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Resource Profile: ISiKKontaktGesundheitseinrichtung

Dieses Profil ermöglicht die Abbildung von Besuchen/Aufenthalten eines Patienten in einer Gesundheitseinrichtung.

Motivation

Informationen über die Besuche des Patienten entlang seines Behandlungspfades im Krankenhaus sind ein wichtiger Bestandteil des einrichtungsinternen Datenaustausches. Sie ermöglichen die Unterscheidung von stationären und ambulanten sowie aufgenommenen und entlassenen Patienten. Weiterhin ist aus den Besuchsinformationen der aktuelle Aufenthaltsort des Patienten (Fachabteilung, Station, Bettplatz) ermittelbar. Klinische Ressourcen werden in FHIR durch Verlinkung auf die Encounter-Ressource in einen Kontext zum Besuch gestellt. Dieser Kontext ist wichtig für die Steuerung von Zugriffsberechtigungen und Abrechnungsprozessen.

Zu Beginn der meisten klinischen Workflows steht die Auswahl des Besuchskontextes. Dies geschieht bspw. durch das Suchen der Encounter-Ressource anhand von Eigenschaften wie Aufnahmenummer, Fallart oder Aufnahmedatum. Daraufhin werden die zutreffenden Suchergebnisse angezeigt und der gewünschte Besuch ausgewählt.

In FHIR werden Besuche, Aufenthalte, aber auch virtuelle Kontakte mit der Encounter-Ressource repräsentiert.

Weitere Hinweise zu den Abgrenzungen der Begrifflichkeiten Fall und Kontakt finden sie unter {{pagelink: Fall, text: Fall-Begriff in ISiK}}

Kompatibilität

Für das Profil ISiKKontaktGesundheitseinrichtung wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISiKKontaktGesundheitseinrichtung valide sind, auch valide sind gegen:

• Profil Kontakt mit einer Gesundheitseinrichtung der Medizininformatik-Initiative

Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden.

Usages:

• CapabilityStatements using this Profile: CapabilityStatement für Rolle "StammdatenRolle" and ISiK CapabilityStatement Termin-Repository Akteur (Expanded)
• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Must-Support Comments
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"ErsteUndZweiteStelle"
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"DritteStelle"
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"VierteStelle"
url		1..1	uri	"http://fhir.de/StructureDefinition/Aufnahmegrund"
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
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 pattern:$this
identifier:Aufnahmenummer	SΣ	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	SΣ	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
class	SΣ	1..1	Coding	Fallart Binding: EncounterClassDE (required)
Slices for type	SΣ	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter.
type:Kontaktebene	SΣ	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Kontaktebene
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
type:KontaktArt	SΣ	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Kontaktart
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:ErweiterterFachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
appointment	SΣ	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
start	SΣC	0..1	dateTime	Aufnahmedatum
end	SΣC	0..1	dateTime	Entlassdatum
diagnosis	Σ	0..*	BackboneElement	Falldiagnosen/-prozeduren
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
reference	SΣC	1..1	string	Condition/Procedure-Link
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	SΣ	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	SΣ	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
reference	SΣC	0..1	string	Account-Link
identifier	SΣ	1..1	Identifier	(Abrechnungs-)Fallnummer
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	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred) Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
admitSource	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
dischargeDisposition	S	0..1	CodeableConcept	Entlassungsart bzw. -grund Binding: DischargeDisposition (example): Discharge Disposition.
Slices for extension				Content/Rules for all slices
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ISiKLocationPhysicalType (extensible)
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:Aufnahmenummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:Aufnahmenummer.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.account.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Zimmer.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Bettenstellplatz.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Station.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Station.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Station.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	S	0..1	id	serverseitige, interne ID des Datensatzes
meta
versionId		0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated		0..1	instant	Zeitpunkt der letzten Änderung
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Slices for extension				Content/Rules for all slices
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
Slices for identifier	S	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:$this
identifier:Aufnahmenummer	S	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
type	S	1..1	CodeableConcept	Description of identifier
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	S	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
system	S	0..1	uri	Namensraum des Identifiers
value	S	0..1	string	The value that is unique
status	S	1..1	code	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
class	S	1..1	Coding	Fallart Binding: EncounterClassDE (required)
Slices for type	S	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this
type:Kontaktebene	S	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
coding		0..*	Coding	Codierte Darstellung der Kontaktebene
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
type:KontaktArt	S	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
coding		0..*	Coding	Codierte Darstellung der Kontaktart
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
serviceType	S	0..1	CodeableConcept	Specific type of service
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	S	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
