Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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.xml

Patient Administration Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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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> : completed</p> <h3> StatusHistories</h3> <table> <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 --&gt; (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 --&gt; (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? --&gt; 2014-03-14; authoredOn: 2014-02-14; <span> ENT</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> ; 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 --&gt; 2013-03-20</p> <h3> Reasons</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <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 --&gt;
           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: completed; <span> inpatient encounter</span> ; <span> Inpatient stay for nine days</span> ; <span> High priority</span> ; period: 2013-03-11 --&gt; 2013-03-20</a> </p> </div> </text> <identifier> 
        <use value="temp"/> 
        <value value="Encounter_Roel_20130311"/> 
    </identifier> 
    <status value="completed"/> 
    <statusHistory> 
        <status value="in-progress"/> 
        <period> 
            <start value="2013-03-08"/> 
        </period> 
    </statusHistory> 
    <!--   Encounter has been completed   -->
    <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> 
    <reason> 
      <concept> 
        <text value="The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely
       due to chemotherapy."/> 
      </concept> 
    </reason> 
    <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.