MediRecords FHIR Implementation Guide
1.4.1 - release


: MR Admissions Urgent Encounter Admitted Example - JSON Representation

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{
  "resourceType" : "Encounter",
  "id" : "18d00462-a775-4d1b-821d-6b9d660238fa",
  "meta" : {
    "lastUpdated" : "2024-01-09T01:43:30Z",
    "profile" : [
      🔗 "https://fhir.medirecords.com/StructureDefinition/mr-encounter-admission"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"18d00462-a775-4d1b-821d-6b9d660238fa\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;18d00462-a775-4d1b-821d-6b9d660238fa&quot; Updated &quot;2024-01-09 01:43:30+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-encounter-admission.html\">MR Encounter Admission</a></p></div><p><b>Encounter plannedEndDate</b>: 2023-12-21</p><p><b>MR Comment Note Extension</b>: Urgent admission of a Patient to the ED</p><p><b>Encounter Mode Of Arrival</b>: Air Ambulance Service (Details: https://fhir.medirecords.com/CodeSystem/mr-transfer-mode code 5 = 'Air Ambulance Service', stated as 'Air Ambulance Service')</p><p><b>identifier</b>: Visit number/ADM-24</p><p><b>status</b>: in-progress</p><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>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</p><blockquote><p><b>participant</b></p><p><b>type</b>: referrer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#REF)</span></p><p><b>individual</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054: John Smith</a> &quot; SMITH&quot;</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: attender <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#ATND)</span></p><p><b>individual</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054: John Smith</a> &quot; SMITH&quot;</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: General physician <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#59058001)</span></p><p><b>individual</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html\">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054: John Smith</a> &quot; SMITH&quot;</p></blockquote><p><b>period</b>: 2023-12-20 00:09:00+0000 --&gt; (ongoing)</p><p><b>reasonCode</b>: Bleeds profusely <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#248252008)</span></p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-fecf67b7-3b3e-4c22-b422-38a8436162e5.html\">Location/fecf67b7-3b3e-4c22-b422-38a8436162e5: Red Room Bed 1</a></td><td>Bed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-location-physical-type.html\">Location type</a>#bd)</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ade47c8c-9eed-11ea-a6fa-3f7e286deed9.html\">Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9: Practice FHIR</a> &quot;Healthy Live Clinic&quot;</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate",
      "valueDateTime" : "2023-12-21"
    },
    {
      "url" : "https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext",
      "valueString" : "Urgent admission of a Patient to the ED"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival",
      "valueCoding" : {
        "system" : "https://fhir.medirecords.com/CodeSystem/mr-transfer-mode",
        "code" : "5",
        "display" : "Air Ambulance Service"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "VN",
            "display" : "Visit number"
          }
        ]
      },
      "system" : "urn:uuid:cea0fb1b-1719-4777-83d4-7d59461b54d2",
      "value" : "ADM-24"
    }
  ],
  "status" : "in-progress",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "IMP",
    "display" : "inpatient encounter"
  },
  "subject" : {
    🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
  },
  "participant" : [
    {
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code" : "REF",
              "display" : "referrer"
            }
          ]
        }
      ],
      "individual" : {
        🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
        "display" : "John Smith"
      }
    },
    {
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code" : "ATND",
              "display" : "attender"
            }
          ]
        }
      ],
      "individual" : {
        🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
        "display" : "John Smith"
      }
    },
    {
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "59058001",
              "display" : "General physician"
            }
          ]
        }
      ],
      "individual" : {
        🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
        "display" : "John Smith"
      }
    }
  ],
  "period" : {
    "start" : "2023-12-20T00:09:00Z"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "248252008",
          "display" : "Bleeds profusely"
        }
      ],
      "text" : "Bleeds profusely"
    }
  ],
  "location" : [
    {
      "location" : {
        🔗 "reference" : "Location/fecf67b7-3b3e-4c22-b422-38a8436162e5",
        "display" : "Red Room Bed 1"
      },
      "physicalType" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
            "code" : "bd",
            "display" : "Bed"
          }
        ]
      }
    }
  ],
  "serviceProvider" : {
    🔗 "reference" : "Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9",
    "display" : "Practice FHIR"
  }
}