coding:ErweiterterFachabteilungsschluessel	S	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
subject	S	1..1	Reference(Patient | Group)	Patientenbezug
reference	S	1..1	string	Patienten-Link
appointment	S	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
start	S	0..1	dateTime	Aufnahmedatum
end	S	0..1	dateTime	Entlassdatum
diagnosis		0..*	BackboneElement	Falldiagnosen/-prozeduren
condition	S	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
reference	S	1..1	string	Condition/Procedure-Link
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	S	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	S	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
reference	S	0..1	string	Account-Link
identifier	S	1..1	Identifier	(Abrechnungs-)Fallnummer
system	S	1..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred)
admitSource	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
dischargeDisposition	S	0..1	CodeableConcept	Entlassungsart bzw. -grund
Slices for extension				Content/Rules for all slices
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ISiKLocationPhysicalType (extensible)
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
display	S	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.location.physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"ErsteUndZweiteStelle"
value[x]		0..1	Coding	Value of extension Binding: Aufnahmegrund Erste und Zweite Stelle ValueSet (required)
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"DritteStelle"
value[x]		0..1	Coding	Value of extension Binding: AufnahmegrundDritteStelle ValueSet (required)
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"VierteStelle"
value[x]		0..1	Coding	Value of extension Binding: Aufnahmegrund Vierte Stelle ValueSet (required)
url		1..1	uri	"http://fhir.de/StructureDefinition/Aufnahmegrund"
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
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 pattern:$this
identifier:Aufnahmenummer	SΣ	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	SΣ	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..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	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
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	Fallart Binding: EncounterClassDE (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
Slices for type	SΣ	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter.
type:Kontaktebene	SΣ	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Kontaktebene
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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:KontaktArt	SΣ	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Kontaktart
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:ErweiterterFachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	SΣ	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
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	Aufnahmedatum
end	SΣC	0..1	dateTime	Entlassdatum
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	Falldiagnosen/-prozeduren
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	SΣ	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Condition/Procedure-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	SΣ	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	SΣ	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
text	Σ	0..1	string	Plain text representation of the concept
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Account-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	(Abrechnungs-)Fallnummer
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	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	Σ	0..1	string	Text alternative for the resource
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred) Constraints: ext-1
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	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
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	S	0..1	CodeableConcept	Entlassungsart bzw. -grund Binding: DischargeDisposition (example): Discharge Disposition.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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: ISiKLocationPhysicalType (extensible)
period		0..1	Period	Time period during which the patient was present at the location
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
id		0..1	string	Unique id for inter-element referencing
extension		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
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
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.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Encounter.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.extension:Aufnahmegrund.​extension:ErsteUndZweiteStelle.​value[x]	Base	required	Aufnahmegrund Erste und Zweite Stelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:DritteStelle.​value[x]	Base	required	AufnahmegrundDritteStelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:VierteStelle.​value[x]	Base	required	Aufnahmegrund Vierte Stelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.identifier:Aufnahmenummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:Aufnahmenummer.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.0
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.0
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
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.​condition.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.account.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.account.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.account.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v7.0
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	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Zimmer.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Bettenstellplatz.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Station.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Station.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Station.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Station.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Station.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 5 elements(40 nested mandatory elements)
Must-Support: 91 elements

