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Patient Administration Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
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Real-world encounter example
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:Encounter; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f203"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<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 (TEMP)</p><p><b>status</b>: completed</p><h3>StatusHistories</h3><table class=\"grid\"><tr><td>-</td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>in-progress</td><td>2013-03-08 --> (ongoing)</td></tr></table><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/3.1.0/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/3.1.0/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><h3>Reasons</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><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"condition-example-stroke.html\">Condition/stroke</a></p><p><b>use</b>: Admission diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-diagnosis-role.html\">DiagnosisRole</a>#AD)</span></p><p><b>rank</b>: 1</p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"condition-example-f201-fever.html\">Condition/f201</a></p><p><b>use</b>: Discharge diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-diagnosis-role.html\">DiagnosisRole</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><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>DietPreference</b></td><td><b>SpecialCourtesy</b></td><td><b>SpecialArrangement</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 \">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></td><td>normal courtesy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-EncounterSpecialCourtesy.html\">EncounterSpecialCourtesy</a>#NRM)</span></td><td>Wheelchair <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-encounter-special-arrangements.html\">Special arrangements</a>#wheel)</span></td><td><a href=\"location-example-room.html\">Location/2</a> "South Wing Neuro OR 1"</td></tr></table></div>" ]; fhir:Encounter.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "temp" ]; fhir:Identifier.value [ fhir:value "Encounter_Roel_20130311" ] ]; fhir:Encounter.status [ fhir:value "completed"]; fhir:Encounter.statusHistory [ fhir:index 0; fhir:Encounter.statusHistory.status [ fhir:value "in-progress" ]; fhir:Encounter.statusHistory.period [ fhir:Period.start [ fhir:value "2013-03-08"^^xsd:date ] ] ]; fhir:Encounter.class [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ]; fhir:Coding.code [ fhir:value "IMP" ]; fhir:Coding.display [ fhir:value "inpatient encounter" ] ] ]; fhir:Encounter.priority [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:394849002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "394849002" ]; fhir:Coding.display [ fhir:value "High priority" ] ] ]; fhir:Encounter.type [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:183807002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "183807002" ]; fhir:Coding.display [ fhir:value "Inpatient stay for nine days" ] ] ]; fhir:Encounter.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:Encounter.episodeOfCare [ fhir:index 0; fhir:Reference.reference [ fhir:value "EpisodeOfCare/example" ] ]; fhir:Encounter.basedOn [ fhir:index 0; fhir:Reference.reference [ fhir:value "ServiceRequest/myringotomy" ] ]; fhir:Encounter.partOf [ fhir:Reference.reference [ fhir:value "Encounter/f203" ] ]; fhir:Encounter.serviceProvider [ fhir:Reference.reference [ fhir:value "Organization/2" ] ]; fhir:Encounter.participant [ fhir:index 0; fhir:Encounter.participant.type [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ]; fhir:Coding.code [ fhir:value "PART" ] ] ]; fhir:Encounter.participant.actor [ fhir:Reference.reference [ fhir:value "Practitioner/f201" ] ] ]; fhir:Encounter.appointment [ fhir:index 0; fhir:Reference.reference [ fhir:value "Appointment/example" ] ]; fhir:Encounter.actualPeriod [ fhir:Period.start [ fhir:value "2013-03-11"^^xsd:date ]; fhir:Period.end [ fhir:value "2013-03-20"^^xsd:date ] ]; fhir:Encounter.reason [ fhir:index 0; fhir:CodeableReference.concept [ fhir:CodeableConcept.text [ fhir:value "The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy." ] ] ]; fhir:Encounter.diagnosis [ fhir:index 0; fhir:Encounter.diagnosis.condition [ fhir:Reference.reference [ fhir:value "Condition/stroke" ] ]; fhir:Encounter.diagnosis.use [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ]; fhir:Coding.code [ fhir:value "AD" ]; fhir:Coding.display [ fhir:value "Admission diagnosis" ] ] ]; fhir:Encounter.diagnosis.rank [ fhir:value "1"^^xsd:positiveInteger ] ], [ fhir:index 1; fhir:Encounter.diagnosis.condition [ fhir:Reference.reference [ fhir:value "Condition/f201" ] ]; fhir:Encounter.diagnosis.use [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ]; fhir:Coding.code [ fhir:value "DD" ]; fhir:Coding.display [ fhir:value "Discharge diagnosis" ] ] ] ]; fhir:Encounter.account [ fhir:index 0; fhir:Reference.reference [ fhir:value "Account/example" ] ]; fhir:Encounter.admission [ fhir:Encounter.admission.origin [ fhir:Reference.reference [ fhir:value "Location/2" ] ]; fhir:Encounter.admission.admitSource [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:309902002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "309902002" ]; fhir:Coding.display [ fhir:value "Clinical Oncology Department" ] ] ]; fhir:Encounter.admission.reAdmission [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "readmitted" ] ] ]; fhir:Encounter.admission.dietPreference [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:276026009; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "276026009" ]; fhir:Coding.display [ fhir:value "Fluid balance regulation" ] ] ]; fhir:Encounter.admission.specialCourtesy [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy" ]; fhir:Coding.code [ fhir:value "NRM" ]; fhir:Coding.display [ fhir:value "normal courtesy" ] ] ]; fhir:Encounter.admission.specialArrangement [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/encounter-special-arrangements" ]; fhir:Coding.code [ fhir:value "wheel" ]; fhir:Coding.display [ fhir:value "Wheelchair" ] ] ]; fhir:Encounter.admission.destination [ fhir:Reference.reference [ fhir:value "Location/2" ] ] ]] . # - ontology header ------------------------------------------------------------ [a owl:Ontology; owl:imports fhir:fhir.ttl] . # -------------------------------------------------------------------------------------
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.