Release 4

Encounter-example-f003-abscess.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 = "f003")

<?xml version="1.0" encoding="UTF-8"?>

<Encounter xmlns="http://hl7.org/fhir">
  <id value="f003"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : f003</p> <p> <b> identifier</b> : v6751 (OFFICIAL)</p> <p> <b> status</b> : finished</p> <p> <b> class</b> : ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory',
         stated as 'ambulatory')</p> <p> <b> type</b> : Patient-initiated encounter <span> (Details : {SNOMED CT code '270427003' = 'Patient-initiated encounter', given as 'Patient-initiated
           encounter'})</span> </p> <p> <b> priority</b> : Non-urgent ear, nose and throat admission <span> (Details : {SNOMED CT code '103391001' = 'Urgency', given as 'Non-urgent ear, nose and
           throat admission'})</span> </p> <p> <b> subject</b> : <a> P. van de Heuvel</a> </p> <h3> Participants</h3> <table> <tr> <td> -</td> <td> <b> Individual</b> </td> </tr> <tr> <td> *</td> <td> <a> E.M. van den Broek</a> </td> </tr> </table> <p> <b> length</b> : 90 min<span>  (Details: UCUM code min = 'min')</span> </p> <p> <b> reasonCode</b> : Retropharyngeal abscess <span> (Details : {SNOMED CT code '18099001' = 'Retropharyngeal abscess', given as 'Retropharyngeal
           abscess'})</span> </p> <h3> Hospitalizations</h3> <table> <tr> <td> -</td> <td> <b> PreAdmissionIdentifier</b> </td> <td> <b> AdmitSource</b> </td> <td> <b> DischargeDisposition</b> </td> </tr> <tr> <td> *</td> <td> 93042 (OFFICIAL)</td> <td> Referral by physician <span> (Details : {SNOMED CT code '305956004' = 'Referral from physician', given as 'Referral
               by physician'})</span> </td> <td> Discharge to home <span> (Details : {SNOMED CT code '306689006' = 'Discharge to home', given as 'Discharge to home'})</span> </td> </tr> </table> <p> <b> serviceProvider</b> : <a> Organization/f001</a> </p> </div> </text> <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/zorgportal/identifiers/encounters"/> 
    <value value="v6751"/> 
  </identifier> 
  <status value="finished"/> 
  <class> 
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
    <code value="AMB"/> 
    <!--    outpatient    -->
    <display value="ambulatory"/> 
  </class> 
  <type> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="270427003"/> 
      <display value="Patient-initiated encounter"/> 
    </coding> 
  </type> 
  <priority> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="103391001"/> 
      <display value="Non-urgent ear, nose and throat admission"/> 
    </coding> 
  </priority> 
  <subject> 
    <reference value="Patient/f001"/> 
    <display value="P. van de Heuvel"/> 
  </subject> 
  <participant> 
    <individual> 
      <reference value="Practitioner/f001"/> 
      <display value="E.M. van den Broek"/> 
    </individual> 
  </participant> 
  <length> 
    <value value="90"/> 
    <unit value="min"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="min"/> 
  </length> 
  <reasonCode> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="18099001"/> 
      <display value="Retropharyngeal abscess"/> 
    </coding> 
  </reasonCode> 
  <hospitalization> 
    <preAdmissionIdentifier> 
      <use value="official"/> 
      <system value="http://www.bmc.nl/zorgportal/identifiers/pre-admissions"/> 
      <value value="93042"/> 
    </preAdmissionIdentifier> 
    <!--        <preAdmissionTest>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="168719007"/>
                <display value="Neck soft tissue X-ray"/>
            </coding>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="396550006"/>
                <display value="Blood test"/>
            </coding>
        </preAdmissionTest>    -->
    <admitSource> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="305956004"/> 
        <display value="Referral by physician"/> 
      </coding> 
    </admitSource> 
    <dischargeDisposition> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="306689006"/> 
        <display value="Discharge to home"/> 
      </coding> 
    </dischargeDisposition> 
  </hospitalization> 
  <serviceProvider> 
    <reference value="Organization/f001"/> 
  </serviceProvider> 
</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.