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/Aufnahmegrund
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
• http://fhir.de/StructureDefinition/Wahlleistung
• http://fhir.de/StructureDefinition/Entlassungsgrund
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung

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.identifier.type.coding
• The element 1 is sliced based on the value of Encounter.type
• The element 1 is sliced based on the value of Encounter.serviceType.coding
• The element 1 is sliced based on the value of Encounter.diagnosis.use.coding
• The element 2 is sliced based on the values of Encounter.location

Key Elements View

Element	Short description	Notes
Encounter.account	Abrechnungskontext	Der Bezug zu einem Account stellt den Abrechnungskontext für einen oder mehrere Encounter her. Mittels der Account-Referenz können zum Beispiel ein vorstationärer, ein stationärer und ein nachstationärer Besuch zu einem ‘DRG-Fall’ zusammengefasst werden. WICHTIGER Hinweis für Implementierer: Im Deutschen Sprachgebrauch ist unter dem Begriff ‘Fall’ meist der Abrechnungskontext gemeint, nicht der einzelne Besuch. Die ‘Fallnummer’ ist daher nicht der Identifier des Encounters, sondern der des Accounts auf den der Encounter referenziert. Auf diesem Wege können mehrere Besuche einer Fallnummer zugeordnet werden. Da die Fallnummer ein häufig verwendetes Suchkriterium darstellt, ist diese hier als logische Referenz (account.identifier) zu hinterlegen. Damit wird sichergestellt, dass diese als Suchparameter für die Suche nach Encountern zur Verfügung steht, auch wenn einzelne Systeme kein Chaining unterstützen oder einzelne Benutzer keine Sichtberechtigung auf Abrechnungsdaten haben, im Versorgunskontext aber dennoch Encounter anhand der assoziierten Fallnummer suchen möchten.
Encounter.account.identifier	(Abrechnungs-)Fallnummer
Encounter.account.identifier.system	Namensraum des Identifiers	Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher.
Encounter.account.identifier.value		Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Encounter.account.reference	Account-Link	Begründung MS: Die Verlinkung auf eine Account-Ressource dient der technischen Zuordnung des Besuchs zu einem Abrechnungskontext und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.appointment	Verknüpfung mit einem Termin	Begründung und Einschränkung des Must Support: Dieses Element dient der Verknüpfung mit einem Termin (Appointment) aus dem entsprechenden ISiK Modul und - darauf aufbauend - der Dokumentenkommunikation. Das Element ‘appointment’ SOLL für den im Folgenden geschilderten Fall implementiert werden. Andernfalls KANN es entfallen. Die Anforderung einer Verknüpfung mit einem Appointment stammt aus dem Szenario der Dokumentenübertragung zwischen Patientenportal und krankenhaus-internem Primärsystem (z.B. KIS) im Kontext einer Terminbuchung: Dokumente liegen bei Terminbuchung erst im Patientenportal (im Appointment) vor und werden erst mit Anlage des Encounters in das KIS (etc.) übermittelt. Dazu SOLL ein Primärsystem zu Beginn des Termins das Appointment mit dem neu angelegten Encounter verknüpfen, um die Dokumente aus dem Patientenportal darüber vermittelt zuordnen zu können (ausgenommen hiervon sind Termine, die nicht stattfinden, da für diese in der Regel keine Encounter angelegt werden). Über die Referenz auf Appointment KÖNNEN Patientenportale den Fallbezug aus dem Termin ermitteln und Dokumente an ein KIS senden. Hieraus folgt, dass das Element nur relevant ist, falls das bestätigungsrelevante System zusätzlich zum vorliegenden Profil (Encounter) das Profil ISiKTermin (Appointment) implementiert. Hinweis: Zur Umsetzung der Funktionalität zum Dokumentenaustausch gemäß ISiK ist der entsprechende Implementation Guide zum Modul Dokumentenaustausch zu beachten.
Encounter.class	Fallart	Die Klassifikation von Encountern nach Fallarten folgt den internationalen Vorgaben und dient der groben Unterscheidung von Besuchen mit und ohne Bettendisposition (ambulant/stationär). Die in Deutschland übliche Fallklassifikation anhand von unterschiedlichen regulatorischen und abrechnungrelevanten Rahmenbedingungen, erfolgt in type. Für ein korrektes Mapping der in Deutschland gebräuchlichen Fallarten auf class siehe Deutsche Basisprofile
Encounter.diagnosis.condition	Verweis auf Diagnose/Prozedur
Encounter.diagnosis.condition.reference	Condition/Procedure-Link	Begründung Pflichtfeld: Die Verlinkung auf die Condition/Procedure-Ressource dient der technischen Zuordnung des Encounters zur Condition/Precedure und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.diagnosis.rank
Encounter.diagnosis.use	Bedeutung der Diagnose/Prozedur	Bedeutung der Diagnose/Prozedur im Encounter-Kontext
Encounter.diagnosis.use.coding
Encounter.diagnosis.use.coding:DiagnosesubTyp	Diagnosesubtyp	An deutschen Kodierrichtlinien orientierte, feingranulare Unterscheidung von Diagnose-Rollen, z.B. "Fachabteilungshauptdiagnose", "Todesursache" etc.
Encounter.diagnosis.use.coding:Diagnosetyp	Diagnosetyp	International standardisierte, grobgranulare Unterscheidung zwischen extern gestellten Diagnosen (referral-diagnosis) und intern gestellten Diagnosen (treatment-diagnosis)
Encounter.extension
Encounter.extension:Aufnahmegrund	Aufnahmegrund	Aufnahmegrund nach 301 Abs. 3 SGB V. Dieser gehört zu den ‘Medizinischen Daten des Behandlungsfalls’ entsprechend der Definitionen für die Datenübermittlung nach 301 Abs. 3 SGB V. Dieser gehört zu den ‘Medizinischen Daten des Behandlungsfalls’ entsprechend der Definitionen für die Datenübermittlung nach
Encounter.extension:Aufnahmegrund.extension:DritteStelle	Aufnahmegrund: 3. Stelle	Stelle des Aufnahmegrunds nach § 301 Abs. 3 SGB V.
Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle	Aufnahmegrund: 1. & 2. Stelle/td>	und 2. Stelle des Aufnahmegrunds nach § 301 Abs. 3 SGB V.
Encounter.extension:Aufnahmegrund.extension:VierteStelle	Aufnahmegrund: 4. Stelle	Stelle des Aufnahmegrunds nach § 301 Abs. 3 SGB V.
Encounter.extension:plannedEndDate	geplantes Entlassdatum	Begründung MS: Im Falle der Dokumentation eines geplanten Entlassdatums ist diese Extension zu befüllen.
Encounter.extension:plannedStartDate	geplantes Aufnahmedatum	Begründung MS: Im Falle einer geplanten Aufnahme ist das Datum mittels dieser Extension anzugeben.
