Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.3(EN)|1|EncounterReport-v1.0.1(2026-1EN)}} ==General information== Name: '''nl.zorg.EncounterReport''' link=ContactVerslag-v1.0.1(2026-1NL)
Version: '''1.0.1'''
HCIM Status:Final
Release: '''…'

2026-04-18T16:31:13Z

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.3(EN)|1|EncounterReport-v1.0.1(2026-1EN)}}

==General information==
Name: '''nl.zorg.EncounterReport''' [[Bestand:NL.png|link=ContactVerslag-v1.0.1(2026-1NL)]] 
Version: '''1.0.1''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::CreationDate||30-3-2022
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||*
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.15.3
|-
|style="width:250px; "|DCM::KeywordList||
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::Name||nl.zorg.ContactVerslag
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||
|-
|style="width:250px; "|DCM::RevisionDate||01-04-2025
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.ContactVerslag-v1.0
|-
|style="width:250px; "|DCM::Version||1.0.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (10-06-2022)

Publicatieversie 1.0.1 (24-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_5#ZIB-2592 | ZIB-2592 ]]
|Contactverslag - Definitie in paragraaf Concept aanpassen
|}
</div>

==Concept==
The contact report is a textual report of a (partial) consult of an Encounter (refer to HCIM Encounter for a definition of an encounter).

==Purpose==
A contact report offers a care provider the possibility to record information in a structured manner in free text about a contact with a patient.

==Information Model==
 
<imagemap> Bestand:EncounterReport-v1.0.1Model(2026-1EN).png | center
rect 496 151 586 221 [[#2555]]
rect 184 151 274 221 [[Encounter-v7.0(2026-1EN)]]
rect 327 267 417 337 [[HealthProfessional-v4.0.1(2026-1EN)]]
rect 318 43 429 113 [[#2577]]
rect 328 151 418 221 [[#2576]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:15.3.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]EncounterReport
|
|Root concept of the EncounterReport information model.This root concept contains all data elements of the EncounterReport information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11591000146107 11591000146107] Patient encounter report
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.3.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Author::HealthProfessional
|1
|The healthcare provider who prepared the report and who is responsible for its content.
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v4.0.1(2026-1EN)]]||[[HealthProfessional-v4.0.1(2026-1EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.3.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Encounter
|1
|The encounter the report is about.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=308335008 308335008] Patient encounter procedure
|}
|
{|
|-
|[[Bestand: block.png | link=Encounter-v7.0(2026-1EN)]]||[[Encounter-v7.0(2026-1EN) |Encounter]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:15.3.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]EncounterReportDateTime
|1
|Date and, if applicable, the time the report was made.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:15.3.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]EncounterReportText
|1
|The actual content of the contact as free text.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=422813005 422813005] Document section
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="590px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|ContactVerslag
|-style=vertical-align:top;
| style="width: 30%; "|ContactVerslagDatumTijd
| style="width: 70%; "|21-11-2020
|-style=vertical-align:top;
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|Auteur
|-style=vertical-align:top;
| style="width: 30%; "|Medewerkerscode
| style="width: 70%; "|01299
|-style=vertical-align:top;
| style="width: 30%; "|AGBCode
| style="width: 70%; "|01999999
|-style=vertical-align:top;
| style="width: 30%; "|Initialen
| style="width: 70%; "|G.L.
|-style=vertical-align:top;
| style="width: 30%; "|Geslachtsnaam
| style="width: 70%; "|Klaassen
|-style=vertical-align:top;
| style="width: 30%; "|ZorgverlenersRol
| style="width: 70%; "|Psychiater
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|
|-style=vertical-align:top;
| style="width: 30%; "|ContactVerslagTekst
| style="width: 70%; "|Goed verzorgde man, normaal contact, wanhopige klachtenpresentatie, onrustige motoriek (grimasseren, oor vastgrijpen). Bewustzijn helder, oriëntatie intact, geheugen en zelfwaarneming ongestoord, bovengemiddeld intelligent, geen psychotische kenmerken, denken normaal van tempo en vorm, inhoudelijk preoccupatie met oorsuizen, stemming somber (er kan een lachje af), rationaliseren, isoleren van het affect, niet actief suïcidaal.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.3(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
*[[Encounter-v7.0(2026-1EN)|Encounter-v7.0]]
*[[HealthProfessional-v4.0.1(2026-1EN)|HealthProfessional-v4.0.1]]
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|15.3}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|ContactVerslag}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.EncounterReport-v1.0.1(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.EncounterReport-v1.0.1(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:11:44 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

EncounterReport-v1.0.1(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.3(EN)|1|EncounterReport-v1.0.1(2026-1EN)}} ==General information== Name: '''nl.zorg.EncounterReport''' link=ContactVerslag-v1.0.1(2026-1NL) Version: '''1.0.1''' HCIM Status:Final Release: '''…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.3(EN)|1|EncounterReport-v1.0.1(2026-1EN)}} ==General information== Name: '''nl.zorg.EncounterReport''' link=ContactVerslag-v1.0.1(2026-1NL)
Version: '''1.0.1'''
HCIM Status:Final
Release: '''…'