Administration
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| Responsible Owner: Patient Administration Work Group | Standards Status : Informative | Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw XML ( canonical form + also see XML Format Specification )
Real-world encounter example (id = "f203")
<?xml version="1.0" encoding="UTF-8"?> <Encounter xmlns="http://hl7.org/fhir">: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')(Details : {SNOMED CT code '183807002' = 'Inpatient stay 9 days', given as 'Inpatient stay for nine days'}): The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy. (Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'AD' = 'Admission diagnosis', given as 'Admission diagnosis'})(Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'DD' = 'Discharge diagnosis', given as 'Discharge diagnosis'})(Details : {SNOMED CT code '309902002' = 'Clinical oncology department', given as 'Clinical Oncology Department'})(Details : {SNOMED CT code '276026009' = 'Fluid balance regulation', given as 'Fluid balance regulation'})(Details : {http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy code 'NRM' = 'normal courtesy', given as 'normal courtesy'})(Details : {http://terminology.hl7.org/CodeSystem/encounter-special-arrangements code 'wheel' = 'Wheelchair', given as 'Wheelchair'}) The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.<id value="f203"/> <identifier> <use value="temp"/> <value value="Encounter_Roel_20130311"/> </identifier> <status value="completed"/> <!-- Encounter has been completed --> <class> <coding> <!-- Inpatient encounter for straphylococcus infection --> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> <display value="inpatient encounter"/> </coding> </class> <priority> <!-- High priority --> <coding> <system value="http://snomed.info/sct"/> <code value="394849002"/> <display value="High priority"/> </coding> </priority> <type> <coding> <system value="http://snomed.info/sct"/> <code value="183807002"/> <display value="Inpatient stay 9 days"/> </coding> </type> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <episodeOfCare> <reference value="EpisodeOfCare/example"/> </episodeOfCare> <basedOn> <reference value="ServiceRequest/myringotomy"/> </basedOn> <partOf> <reference value="Encounter/f203"/> </partOf> <serviceProvider> <reference value="Organization/2"/> </serviceProvider> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PART"/> </coding> </type> <actor> <reference value="Practitioner/f201"/> </actor> </participant> <appointment> <reference value="Appointment/example"/> </appointment> <actualPeriod> <start value="2013-03-11"/> <end value="2013-03-20"/> </actualPeriod> <reason> <value> <concept> <text value="The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy."/> </concept> </value> </reason> <diagnosis> <condition> <reference> <reference value="Condition/stroke"/> </reference> </condition> <use> <coding> <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> <code value="AD"/> <display value="Admission diagnosis"/> </coding> </use> </diagnosis> <diagnosis> <condition> <reference> <reference value="Condition/f201"/> </reference> </condition> <use> <coding> <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> <code value="DD"/> <display value="Discharge diagnosis"/> </coding> </use> </diagnosis> <account> <reference value="Account/example"/> </account> <!-- No indication, because no referral took place --> <dietPreference> <coding> <system value="http://snomed.info/sct"/> <code value="276026009"/> <display value="Fluid balance regulation"/> </coding> </dietPreference> <specialArrangement> <coding> <system value="http://terminology.hl7.org/CodeSystem/encounter-special-arrangements"/> <code value="wheel"/> <display value="Wheelchair"/> </coding> </specialArrangement> <specialCourtesy> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"/> <code value="NRM"/> <display value="normal courtesy"/> </coding> </specialCourtesy> <admission> <origin> <reference value="Location/2"/> </origin> <admitSource> <coding> <system value="http://snomed.info/sct"/> <code value="309902002"/> <display value="Clinical Oncology Department"/> </coding> </admitSource> <reAdmission> <coding> <display value="readmitted"/> </coding> </reAdmission> <!-- accomodation details are not available --> <destination> <!-- Fictive --> <reference value="Location/2"/> </destination> </admission> </ Encounter >
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.
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