Encounter.hospitalization	Details zum Aufenthalt	Details zu einem stationären Aufenthalt
Encounter.hospitalization.admitSource	Aufnahmeanlass	Anlass der stationären Aufnahme, z.B. "Einweisung", "Notfall" etc. Begründung MS: Zur Harmonisierung den Festlegungen der Medizininformatik-Initiative
Encounter.hospitalization.dischargeDisposition	Entlassungsart bzw. -grund
Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund	Entlassungsgrund	Entlassungsgrund nach § 301 Abs. 3 SGB V Einschränkung MS: Der Entlassungsgrund muss nur implementiert werden, wenn das bestätigungsrelevante System in der Akutversorgung eingesetzt wird.
Encounter.hospitalization.dischargeDisposition.extension:RehaEntlassung	Entlassungsgrund Reha	Entlassungsgrund nach §301 (Abs. 4 und 4a) SGB V Einschränkung MS: Der Entlassungsgrund Reha muss nur implementiert werden, wenn das bestätigungsrelevante System in der Reha-Versorgung eingesetzt wird
Encounter.hospitalization.extension:Wahlleistung	Wahlleistung	Begründung MS: Vom Patienten gebuchte Wahlleistungen (z.B. Chefarztbehandlung, Einzelzimmer) sind häufig system- und abteilungsübergreifend zu beachten und sollten daher über die Schnittstelle kommuniziert werden können.
Encounter.id	serverseitige, interne ID des Datensatzes	bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.
Encounter.identifier		Eindeutiger Identifier des Encounter
Encounter.identifier:Aufnahmenummer	Aufnahmenummer	Begründung MS: Die Aufnahmenummer ist nicht die ‘Fallnummer’, welche sich auf den kompletten Abrechnungsfall bezieht. Hier wird ein Identifier angegeben, der den Kontakt eindeutig identifiziert.
Encounter.identifier:Aufnahmenummer.system	Namensraum des Identifiers	Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher.
Encounter.identifier:Aufnahmenummer.type
Encounter.identifier:Aufnahmenummer.type.coding
Encounter.identifier:Aufnahmenummer.type.coding:vn-type	Codierte Darstellung des Identifier-Typs
Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code	Code	Hier ist stets der Wert VN anzugeben.
Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system	Codier-Schema	Hier ist stets der Wert http://terminology.hl7.org/CodeSystem/v2-0203 anzugeben.
Encounter.identifier:Aufnahmenummer.value		Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Encounter.location	Aufenthaltsorte des Patienten	Hinweise zur Einschränkung von Encounter.location.status auf “active” zu Abbildung des aktuellen Aufenthaltortes des Patienten Die Slices Station, Zimmer und Bettenstellplatz verwenden jeweils ein Pattern auf dem status-Element mit dem Wert ‘active’. Diese Einschränkung dient der sicheren Abbildung des aktuellen Aufenthaltsortes und soll garantieren, dass – wenn bekannt – stets nur ein aktueller Standort dokumentiert wird. Gleichwohl erlaubt die offene Slicing-Strategie (slicing.rules = open), dass weitere Slices mit abweichenden status-Werten (z. B. planned, reserved, completed) verwendet werden dürfen. Damit ist es möglich, zusätzlich auch historische oder geplante Aufenthaltsorte zu dokumentieren, sofern diese Information erfasst wird. Bei Verlegungen in einen anderen Fachbereich, welcher auch einen Wechsel des Aufenthaltsortes zur Folge hat, SOLL der Status der Location auf ‘completed’ gesetzt werden.
Encounter.location:Bettenstellplatz	Slice für das aktive Bett	Begründung MS: Die Kenntnis des aktuellen Aufenthaltsortes ist häufig systemübergreifend relevant (z.B. für Küchen- und Logistiksysteme) und sollte daher über die Schnittstelle kommuniziert werden können.
Encounter.location:Bettenstellplatz.location	Aufenthaltsort
Encounter.location:Bettenstellplatz.location.display	(Menschenlesbarer) Name des Aufenthaltsortes
Encounter.location:Bettenstellplatz.location.identifier	Identifier des Aufenthaltsortes
Encounter.location:Bettenstellplatz.location.identifier.system	Namensraum des Identifiers	Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher. Darüber hinaus ermöglicht es der Identifier, die Suche (z.B. von aktuellen Aufenthalten auf einer Station) mittels /Encounter?location:identifier=XXX auch dann zu nutzen, wenn keine Verlinkung auf eine Location-Ressource vorhanden ist. Auf location.display ist im Standard derzeit kein Suchparameter definiert.
Encounter.location:Bettenstellplatz.location.identifier.value		Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Encounter.location:Bettenstellplatz.location.reference	Location-Link	Begründung MS: Die Verlinkung auf eine Location-Ressource dient der technischen Zuordnung des Besuchs zu einem Aufenthaltsort und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.location:Bettenstellplatz.physicalType	Art des Aufenthaltsortes (hier: Bettenstellplatz)	Die Kodierung in diesem Slice entstammt folgendem Valueset - gelistet unter .location.(All slices.)physicalType: https://gematik.de/fhir/isik/ValueSet/ISiKLocationPhysicalType
Encounter.location:Bettenstellplatz.physicalType.coding.code	Code	Hier ist stets der Wert bd anzugeben.
Encounter.location:Bettenstellplatz.physicalType.coding.system	Codier-Schema	Hier ist stets der Wert http://terminology.hl7.org/CodeSystem/location-physical-type anzugeben.
Encounter.location:Bettenstellplatz.status
Encounter.location:Station	Slice für die aktive Station	Begründung MS: Die Kenntnis des aktuellen Aufenthaltsortes ist häufig systemübergreifend relevant (z.B. für Küchen- und Logistiksysteme) und sollte daher über die Schnittstelle kommuniziert werden können.
Encounter.location:Station.location	Aufenthaltsort
Encounter.location:Station.location.display	(Menschenlesbarer) Name des Aufenthaltsortes
Encounter.location:Station.location.identifier	Identifier des Aufenthaltsortes
Encounter.location:Station.location.identifier.system	Namensraum des Identifiers	Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher. Darüber hinaus ermöglicht es der Identifier, die Suche (z.B. von aktuellen Aufenthalten auf einer Station) mittels /Encounter?location:identifier=XXX auch dann zu nutzen, wenn keine Verlinkung auf eine Location-Ressource vorhanden ist. Auf location.display ist im Standard derzeit kein Suchparameter definiert.
