Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung vs http://hl7.eu/fhir/hdr/StructureDefinition/encounter-obl-eu-hdr

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Encounter	http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr	Values Differ
copyright		Used by permission of HL7 Europe, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date	2025-06-26	2025-06-03T12:48:49+02:00	Values Differ
description	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](https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung) Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.	This profile defines obligations for Inpatient Encounter in HL7 FHIR for the scope of this guide.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	ISiKKontaktGesundheitseinrichtung	EncounterEuHdrObligation	Values Differ
publisher	gematik GmbH	HL7 Europe	Values Differ
purpose
status	active	draft	Values Differ
title		Encounter: obligations	Added the item 'Encounter: obligations'
type	Encounter
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung	http://hl7.eu/fhir/hdr/StructureDefinition/encounter-obl-eu-hdr	Values Differ
version	5.0.0	0.1.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Encounter	C	0..*	Encounter	An interaction during which services are provided to the patient ISiK-enc-1: Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben ISiK-enc-2: Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben ISiK-enc-3: Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben ISiK-enc-4: Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden ISiK-enc-5: In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben ISiK-enc-6: Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben ISiK-enc-7: Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben ISiK-enc-8: Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein		0..*	EncounterEuHdr	An interaction during which services are provided to the patient
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in definition for mustSupport: 'true' vs 'false'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	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	Σ	0..*	Identifier	Identifier(s) by which this encounter is known.	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
status	?!SΣ	1..1	code	Status Binding: ?? (required): Eingeschränkter Status vgl. FHIR R5	?!Σ	1..1	code	Status of this Hospital stay Binding: ?? (required)	Elements differ in definition for mustSupport: 'true' vs 'false'
statusHistory		0..*	BackboneElement	List of past encounter statuses		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Fallart Binding: ?? (required): Classification of the encounter.	OΣ	1..1	Coding	Classification of patient encounter Binding: ?? (extensible) Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
classHistory		0..*	BackboneElement	List of past encounter classes		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class		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: ?? (example): The type of encounter.	Σ	0..*	CodeableConcept	Specific type of Hospital stay Binding: ?? (example)	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided.	Σ	0..1	CodeableConcept	Specific type of service. Binding: ?? (example): Broad categorization of the service that is to be provided.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter.		0..1	CodeableConcept	Encounter priority Binding: ?? (preferred)	Example/preferred bindings differ at Encounter.priority using binding from EncounterEuHdrObligation
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug	OΣ	1..1	Reference(Patient (EU core))	The patient present at the encounter Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Patienten-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against	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		0..*	Reference(ServiceRequest)	The request for which this encounter has been made
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter	Σ	0..*	BackboneElement	List of participants involved in the encounters Slice: Unordered, Open by value:type
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated		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	Σ	0..1	Reference(Practitioner (EU core) | PractitionerRole (EU core) | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	SΣ	0..*	Reference(Appointment)	The appointment that scheduled this encounter	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter	Elements differ in definition for mustSupport: 'true' vs 'false'
period	S	0..1	Period	Aufenthaltszeitraum	O	0..1	Period	The start and end time of this encounter. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
start	SΣC	0..1	dateTime	Aufnahmedatum					Removed this element
end	SΣC	0..1	dateTime	Entlassdatum					Removed this element
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place.	OΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: ?? (preferred) Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Example/preferred bindings differ at Encounter.reasonCode using binding from ISiKKontaktGesundheitseinrichtung
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)	Σ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference)	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]])
diagnosis	Σ	0..*	BackboneElement	Falldiagnosen/-prozeduren	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter, see comment
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Condition | Procedure)	Verweis auf Diagnose/Prozedur	OΣ	1..1	Reference(Condition)	The diagnosis or procedure relevant to the encounter Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Condition/Procedure-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
use	S	1..1	CodeableConcept	Bedeutung der Diagnose/Prozedur Binding: ?? (preferred): The type of diagnosis this condition represents.		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents.	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)		0..1	positiveInt	Ranking of the diagnosis (for each role type)	Elements differ in definition for mustSupport: 'true' vs 'false'
account	S	0..*	Reference(Account)	Abrechnungskontext		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	0..1	string	Account-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	SΣ	1..1	Identifier	(Abrechnungs-)Fallnummer					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
hospitalization	S	0..1	BackboneElement	Details zum Aufenthalt		0..1	BackboneElement	Details about the admission to a healthcare service	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource	S	0..1	CodeableConcept	Aufnahmeanlass Binding: ?? (extensible): From where the patient was admitted.		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer). Binding: ?? (preferred): From where the patient was admitted.	Elements differ in definition for mustSupport: 'true' vs 'false'
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: ?? (example): The reason for re-admission of this hospitalization encounter.		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: ?? (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged		0..1	Reference(Organization (EU core) | Location (EU base))	Location/organization to which the patient is discharged	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Location], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/location-eu]])
dischargeDisposition	S	0..1	CodeableConcept	Entlassungsart bzw. -grund Binding: ?? (example): Discharge Disposition.		0..1	CodeableConcept	Category or kind of location after discharge Binding: ?? (example): Discharge Disposition.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
coding	Σ	0..*	Coding	Code defined by a terminology system					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
Slices for location	S	0..*	BackboneElement	Aufenthaltsorte des Patienten Slice: Unordered, Open by pattern:physicalType, pattern:status		0..*	BackboneElement	Locations where the patient stayed	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place		1..1	Reference(Location (EU base))	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: ?? (required): The status of the location.		0..1	code	planned | active | reserved | completed Binding: ?? (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: ?? (extensible): Physical form of the location.		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location		0..1	Period	Location period
serviceProvider	S	0..1	Reference(Organization)	The organization (facility) responsible for this encounter		0..1	Reference(Organization (EU core))	The organization (facility) responsible for this encounter	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	SΣ	1..1	string	Text alternative for the resource					Removed this element
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format