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Encounter.diagnosis.use.coding",
      "min": 0,
      "definition": "Einweisungs-/Überweisungsdiagnose | Behandlungsrelevante Diagnosen",
      "short": "Diagnosetyp",
      "mustSupport": true,
      "sliceName": "Diagnosetyp",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/DiagnoseTyp"
      },
      "max": "1",
      "id": "Encounter.diagnosis.use.coding:Diagnosetyp"
    }, {
      "path": "Encounter.diagnosis.use.coding",
      "min": 0,
      "definition": "Operationsdiagnose | Abteilung Hauptdiagnose | Todesursache | Infektionsschutzdiagnose +",
      "short": "Diagnosesubtyp",
      "mustSupport": true,
      "sliceName": "DiagnosesubTyp",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/Diagnosesubtyp"
      },
      "max": "1",
      "id": "Encounter.diagnosis.use.coding:DiagnosesubTyp"
    }, {
      "id": "Encounter.diagnosis.rank",
      "path": "Encounter.diagnosis.rank",
      "short": "Rangfolge",
      "definition": "OPTIONAL, Rangfolge der Diagnose",
      "mustSupport": true
    }, {
      "id": "Encounter.hospitalization",
      "path": "Encounter.hospitalization",
      "short": "Klinikaufenthalt",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Klinikaufenthalt"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Hospitalization"
          } ]
        } ]
      },
      "definition": "OPTIONAL, Details zur Aufnahme und Entlassung",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Details zur Aufnahme und Entlassung"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Details about admission and discharge"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.hospitalization.admitSource",
      "min": 1,
      "path": "Encounter.hospitalization.admitSource",
      "short": "Aufnahmeanlass",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://fhir.de/ValueSet/dgkev/Aufnahmeanlass"
      },
      "definition": "VERPFLICHTEND, Aufnahmeanlass. Preferred Binding auf http://fhir.de/ValueSet/dgkev/Aufnahmeanlass",
      "mustSupport": true
    }, {
      "id": "Encounter.hospitalization.dischargeDisposition",
      "path": "Encounter.hospitalization.dischargeDisposition",
      "short": "Entlassung",
      "definition": "OPTIONAL Daten zur Entlassung",
      "mustSupport": true
    }, {
      "path": "Encounter.hospitalization.dischargeDisposition.extension",
      "min": 0,
      "definition": "OPTIONAL, Entlassungs-/Verlegungsgrund nach § 301 Abs. 3 SGB V",
      "short": "Entlassungsgrund",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/Entlassungsgrund" ]
      } ],
      "mustSupport": true,
      "sliceName": "Entlassungsgrund",
      "max": "1",
      "id": "Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund"
    }, {
      "id": "Encounter.location",
      "path": "Encounter.location",
      "short": "Kontaktort",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Kontaktort"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Location"
          } ]
        } ]
      },
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "physicalType",
          "type": "pattern"
        } ]
      },
      "definition": "OPTIONAL, Details zum Kontaktort wie Zimmer, Bett, Station",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Details zum Kontaktort wie Zimmer, Bett, Station"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Details about location such as room, bed, ward"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.location.physicalType",
      "path": "Encounter.location.physicalType",
      "short": "Kontaktorttyp",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type"
      },
      "definition": "SOLL, extensible Binding auf https://www.medizininformatik-initiative.de/fhir/core/modul-fall/ValueSet/location-physical-type"
    }, {
      "id": "Encounter.location:Zimmer",
      "max": "1",
      "min": 0,
      "path": "Encounter.location",
      "short": "Zimmer",
      "sliceName": "Zimmer",
      "definition": "Von Patient oder Patientin während des Kontaktes belegtes Zimmer auf einer Station.",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Zimmer.location",
      "path": "Encounter.location.location",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Zimmer.location.identifier",
      "min": 1,
      "path": "Encounter.location.location.identifier",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Zimmer.location.display",
      "min": 1,
      "path": "Encounter.location.location.display",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Zimmer.physicalType",
      "min": 1,
      "path": "Encounter.location.physicalType",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "ro",
          "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
        } ]
      }
    }, {
      "id": "Encounter.location:Bett",
      "max": "1",
      "min": 0,
      "path": "Encounter.location",
      "short": "Bett",
      "sliceName": "Bett",
      "definition": "Von Patient oder Patientin während des Kontaktes belegter Bettenstellplatz.",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Bett.location",
      "path": "Encounter.location.location",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Bett.location.identifier",
      "min": 1,
      "path": "Encounter.location.location.identifier",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Bett.location.display",
      "min": 1,
      "path": "Encounter.location.location.display",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Bett.physicalType",
      "min": 1,
      "path": "Encounter.location.physicalType",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "bd",
          "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
        } ]
      }
    }, {
      "id": "Encounter.location:Station",
      "max": "1",
      "min": 0,
      "path": "Encounter.location",
      "short": "Station",
      "sliceName": "Station",
      "definition": "Die Station, auf welcher der Patient oder die Patientin während des Kontaktes behandelt wurde.",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Station.location",
      "path": "Encounter.location.location",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Station.location.identifier",
      "min": 1,
      "path": "Encounter.location.location.identifier",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Station.location.display",
      "min": 1,
      "path": "Encounter.location.location.display",
      "mustSupport": true
    }, {
      "id": "Encounter.location:Station.physicalType",
      "min": 1,
      "path": "Encounter.location.physicalType",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "wa",
          "system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
        } ]
      }
    }, {
      "id": "Encounter.serviceProvider",
      "path": "Encounter.serviceProvider",
      "short": "Leistungserbringer",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Leistungserbringer"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Service Provider"
          } ]
        } ]
      },
      "definition": "OPTIONAL. Leistungserbringer, der für den Kontakt verantwortlich ist. \nReferenz auf eine Organisation",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Leistungserbringer, der für den Kontakt verantwortlich ist."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Service provider responsible for the encounter."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Encounter.partOf",
      "path": "Encounter.partOf",
      "short": "Teil von Kontakt",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Teil von Kontakt"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Part of encounter"
          } ]
        } ]
      },
      "definition": "OPTIONAL. Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte, \nwenn bspw. ein Versorgungsstellenkontakt Teil eines Abteilungskontaktes \noder ein Abteilungskontakt Teil eines Einrichtungskontaktes ist.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Abbildung der Hierarchie zwischen Kontaktebenen durch Referenz auf weitere Kontakte."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Hierarchy between encounter levels by referencing further encounters."
          } ]
        } ]
      },
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter"
}