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| Patient Administration Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , 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"?>: 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.<Encounter xmlns="http://hl7.org/fhir"> <id value="f203"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Encounter</b> <a name="f203"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter "f203" </p> </div> <p> <b> identifier</b> : id: Encounter_Roel_20130311 (use: TEMP)</p> <p> <b> status</b> : completed</p> <p> <b> class</b> : <span title=" Encounter has been completed ">inpatient encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html">ActCode</a> #IMP)</span> </span> </p> <p> <b> priority</b> : High priority <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #394849002)</span> </p> <p> <b> type</b> : Inpatient stay for nine days <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #183807002)</span> </p> <p> <b> subject</b> : <a href="patient-example-f201-roel.html">Patient/f201: Roel</a> "Roel"</p> <p> <b> episodeOfCare</b> : <a href="episodeofcare-example.html">EpisodeOfCare/example</a> </p> <p> <b> basedOn</b> : <a href="servicerequest-example-myringotomy.html">ServiceRequest/myringotomy</a> </p> <p> <b> partOf</b> : <a href="encounter-example-f203-20130311.html">Encounter/f203</a> </p> <p> <b> serviceProvider</b> : <a href="organization-example-insurer.html">Organization/2</a> "XYZ Insurance"</p> <h3> Participants</h3> <table class="grid"><tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> Participation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a> #PART)</span> </td> <td> <a href="practitioner-example-f201-ab.html">Practitioner/f201</a> "Dokter Bronsig"</td> </tr> </table> <p> <b> appointment</b> : <a href="appointment-example.html">Appointment/example</a> </p> <p> <b> actualPeriod</b> : 2013-03-11 --> 2013-03-20</p> <blockquote> <p> <b> reason</b> </p> <h3> Values</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </td> </tr> </table> </blockquote> <blockquote> <p> <b> diagnosis</b> </p> <h3> Conditions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a href="condition-example-stroke.html">Condition/stroke</a> </td> </tr> </table> <p> <b> use</b> : Admission diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a> #AD)</span> </p> </blockquote> <blockquote> <p> <b> diagnosis</b> </p> <h3> Conditions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a href="condition-example-f201-fever.html">Condition/f201</a> </td> </tr> </table> <p> <b> use</b> : Discharge diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a> #DD)</span> </p> </blockquote> <p> <b> account</b> : <a href="account-example.html">Account/example</a> "HACC Funded Billing for Peter James Chalmers"</p> <p> <b> dietPreference</b> : <span title=" No indication, because no referral took place ">Fluid balance regulation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #276026009)</span> </span> </p> <p> <b> specialArrangement</b> : Wheelchair <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-encounter-special-arrangements.html">Special arrangements</a> #wheel)</span> </p> <p> <b> specialCourtesy</b> : normal courtesy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-EncounterSpecialCourtesy.html">EncounterSpecialCourtesy</a> #NRM)</span> </p> <h3> Admissions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Origin</b> </td> <td> <b> AdmitSource</b> </td> <td> <b> ReAdmission</b> </td> <td> <b> Destination</b> </td> </tr> <tr> <td> *</td> <td> <a href="location-example-room.html">Location/2</a> "South Wing Neuro OR 1"</td> <td> Clinical Oncology Department <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #309902002)</span> </td> <td> readmitted <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated])</span> </td> <td> <span title=" accomodation details are not available "><a href="location-example-room.html">Location/2</a> "South Wing Neuro OR 1"</span> </td> </tr> </table> </div> </text> <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 for nine 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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