Encounter.location:Station.location.identifier.value		Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Encounter.location:Station.location.reference	Location-Link	Begründung MS: Die Verlinkung auf eine Location-Ressource dient der technischen Zuordnung des Besuchs zu einem Aufenthaltsort und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.location:Station.physicalType	Art des Aufenthaltsortes (hier: Station)
Encounter.location:Station.physicalType.coding.code	Code	Hier ist stets der Wert wa anzugeben.
Encounter.location:Station.physicalType.coding.system	Codier-Schema	Hier ist stets der Wert http://terminology.hl7.org/CodeSystem/location-physical-type anzugeben.
Encounter.location:Station.status
Encounter.location:Zimmer	Slice für das aktive Zimmer	Begründung MS: Die Kenntnis des aktuellen Aufenthaltsortes ist häufig systemübergreifend relevant (z.B. für Küchen- und Logistiksysteme) und sollte daher über die Schnittstelle kommuniziert werden können.
Encounter.location:Zimmer.location	Aufenthaltsort
Encounter.location:Zimmer.location.display	(Menschenlesbarer) Name des Aufenthaltsortes
Encounter.location:Zimmer.location.identifier	Identifier des Aufenthaltsortes
Encounter.location:Zimmer.location.identifier.system	Namensraum des Identifiers	Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher. Darüber hinaus ermöglicht es der Identifier, die Suche (z.B. von aktuellen Aufenthalten auf einer Station) mittels /Encounter?location:identifier=XXX auch dann zu nutzen, wenn keine Verlinkung auf eine Location-Ressource vorhanden ist. Auf location.display ist im Standard derzeit kein Suchparameter definiert.
Encounter.location:Zimmer.location.identifier.value		Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Encounter.location:Zimmer.location.reference	Location-Link	Begründung MS: Die Verlinkung auf eine Location-Ressource dient der technischen Zuordnung des Besuchs zu einem Aufenthaltsort und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.location:Zimmer.physicalType	Art des Aufenthaltsortes (hier: Zimmer)
Encounter.location:Zimmer.physicalType.coding.code	Code	Hier ist stets der Wert ro anzugeben.
Encounter.location:Zimmer.physicalType.coding.system	Codier-Schema	Hier ist stets der Wert http://terminology.hl7.org/CodeSystem/location-physical-type anzugeben.
Encounter.location:Zimmer.status
Encounter.period	Aufenthaltszeitraum	WICHTIGER Hinweis für Implementierer: Das Aufnahmedatum MUSS angegeben werden, wenn der status des Encounters impliziert, dass dieser bereits begonnen hat. Das Entlassdatum MUSS angegeben werden, wenn der status des Encounters impliziert, dass dieser beendet ist. Siehe hierzu die Übersicht der Invarianten in diesem Profil.
Encounter.period.end	Entlassdatum	Hier ist stets das tatsächliche Entlassdatum anzugeben. Geplante Entlassdaten müssen über die Extension plannedEndDate erfasst werden.
Encounter.period.start	Aufnahmedatum	Hier ist stets das tatsächliche Aufnahmedatum anzugeben. Geplante Aufnahmedaten müssen über die Extension plannedStartDate erfasst werden.
Encounter.serviceProvider	Zuständige ServiceProvider	Begründung MS: Der zuständige ServiceProvider für diesen Kontakt sollte hier angegeben werden.
Encounter.serviceProvider.display		Begründung MS: Ein Anzeigename für den ServiceProvider muss vorhanden sein.
Encounter.serviceProvider.identifier		Begründung Pflichtfeld: Ein eindeutiger Identifier des ServiceProvider muss vorhanden sein.
Encounter.serviceType
Encounter.serviceType.coding
Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel	Fachabteilungsschlüssel	Fachabteilungen gemäß Anhang 1 der BPflV inkl. Spezialisierungen
Encounter.serviceType.coding:Fachabteilungsschluessel	Fachabteilungsschlüssel	Fachabteilungen gemäß Anhang 1 der BPflV
Encounter.status	Status	Zeigt den aktuellen Status der Ressource an. WICHTIGER Hinweis für Implementierer: Alle server-seitigen Implementierungen MÜSSEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden, mindestens jedoch die Werte in-progress, finished und cancelled. Alle client-seitigen Implementierungen MÜSSEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können, beispielsweise durch Ausblenden/Durchstreichen von Ressourcen mit dem status entered-in-error und Ausgrauen von Ressourcen, die einen Plan- oder Entwurfs-Status haben. Historie: Die Reduktion der zulässigen Status-Werte im Vergleich zur FHIR-Kernspezifikation erfolgt im Vorgriff auf eine entsprechende Anpassung in FHIR R5.
Encounter.subject	Patientenbezug	Begründung Must-Support: Ein Patientenbezug des Kontakt MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen.
Encounter.subject.reference	Patienten-Link	Begründung Pflichtfeld: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.
Encounter.type		Typ des Encounter
Encounter.type:KontaktArt	Kontaktart	Die Kontaktart dient der feingranularen Differenzierung unterschiedlicher stationärer und ambulanter Fallarten gemäß der in Deutschland üblichen regulatorischen und abrechnungsrelevanten Rahmenbedingungen. Für ein korrektes Mapping der in Deutschland gebräuchlichen Fallarten auf type siehe Deutsche Basisprofile
Encounter.type:KontaktArt.coding.code	Code	vorstationaer nachstationaer begleitperson tagesklinik +
Encounter.type:KontaktArt.coding.system	Codier-Schema	Hier ist stets der Wert http://fhir.de/CodeSystem/kontaktart-de anzugeben.
Encounter.type:Kontaktebene	Kontaktebene	Begründung Pflichtfeld: Die Abteilungsebene muss aus Kompatibilitätsgründen angegeben werden. **Hinweis bei Abbildung von Versorgungsstellenkontakten:** Es ist ein üblicher Fall, dass die Dauer eines Versorgungsstellenkontaktes in der Versorgung die eines Abteilungskontaktes übersteigt. Ein Beispiel hierfür: Ein Patient bleibt im Bett (Versorgungsstellenkontakt), aber ein Fachabteilungswechsel geschieht, da die Diagnose über eine Fachabteilung (Onkologie) läuft, dann aber der Wechsel zur Fachabteilung Chirurgie (neuer Abteilungskontakt) notwendig wird. Für einen solchen Fall gilt auf Ebene der FHIR-Instanzen (z.B. entgegen des tatsächliche Aufenthaltes im gleichen Bett): Im Falle eines Fachabteilungswechsels legt ein System einen neuen Abteilungskontakt an. Bestehende Versorgungsstellenkontakt SOLLEN NICHT in ihrer Relation (.partOf) zum Abteilungskontakt modifiziert werden. Hingegen SOLL das System einen oder mehrere Versorgungsstellenkontakte erzeugen und mit dem neu angelegten Abteilungskontakt in Verbindung setzen. Hintergrund: Das Konzept der ‘Kontaktebene’ stammt aus dem Fallmodell der Medizininformatik-Initiative, das bei Encountern zwischen ‘Einrichtungskontakten’, ‘Fachabteilungskontakten’ und ‘Versorgungsstellenkontakten’ unterscheidet. Im Kontext dieses Moduls werden lediglich Encounter der Ebene ‘Fachabteilungskontakt’ abgebildet.
