Release 5 R6 Ballot (2nd Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot2: Release 6 Ballot (2nd Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Example Encounter/f203 (Narrative)

Patient Administration Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner , RelatedPerson

This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile Encounter .


Generated Narrative: Encounter f203

Resource Encounter "f203"

identifier : id: Encounter_Roel_20130311 (use: TEMP) Encounter_Roel_20130311 (use: temp, )

status : completed

class : inpatient encounter ( ActCode #IMP)

priority : High priority ( SNOMED CT #394849002)

type : Inpatient stay for nine 9 days ( SNOMED CT #183807002)

subject : Patient/f201: Roel "Roel"

episodeOfCare : EpisodeOfCare/example EpisodeOfCare: identifier = http://example.org/sampleepisodeofcare-identifier#123; status = active; type = Home and Community Care; period = 2014-09-01 --> (ongoing)

basedOn : ServiceRequest/myringotomy ServiceRequest Myringotomy and insertion of short-term grommet

partOf : Encounter/f203 Encounter: identifier = Encounter_Roel_20130311 (use: temp, ); status = completed; class = inpatient encounter; priority = High priority; type = Inpatient stay 9 days; actualPeriod = 2013-03-11 --> 2013-03-20; dietPreference = Fluid balance regulation; specialArrangement = Wheelchair; specialCourtesy = normal courtesy

serviceProvider : Organization/2 Organization XYZ Insurance "XYZ Insurance"

Participants

- Type Actor
* Participation ( ParticipationType #PART) Practitioner/f201 Practitioner Dokter Bronsig(official) "Dokter Bronsig"

appointment : Appointment/example Appointment: status = booked; class = ambulatory; serviceCategory = General Practice; specialty = General practice (specialty); appointmentType = A follow up visit from a previous appointment; description = Discussion on the results of your recent MRI; start = 2013-12-10T09:00:00Z; end = 2013-12-10T11:00:00Z; created = 2013-10-10; note = Further expand on the results of the MRI and determine the next actions that may be appropriate.

actualPeriod : 2013-03-11 --> 2013-03-20

reason

Values

- Concept
* The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy. ()

diagnosis

Conditions

- Reference
* Condition/stroke Condition Ischemic stroke (disorder)

use : Admission diagnosis ( Diagnosis Role #AD)

diagnosis

Conditions

- Reference
* Condition/f201 Condition Fever

use : Discharge diagnosis ( Diagnosis Role #DD)

account : Account/example "HACC Account HACC Funded Billing for Peter James Chalmers" Chalmers

dietPreference : Fluid balance regulation ( SNOMED CT #276026009)

specialArrangement : Wheelchair ( Special arrangements #wheel)

specialCourtesy : normal courtesy ( EncounterSpecialCourtesy #NRM)

Admissions

- Origin AdmitSource ReAdmission Destination
* Location/2 "South Location South Wing Neuro OR 1" 1 Clinical Oncology Department ( SNOMED CT #309902002) readmitted ([not stated]) Location/2 "South Location South Wing Neuro OR 1" 1

 

Other examples that reference this example: Condition/Sepsis Condition/Renal insufficiency Encounter/March 11th 2013 MedicationStatement/Nullified  

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.