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Encounter-example-f203-20130311.xml

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

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Real-world encounter example (id = "f203")

<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 with Details</b> </p> <p> <b> id</b> : f203</p> <p> <b> identifier</b> : 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> Mar 8, 2013 --&gt; (ongoing)</td> </tr> </table> <p> <b> class</b> : inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code
         IMP = 'inpatient encounter', stated as 'inpatient encounter')</p> <p> <b> type</b> : Inpatient stay for nine days <span> (Details : {SNOMED CT code '183807002' = 'Inpatient stay 9 days', given as 'Inpatient
           stay for nine days'})</span> </p> <p> <b> priority</b> : High priority <span> (Details : {SNOMED CT code '394849002' = 'High priority', given as 'High priority'})</span> </p> <p> <b> subject</b> : <a> Roel</a> </p> <p> <b> episodeOfCare</b> : <a> EpisodeOfCare/example</a> </p> <p> <b> basedOn</b> : <a> ServiceRequest/myringotomy</a> </p> <h3> Participants</h3> <table> <tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Individual</b> </td> </tr> <tr> <td> *</td> <td> Participation <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PART' = 'Participation)</span> </td> <td> <a> Practitioner/f201</a> </td> </tr> </table> <p> <b> appointment</b> : <a> Appointment/example</a> </p> <p> <b> period</b> : Mar 11, 2013 --&gt; Mar 20, 2013</p> <p> <b> reason</b> : The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely
         due to chemotherapy. <span> (Details )</span> </p> <blockquote> <p> <b> diagnosis</b> </p> <p> <b> condition</b> : <a> Condition/stroke</a> </p> <p> <b> role</b> : Admission diagnosis <span> (Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'AD' = 'Admission
             diagnosis', given as 'Admission diagnosis'})</span> </p> <p> <b> rank</b> : 1</p> </blockquote> <blockquote> <p> <b> diagnosis</b> </p> <p> <b> condition</b> : <a> Condition/f201</a> </p> <p> <b> role</b> : Discharge diagnosis <span> (Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'DD' = 'Discharge
             diagnosis', given as 'Discharge diagnosis'})</span> </p> </blockquote> <p> <b> account</b> : <a> Account/example</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> Location/2</a> </td> <td> Clinical Oncology Department <span> (Details : {SNOMED CT code '309902002' = 'Clinical oncology department', given as 'Clinical
               Oncology Department'})</span> </td> <td> readmitted <span> (Details : {[not stated] code 'null' = 'null', given as 'readmitted'})</span> </td> <td> Fluid balance regulation <span> (Details : {SNOMED CT code '276026009' = 'Fluid balance regulation', given as 'Fluid balance
               regulation'})</span> </td> <td> normal courtesy <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy code 'NRM'
               = 'normal courtesy', given as 'normal courtesy'})</span> </td> <td> Wheelchair <span> (Details : {http://terminology.hl7.org/CodeSystem/encounter-special-arrangements code
               'wheel' = 'Wheelchair', given as 'Wheelchair'})</span> </td> <td> <a> Location/2</a> </td> </tr> </table> <p> <b> serviceProvider</b> : <a> Organization/2</a> </p> <p> <b> partOf</b> : <a> Encounter/f203</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> 
    <reason> 
        <text value="The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely
     due to chemotherapy."/> 
    </reason> 
    <diagnosis> 
      <condition> 
          <reference value="Condition/stroke"/> 
      </condition> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> 
          <code value="AD"/> 
          <display value="Admission diagnosis"/> 
        </coding> 
      </role> 
      <rank value="1"/> 
    </diagnosis> 
    <diagnosis> 
      <condition> 
          <reference value="Condition/f201"/> 
      </condition> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/> 
          <code value="DD"/> 
          <display value="Discharge diagnosis"/> 
        </coding> 
      </role> 
    </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.