Encounter.type:Kontaktebene.coding.code	Code	Hier ist stets der Wert abteilungskontakt anzugeben.
Encounter.type:Kontaktebene.coding.system	Codier-Schema	Hier ist stets der Wert http://fhir.de/CodeSystem/Kontaktebene anzugeben.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"ErsteUndZweiteStelle"
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"DritteStelle"
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"VierteStelle"
url		1..1	uri	"http://fhir.de/StructureDefinition/Aufnahmegrund"
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
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 pattern:$this
identifier:Aufnahmenummer	SΣ	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	SΣ	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
class	SΣ	1..1	Coding	Fallart Binding: EncounterClassDE (required)
Slices for type	SΣ	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter.
type:Kontaktebene	SΣ	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Kontaktebene
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
type:KontaktArt	SΣ	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Kontaktart
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:ErweiterterFachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
appointment	SΣ	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
start	SΣC	0..1	dateTime	Aufnahmedatum
end	SΣC	0..1	dateTime	Entlassdatum
diagnosis	Σ	0..*	BackboneElement	Falldiagnosen/-prozeduren
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
reference	SΣC	1..1	string	Condition/Procedure-Link
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	SΣ	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	SΣ	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
reference	SΣC	0..1	string	Account-Link
identifier	SΣ	1..1	Identifier	(Abrechnungs-)Fallnummer
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	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred) Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
admitSource	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
dischargeDisposition	S	0..1	CodeableConcept	Entlassungsart bzw. -grund Binding: DischargeDisposition (example): Discharge Disposition.
Slices for extension				Content/Rules for all slices
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ISiKLocationPhysicalType (extensible)
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	SΣC	0..1	string	Location-Link
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	SΣ	1..1	uri	Codier-Schema
code	SΣ	1..1	code	Code
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:Aufnahmenummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:Aufnahmenummer.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.account.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Zimmer.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Bettenstellplatz.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Station.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Station.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Station.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	S	0..1	id	serverseitige, interne ID des Datensatzes
meta
versionId		0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated		0..1	instant	Zeitpunkt der letzten Änderung
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund
Slices for extension				Content/Rules for all slices
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
Slices for identifier	S	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:$this
identifier:Aufnahmenummer	S	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
type	S	1..1	CodeableConcept	Description of identifier
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	S	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
system	S	0..1	uri	Namensraum des Identifiers
value	S	0..1	string	The value that is unique
status	S	1..1	code	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
class	S	1..1	Coding	Fallart Binding: EncounterClassDE (required)
Slices for type	S	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this
type:Kontaktebene	S	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
coding		0..*	Coding	Codierte Darstellung der Kontaktebene
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
type:KontaktArt	S	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
coding		0..*	Coding	Codierte Darstellung der Kontaktart
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
serviceType	S	0..1	CodeableConcept	Specific type of service
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	S	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
coding:ErweiterterFachabteilungsschluessel	S	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
subject	S	1..1	Reference(Patient | Group)	Patientenbezug
reference	S	1..1	string	Patienten-Link
appointment	S	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
start	S	0..1	dateTime	Aufnahmedatum
end	S	0..1	dateTime	Entlassdatum
diagnosis		0..*	BackboneElement	Falldiagnosen/-prozeduren
condition	S	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
reference	S	1..1	string	Condition/Procedure-Link
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	S	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	S	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
reference	S	0..1	string	Account-Link
identifier	S	1..1	Identifier	(Abrechnungs-)Fallnummer
system	S	1..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred)
admitSource	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
dischargeDisposition	S	0..1	CodeableConcept	Entlassungsart bzw. -grund
Slices for extension				Content/Rules for all slices
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ISiKLocationPhysicalType (extensible)
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
location	S	1..1	Reference(Location)	Aufenthaltsort
reference	S	0..1	string	Location-Link
