MediRecords FHIR Implementation Guide
1.4.1 - release


: MR Admissions Emergency Encounter Discharge Example - XML Representation

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="4a2bfa1d-e10f-4858-b76a-45ac30584146"/>
  <meta>
    <lastUpdated value="2021-10-25T01:43:30Z"/>
    <profile
             value="https://fhir.medirecords.com/StructureDefinition/mr-encounter-admission"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="4a2bfa1d-e10f-4858-b76a-45ac30584146"> </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;4a2bfa1d-e10f-4858-b76a-45ac30584146&quot; Updated &quot;2021-10-25 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>MR Comment Note Extension</b>: Administrative Discharge of the Patient from ED</p><p><b>Encounter Mode Of Arrival</b>: Police/Correctional Services Vehicle (Details: https://fhir.medirecords.com/CodeSystem/mr-transfer-mode code 7 = 'Police/Correctional Services Vehicle', stated as 'Police/Correctional Services Vehicle')</p><p><b>identifier</b>: Visit number/EMG-8</p><p><b>status</b>: finished</p><p><b>class</b>: emergency (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code EMER = 'emergency', stated as 'emergency')</p><p><b>priority</b>: 3 - Urgent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActPriority.html">ActPriority</a>#A)</span></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="PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413: Dr David Jones</a></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="PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413: Dr David Jones</a></p></blockquote><p><b>period</b>: 2024-01-11 00:30:34+0000 --&gt; 2024-01-11 00:34:50+0000</p><p><b>reasonCode</b>: Chorioretinal rupture <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#231999002)</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>
  </text>
  <extension
             url="https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext">
    <valueString value="Administrative Discharge of the Patient from ED"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival">
    <valueCoding>
      <system
              value="https://fhir.medirecords.com/CodeSystem/mr-transfer-mode"/>
      <code value="7"/>
      <display value="Police/Correctional Services Vehicle"/>
    </valueCoding>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="VN"/>
        <display value="Visit number"/>
      </coding>
    </type>
    <system value="urn:uuid:3baa0d8c-9d3a-4325-a036-dfb3ff5b89d1"/>
    <value value="EMG-8"/>
  </identifier>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="EMER"/>
    <display value="emergency"/>
  </class>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"/>
      <code value="A"/>
    </coding>
    <text value="3 - Urgent"/>
  </priority>
  <subject>🔗 
    <reference value="Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
  </subject>
  <participant>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="REF"/>
        <display value="referrer"/>
      </coding>
    </type>
    <individual>🔗 
      <reference
                 value="PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413"/>
      <display value="Dr David Jones"/>
    </individual>
  </participant>
  <participant>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="ATND"/>
        <display value="attender"/>
      </coding>
    </type>
    <individual>🔗 
      <reference value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
      <display value="John Smith"/>
    </individual>
  </participant>
  <participant>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="59058001"/>
        <display value="General physician"/>
      </coding>
    </type>
    <individual>🔗 
      <reference
                 value="PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413"/>
      <display value="Dr David Jones"/>
    </individual>
  </participant>
  <period>
    <start value="2024-01-11T00:30:34Z"/>
    <end value="2024-01-11T00:34:50Z"/>
  </period>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="231999002"/>
      <display value="Chorioretinal rupture"/>
    </coding>
    <text value="Chorioretinal rupture"/>
  </reasonCode>
  <location>
    <location>🔗 
      <reference value="Location/fecf67b7-3b3e-4c22-b422-38a8436162e5"/>
      <display value="Red Room Bed 1"/>
    </location>
    <physicalType>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
        <code value="bd"/>
        <display value="Bed"/>
      </coding>
    </physicalType>
  </location>
  <serviceProvider>🔗 
    <reference value="Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
    <display value="Practice FHIR"/>
  </serviceProvider>
</Encounter>