General information Name: nl.zorg.Encounter 7.0 2024
Metadata
DCM::CoderList
Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address
*
DCM::ContactInformation.Name
*
DCM::ContactInformation.Telecom
*
DCM::ContentAuthorList
Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate
19-4-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage
nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name
PM
DCM::EndorsingAuthority.Telecom
DCM::Id
2.16.840.1.113883.2.4.3.11.60.40.3.15.1
DCM::KeywordList
Contacten, contact, patiëntcontact, afspraak
DCM::LifecycleStatus
Final
DCM::ModelerList
Kerngroep Registratie aan de Bron
DCM::Name
nl.zorg.Contact
DCM::PublicationDate
23-04-2025
DCM::PublicationStatus
Published
DCM::ReviewerList
Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate
08-04-2025
DCM::Supersedes
nl.zorg.Contact-v6.0
DCM::Version
7.0
HCIM::PublicationLanguage
EN
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 1.2 (01-04-2015)
ZIB-163
Naamgeving concept Probleem::Probleem uit OverdrachtContact aanpassen.
ZIB-164
Het concept Locatie::Zorgaanbieder uit bouwsteen OverdrachtContact niet verplicht maken, maar als cardinaliteit 0..1 opgeven.
ZIB-165
Het concept Procedure in OverdrachtContact dient referentie naar bouwsteen te zijn.
ZIB-306
Aanpassen modellering keuzebox, boundary en cardinaliteit
ZIB-308
Prefix Overdracht weggehaald bij de generieke bouwstenen
Incl. algemene wijzigingsverzoeken:
ZIB-94
Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154
Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200
Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201
Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309
EOI aangepast
ZIB-324
Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326
Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
Publicatieversie 3.0 (01-05-2016)
ZIB-453
Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
Publicatieversie 3.1 (04-09-2017)
ZIB-463
Toevoegen IC aan ContactTypeCodelijst
ZIB-465
Uitbreiding met datacontainers "Herkomst" en "Ontslagbestemming"
ZIB-553
Example Instances Contact Type komt niet overeen met ContactTypeCodelijst
ZIB-563
Engelse vertaling van Contact is Encounter
ZIB-564
Aanpassing/harmonisatie Engelse conceptnamen
ZIB-565
ContactTypeCodelijst niet compleet
ZIB-574
Alleen verwijzen naar het rootconcept van de ZIB.
Publicatieversie 4.0 (06-07-2019)
ZIB-701
AfwijkendeUitslag algemenere naam geven
ZIB-819
aanpassen kardinaliteit RedenContact naar 1..*
ZIB-821
OverdrachtGeplandeZorgactiviteit laten vervallen en onderliggende zibs aanpassen
ZIB-822
Mapping reden van opname in HCIM Encounter
Publicatieversie 4.0.1 (01-09-2020)
ZIB-1089
Kardinaliteit reden contact losser maken naar 0..*
ZIB-1189
DefinitionCodes alle administratieve zibs
Publicatieversie 4.0.2 (01-12-2021)
Publicatieversie 5.0 (10-06-2022)
Publicatieversie 6.0 (15-10-2023)
Publicatieversie 7.0 (23-04-2025)
ZIB-2604
Contact - Vervangen van de verwijzing naar Probleem
Concept A contact is an interaction between a patient and health care provider(s) in the context of a problem, such as a diagnosis, symptom or nursing diagnosis. These can be visits or online interactions.
Purpose Encounters take place between a health professional and patient with the aim of assessing the patient's health condition or discuss a care request, treatment outcome or follow-up policy with the patient.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:15.1.1
Root concept of the Encounter information model. This concept contains all data elements of the Encounter information model.
NL-CM:15.1.3
1
The date and time at which the encounter took or will take place.
NL-CM:15.1.19
1
EncounterSetting describes the manner and setting in which the contact takes place
NL-CM:15.1.2
1
The type of encounter is based on the setting of the encounter and the participants present.
NL-CM:15.1.13
1
Container of the EncounterReason concept.This container contains all data elements of the EncounterReason concept.
NL-CM:15.1.20
1
Main reason for the encounter within the context of the health problem.
NL-CM:15.1.21
1
Container of the Problem concept.This container contains all data elements of the Problem concept.
NL-CM:15.1.22
(0..1)
The diagnosis as the reason for the encounter.
NL-CM:15.1.23
(0..1)
The hypersensitivity or intolerance as the reason for the encounter.
NL-CM:15.1.24
(0..1)
The adverse reaction to a substance or radiation as the reason for the encounter.
NL-CM:15.1.25
(0..1)
The symptom as the reason for the encounter.
NL-CM:15.1.26
(0..1)
The nursing diagnosis as the reason for the encounter.
NL-CM:15.1.18
1
The health professional who is responsible at the time of the encounter for the treatment of the patient's stated health problem.
NL-CM:15.1.7
1..*
The health professional with whom the encounter took or will take place. The specialty and role of the health professional can be entered in the HealthProfessional information model.
NL-CM:15.1.17
0..1
Comment on the reason for the encounter, insofar as this cannot be sufficiently expressed in the other elements.
48767-8 Annotation comment [Interpretation] Narrative
NL-CM:15.1.8
1
The physical location at which the encountert ook or will take place.
Columns Concept and DefinitionCode: hover over the values for more information
Example Instances Only available in Dutch
Contact
DatumTijd
16-05-2022
ContactVorm
Fysiek
RedenContact
Aan leidingContact
Acuut probleem
Probleem
Diagnose
Gebroken neus
VerantwoordelijkBehandelaar
ZorgverlenerNaam
J.H.R. Peters
Locatie
OrganisatieNaam
Universitair Medisch Centrum Groningen (UMCG)
Instructions If a patient has contact with different specialities for different problems then a separate HCIM instantiation of Contact should be created for each problem. For example, someone seen in the ER by an ophthalmologist for eye injury, a surgeon for knee injury and an internist for loss of consciousness.