identifier	S	1..1	Identifier	Identifier des Aufenthaltsortes
system	S	0..1	uri	Namensraum des Identifiers
value	S	1..1	string	The value that is unique
display	S	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
coding		0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
system	S	1..1	uri	Codier-Schema
code	S	1..1	code	Code
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
display	S	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.location.physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient Constraints: ISiK-enc-1, ISiK-enc-2, ISiK-enc-3, ISiK-enc-4, ISiK-enc-5, ISiK-enc-6, ISiK-enc-7, ISiK-enc-8
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Aufnahmegrund	S	0..1	(Complex)	Aufnahmegrund URL: http://fhir.de/StructureDefinition/Aufnahmegrund Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ErsteUndZweiteStelle	S	0..1	Extension	Aufnahmegrund: 1. & 2. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"ErsteUndZweiteStelle"
value[x]		0..1	Coding	Value of extension Binding: Aufnahmegrund Erste und Zweite Stelle ValueSet (required)
extension:DritteStelle	S	0..1	Extension	Aufnahmegrund: 3. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"DritteStelle"
value[x]		0..1	Coding	Value of extension Binding: AufnahmegrundDritteStelle ValueSet (required)
extension:VierteStelle	S	0..1	Extension	Aufnahmegrund: 4. Stelle
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"VierteStelle"
value[x]		0..1	Coding	Value of extension Binding: Aufnahmegrund Vierte Stelle ValueSet (required)
url		1..1	uri	"http://fhir.de/StructureDefinition/Aufnahmegrund"
extension:plannedStartDate	S	0..1	dateTime	geplantes Aufnahmedatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
extension:plannedEndDate	S	0..1	dateTime	geplantes Entlassdatum URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
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 pattern:$this
identifier:Aufnahmenummer	SΣ	0..1	Identifier	Aufnahmenummer Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:vn-type	SΣ	1..1	Coding	Codierte Darstellung des Identifier-Typs Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..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	Status Binding: Encounter Status ValueSet (required): Eingeschränkter Status vgl. FHIR R5
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	Fallart Binding: EncounterClassDE (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
Slices for type	SΣ	1..*	CodeableConcept	Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter.
type:Kontaktebene	SΣ	1..1	CodeableConcept	Kontaktebene Binding: KontaktebeneDe ValueSet (required): Kontaktebene Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/Kontaktebene
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: abteilungskontakt
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Kontaktebene
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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:KontaktArt	SΣ	0..1	CodeableConcept	Kontaktart Binding: KontaktartDe ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/kontaktart-de
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Kontaktart
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Fachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: Fachabteilungsschlüssel ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:ErweiterterFachabteilungsschluessel	SΣ	0..1	Coding	Fachabteilungsschlüssel Binding: FachabteilungsschluesselErweitert ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	SΣ	0..*	Reference(Appointment)	Verknüpfung mit einem Termin
period	S	0..1	Period	Aufenthaltszeitraum
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	Aufnahmedatum
end	SΣC	0..1	dateTime	Entlassdatum
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	Falldiagnosen/-prozeduren
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	SΣ	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Condition/Procedure-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Diagnosetyp	SΣ	1..1	Coding	Diagnosetyp Binding: DiagnoseTyp ValueSet (required)
coding:DiagnosesubTyp	SΣ	0..*	Coding	Diagnosesubtyp Binding: Diagnosesubtyp ValueSet (required)
text	Σ	0..1	string	Plain text representation of the concept
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account	S	0..*	Reference(Account)	Abrechnungskontext
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Account-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	(Abrechnungs-)Fallnummer
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	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	Σ	0..1	string	Text alternative for the resource
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Wahlleistung	S	0..*	Coding	Wahlleistung URL: http://fhir.de/StructureDefinition/Wahlleistung Binding: Deutsche Merkzeichen auf dem Behindertenausweis (preferred) Constraints: ext-1
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	S	0..1	CodeableConcept	Aufnahmeanlass Binding: Aufnahmeanlass ValueSet (extensible)
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	S	0..1	CodeableConcept	Entlassungsart bzw. -grund Binding: DischargeDisposition (example): Discharge Disposition.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Entlassungsgrund	S	0..1	(Complex)	Entlassungsgrund URL: http://fhir.de/StructureDefinition/Entlassungsgrund
extension:RehaEntlassung	S	0..1	(Complex)	Entlassungsgrund Reha URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status
location:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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: ISiKLocationPhysicalType (extensible)
period		0..1	Period	Time period during which the patient was present at the location
location:Zimmer	S	0..1	BackboneElement	Slice für das aktive Zimmer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Zimmer) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ro
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
location:Bettenstellplatz	S	0..1	BackboneElement	Slice für das aktive Bett
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Bettenstellplatz) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
location:Station	S	0..1	BackboneElement	Slice für die aktive Station
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Aufenthaltsort
