Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Encounter-example-f203-20130311

Patient Administration Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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

identifier: id: Encounter_Roel_20130311 (TEMP)

status: finished

StatusHistories

-StatusPeriod
*arrived2013-03-08 --> (ongoing)

class: inpatient encounter

type: Inpatient stay for nine days

priority: High priority

subject: Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; Legally married;

episodeOfCare: Generated Summary: id: 123; status: active; Home and Community Care; period: 2014-09-01 --> (ongoing)

basedOn: Generated Summary: id: ret4421; id: 1234; status: active; intent: order; Patient referral to specialist; priority: routine; Insertion of grommets; occurrence: ?ngen-2? --> 2014-03-14; authoredOn: 2014-02-14; ENT; For consideration of Grommets; In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties. (By Serena Shrink @2014-02-14)

Participants

-TypeIndividual
*ParticipationGenerated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24

appointment: Generated Summary: status: booked; General Practice; General Discussion; General practice; A follow up visit from a previous appointment; 5; description: Discussion on the results of your recent MRI; start: 10 Dec. 2013, 8:00:00 pm; end: 10 Dec. 2013, 10:00:00 pm; created: 2013-10-10; comment: Further expand on the results of the MRI and determine the next actions that may be appropriate.

period: 2013-03-11 --> 2013-03-20

reasonCode: The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.

diagnosis

condition: Generated Summary: Active; Confirmed; Encounter Diagnosis; Stroke; onset: 2010-07-18

use: Admission diagnosis

rank: 1

diagnosis

condition: Generated Summary: id: 12345; Resolved; Confirmed; Problem; Mild; Fever; Entire body as a whole; onset: 2013-04-02; abatement: around April 9, 2013; recordedDate: 2013-04-04

use: Discharge diagnosis

account: Generated Summary: id: 654321; status: active; patient; name: HACC Funded Billing for Peter James Chalmers; servicePeriod: 2016-01-01 --> 2016-06-30; description: Hospital charges

Hospitalizations

-OriginAdmitSourceReAdmissionDietPreferenceSpecialCourtesySpecialArrangementDestination
*Generated Summary: id: B1-S.F2.1.00; status: suspended; Housekeeping; name: South Wing Neuro OR 1; alias: South Wing OR 5, alias: Main Wing OR 2; description: Old South Wing, Neuro Radiology Operation Room 1 on second floor; mode: instance; Neuroradiology unit; Phone: 2329; RoomClinical Oncology DepartmentreadmittedFluid balance regulationnormal courtesyWheelchairGenerated Summary: id: B1-S.F2.1.00; status: suspended; Housekeeping; name: South Wing Neuro OR 1; alias: South Wing OR 5, alias: Main Wing OR 2; description: Old South Wing, Neuro Radiology Operation Room 1 on second floor; mode: instance; Neuroradiology unit; Phone: 2329; Room

serviceProvider: Generated Summary: id: 666666; name: XYZ Insurance; alias: ABC Insurance

partOf: Generated Summary: id: Encounter_Roel_20130311 (TEMP); status: finished; inpatient encounter; Inpatient stay for nine days; High priority; period: 2013-03-11 --> 2013-03-20; The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.

 

Other examples that reference this example:

  • Condition/Sepsis
  • Condition/Renal insufficiency
  • Encounter/March 11th 2013
  • MedicationStatement/Nullified

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    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.