Valuesets EncounterSettingCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2
Binding: Extensible
Status: Active
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Physical face-to-face encounter
180231000146108
SNOMED CT
2.16.840.1.113883.6.96
Fysiek
Indirect encounter
185316007
SNOMED CT
2.16.840.1.113883.6.96
Op afstand
Telephone encounter
185317003
SNOMED CT
2.16.840.1.113883.6.96
Telefonisch
Consultation via video conference
719410009
SNOMED CT
2.16.840.1.113883.6.96
Video
Telemedicine consultation with patient
448337001
SNOMED CT
2.16.840.1.113883.6.96
Digitaal tekstueel
Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
EncounterTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1
Binding: Extensible
Status: Active
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Ambulatory
AMB
ActCode
2.16.840.1.113883.5.4
Poliklinisch, Ambulant [DEPRECATED]
Emergency
EMER
ActCode
2.16.840.1.113883.5.4
SEH [DEPRECATED]
Field
FLD
ActCode
2.16.840.1.113883.5.4
Op lokatie [DEPRECATED]
Home
HH
ActCode
2.16.840.1.113883.5.4
Thuis [DEPRECATED]
Inpatient
IMP
ActCode
2.16.840.1.113883.5.4
Klinisch [DEPRECATED]
Short Stay
SS
ActCode
2.16.840.1.113883.5.4
Dagopname [DEPRECATED]
Virtual
VR
ActCode
2.16.840.1.113883.5.4
Virtueel [DEPRECATED]
Triage
225390008
SNOMED CT
2.16.840.1.113883.6.96
Triage
First consultation with outpatient
105251000146109
SNOMED CT
2.16.840.1.113883.6.96
1e poliklinisch consult
Follow-up consultation with outpatient
93881000146109
SNOMED CT
2.16.840.1.113883.6.96
Poliklinisch vervolgconsult
Outpatient inter-collegial consultation
180191000146100
SNOMED CT
2.16.840.1.113883.6.96
Poliklinisch intercollegiaal consult
Multidisciplinary consultation
155161000146105
SNOMED CT
2.16.840.1.113883.6.96
Poliklinisch multidisciplinair consult
Evaluation and management of inpatient
86181006
SNOMED CT
2.16.840.1.113883.6.96
Klinische contact
Medical consultation on hospital inpatient
24882007
SNOMED CT
2.16.840.1.113883.6.96
Klinisch intercollegiaal consult
Primary care encounter with consulted physician
180211000146101
SNOMED CT
2.16.840.1.113883.6.96
Meekijkconsult
Pre-anesthetic assessment
182770003
SNOMED CT
2.16.840.1.113883.6.96
Preoperatieve screening
Home visit
439708006
SNOMED CT
2.16.840.1.113883.6.96
Huisbezoek
Emergency department patient visit
4525004
SNOMED CT
2.16.840.1.113883.6.96
SEH bezoek
Transportation by emergency ambulance
715542009
SNOMED CT
2.16.840.1.113883.6.96
Ambulance contact [DEPRECATED]
Transportation by ambulance
715537001
SNOMED CT
2.16.840.1.113883.6.96
Ambulance contact
Transportation by helicopter air ambulance
715540001
SNOMED CT
2.16.840.1.113883.6.96
Traumaheli contact
Office visit
180221000146106
SNOMED CT
2.16.840.1.113883.6.96
Praktijkbezoek
Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
ReasonCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3
Binding: Extensible
Status: Active
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Encounter for check up
185349003
SNOMED CT
2.16.840.1.113883.6.96
Controle
New patient consultation
185387006
SNOMED CT
2.16.840.1.113883.6.96
Intake
Screening procedure
20135006
SNOMED CT
2.16.840.1.113883.6.96
Screening
Counseling
409063005
SNOMED CT
2.16.840.1.113883.6.96
Adviesgesprek
Confirmatory medical consultation
77406008
SNOMED CT
2.16.840.1.113883.6.96
Second opinion
Discussion about options
223487003
SNOMED CT
2.16.840.1.113883.6.96
Bespreken beleid
Encounter for sign
185346005
SNOMED CT
2.16.840.1.113883.6.96
Verandering klachten
Follow-up consultation
281036007
SNOMED CT
2.16.840.1.113883.6.96
Follow-up
Education
409073007
SNOMED CT
2.16.840.1.113883.6.96
Voorlichting/Instructie
Clinical trial
110465008
SNOMED CT
2.16.840.1.113883.6.96
Wetenschappelijk onderzoek
Physician contact assessment
410140003
SNOMED CT
2.16.840.1.113883.6.96
Nagesprek
Encounter for acute problem
180201000146103
SNOMED CT
2.16.840.1.113883.6.96
Acuut probleem
Care provision regime
225351009
SNOMED CT
2.16.840.1.113883.6.96
Verzorging/verpleging
Keeping vigil of dying patient
180311000146105
SNOMED CT
2.16.840.1.113883.6.96
Waken
Evaluation of diagnostic study results
370851004
SNOMED CT
2.16.840.1.113883.6.96
Bespreken uitslagen/metingen
Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
This information model in other releases Information model references This information model refers to 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.
HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads This information model is also available as pdf file spreadsheet
About this information The information in this wikipage is based on Release 2024
SNOMED Clinical Terms versie: 20250331 [R] (maart 2025-editie)
LOINC version 2.77
Conditions for use are located on the mainpage
Encounter
DateTime
or as spreadsheet 