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Location-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Identifier des Aufenthaltsortes
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	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
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)
display	SΣ	1..1	string	(Menschenlesbarer) Name des Aufenthaltsortes
status	S	1..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. Required Pattern: active
physicalType	S	1..1	CodeableConcept	Art des Aufenthaltsortes (hier: Station) Binding: ISiKLocationPhysicalType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/location-physical-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: wa
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	0..*	Coding	Codierte Darstellung der Art des Aufenthaltortes
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	Codier-Schema
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Code
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
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(Organization)	Zuständige ServiceProvider
id		0..1	string	Unique id for inter-element referencing
extension		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
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
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.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Encounter.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.extension:Aufnahmegrund.​extension:ErsteUndZweiteStelle.​value[x]	Base	required	Aufnahmegrund Erste und Zweite Stelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:DritteStelle.​value[x]	Base	required	AufnahmegrundDritteStelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.extension:Aufnahmegrund.​extension:VierteStelle.​value[x]	Base	required	Aufnahmegrund Vierte Stelle ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.identifier:Aufnahmenummer.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:Aufnahmenummer.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	Encounter Status ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	required	EncounterClassDE	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.0
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.type:Kontaktebene	Base	required	KontaktebeneDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.type:KontaktArt	Base	required	KontaktartDe ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.serviceType.​coding:Fachabteilungsschluessel	Base	required	Fachabteilungsschlüssel ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.serviceType.​coding:ErweiterterFachabteilungsschluessel	Base	required	FachabteilungsschluesselErweitert ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.0
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
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.​condition.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use.coding:Diagnosetyp	Base	required	DiagnoseTyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.diagnosis.​use.coding:DiagnosesubTyp	Base	required	Diagnosesubtyp ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.account.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.account.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.account.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Aufnahmeanlass ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v7.0
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	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Zimmer.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Zimmer.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Bettenstellplatz.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Bettenstellplatz.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.location:Station.​location.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location:Station.​location.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.location:Station.​location.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.location:Station.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:Station.​physicalType	Base	extensible	ISiKLocationPhysicalType	📦6.0.0-rc	This IG
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ISiK-enc-1	error	Encounter	Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben	status = 'finished' and class = 'AMB' implies period.start.exists()
ISiK-enc-2	error	Encounter	Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben	status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()
ISiK-enc-3	error	Encounter	Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben	status = 'planned' implies period.exists().not()
ISiK-enc-4	warning	Encounter	Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden	status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()
ISiK-enc-5	error	Encounter	In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben	status = 'in-progress' implies period.start.exists()
ISiK-enc-6	error	Encounter	Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben	status = 'onleave' implies period.start.exists()
ISiK-enc-7	warning	Encounter	Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben	status = 'unknown' implies period.start.exists()
ISiK-enc-8	error	Encounter	Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein	diagnosis.use.all(coding.code != 'billing')
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 5 elements(40 nested mandatory elements)
Must-Support: 91 elements

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/Aufnahmegrund
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate
• http://fhir.de/StructureDefinition/Wahlleistung
• http://fhir.de/StructureDefinition/Entlassungsgrund
• https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung

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.identifier.type.coding
• The element 1 is sliced based on the value of Encounter.type
• The element 1 is sliced based on the value of Encounter.serviceType.coding
• The element 1 is sliced based on the value of Encounter.diagnosis.use.coding
• The element 2 is sliced based on the values of Encounter.location

 

Other representations of profile: CSV, Excel, Schematron

IG © 2026+ gematik GmbH. Paket terminplanung#6.0.0-rc basierend auf FHIR 4.0.1. Generiert 2026-02-06
Links: Table of Contents | QA Report