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
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"?> <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</b> </p> <p> <b> identifier</b> : id: Encounter_Roel_20130311 (TEMP)</p> <p> <b> status</b> : finished</p> <h3> StatusHistories</h3> <table> <tr> <td> -</td> <td> <b> Status</b> </td> <td> <b> Period</b> </td> </tr> <tr> <td> *</td> <td> arrived</td> <td> 2013-03-08 --> (ongoing)</td> </tr> </table> <p> <b> class</b> : <span> inpatient encounter</span> </p> <p> <b> type</b> : <span> Inpatient stay for nine days</span> </p> <p> <b> priority</b> : <span> High priority</span> </p> <p> <b> subject</b> : <a> Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span> Legally married</span> ; </a> </p> <p> <b> episodeOfCare</b> : <a> Generated Summary: id: 123; status: active; <span> Home and Community Care</span> ; period: 2014-09-01 --> (ongoing)</a> </p> <p> <b> basedOn</b> : <a> Generated Summary: id: ret4421; id: 1234; status: active; intent: order; <span> Patient referral to specialist</span> ; priority: routine; <span> Insertion of grommets</span> ; occurrence: ?ngen-2? --> 2014-03-14; authoredOn: 2014-02-14; <span> ENT</span> ; <span> For consideration of Grommets</span> ; 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)</a> </p> <h3> Participants</h3> <table> <tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Individual</b> </td> </tr> <tr> <td> *</td> <td> <span> Participation</span> </td> <td> <a> Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a> </td> </tr> </table> <p> <b> appointment</b> : <a> Generated Summary: status: booked; <span> General Practice</span> ; <span> General Discussion</span> ; <span> General practice</span> ; <span> A follow up visit from a previous appointment</span> ; 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.</a> </p> <p> <b> period</b> : 2013-03-11 --> 2013-03-20</p> <p> <b> reasonCode</b> : <span> The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.</span> </p> <blockquote> <p> <b> diagnosis</b> </p> <p> <b> condition</b> : <a> Generated Summary: <span> Active</span> ; <span> Confirmed</span> ; <span> Encounter Diagnosis</span> ; <span> Stroke</span> ; onset: 2010-07-18</a> </p> <p> <b> use</b> : <span> Admission diagnosis</span> </p> <p> <b> rank</b> : 1</p> </blockquote> <blockquote> <p> <b> diagnosis</b> </p> <p> <b> condition</b> : <a> Generated Summary: id: 12345; <span> Resolved</span> ; <span> Confirmed</span> ; <span> Problem</span> ; <span> Mild</span> ; <span> Fever</span> ; <span> Entire body as a whole</span> ; onset: 2013-04-02; abatement: around April 9, 2013; recordedDate: 2013-04-04</a> </p> <p> <b> use</b> : <span> Discharge diagnosis</span> </p> </blockquote> <p> <b> account</b> : <a> Generated Summary: id: 654321; status: active; <span> patient</span> ; name: HACC Funded Billing for Peter James Chalmers; servicePeriod: 2016-01-01 --> 2016-06-30; description: Hospital charges</a> </p> <h3> Hospitalizations</h3> <table> <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> Generated Summary: id: B1-S.F2.1.00; status: suspended; <span> Housekeeping</span> ; 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; <span> Neuroradiology unit</span> ; Phone: 2329; <span> Room</span> </a> </td> <td> <span> Clinical Oncology Department</span> </td> <td> <span> readmitted</span> </td> <td> <span> Fluid balance regulation</span> </td> <td> <span> normal courtesy</span> </td> <td> <span> Wheelchair</span> </td> <td> <a> Generated Summary: id: B1-S.F2.1.00; status: suspended; <span> Housekeeping</span> ; 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; <span> Neuroradiology unit</span> ; Phone: 2329; <span> Room</span> </a> </td> </tr> </table> <p> <b> serviceProvider</b> : <a> Generated Summary: id: 666666; name: XYZ Insurance; alias: ABC Insurance</a> </p> <p> <b> partOf</b> : <a> Generated Summary: id: Encounter_Roel_20130311 (TEMP); status: finished; <span> inpatient encounter</span> ; <span> Inpatient stay for nine days</span> ; <span> High priority</span> ; period: 2013-03-11 --> 2013-03-20; <span> The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.</span> </a> </p> </div> </text> <identifier> <use value="temp"/> <value value="Encounter_Roel_20130311"/> </identifier> <status value="finished"/> <statusHistory> <status value="arrived"/> <period> <start value="2013-03-08"/> </period> </statusHistory> <!-- Encounter has finished --> <class> <!-- Inpatient encounter for straphylococcus infection --> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> <display value="inpatient encounter"/> </class> <type> <coding> <system value="http://snomed.info/sct"/> <code value="183807002"/> <display value="Inpatient stay for nine days"/> </coding> </type> <priority> <!-- High priority --> <coding> <system value="http://snomed.info/sct"/> <code value="394849002"/> <display value="High priority"/> </coding> </priority> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <episodeOfCare> <reference value="EpisodeOfCare/example"/> </episodeOfCare> <basedOn> <reference value="ServiceRequest/myringotomy"/> </basedOn> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PART"/> </coding> </type> <individual> <reference value="Practitioner/f201"/> </individual> </participant> <appointment> <reference value="Appointment/example"/> </appointment> <period> <start value="2013-03-11"/> <end value="2013-03-20"/> </period> <reasonCode> <text value="The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy."/> </reasonCode> <diagnosis> <condition> <reference value="Condition/stroke"/> </condition> <use> <coding> <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> <code value="AD"/> <display value="Admission diagnosis"/> </coding> </use> <rank value="1"/> </diagnosis> <diagnosis> <condition> <reference value="Condition/f201"/> </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 --> <hospitalization> <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 --> <dietPreference> <coding> <system value="http://snomed.info/sct"/> <code value="276026009"/> <display value="Fluid balance regulation"/> </coding> </dietPreference> <specialCourtesy> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"/> <code value="NRM"/> <display value="normal courtesy"/> </coding> </specialCourtesy> <specialArrangement> <coding> <system value="http://terminology.hl7.org/CodeSystem/encounter-special-arrangements"/> <code value="wheel"/> <display value="Wheelchair"/> </coding> </specialArrangement> <destination> <!-- Fictive --> <reference value="Location/2"/> </destination> </hospitalization> <serviceProvider> <reference value="Organization/2"/> </serviceProvider> <partOf> <reference value="Encounter/f203"/> </partOf> </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.