MediRecords FHIR Implementation Guide
1.4.0 - release


: MR Admissions Planned Encounter Discharged Example - XML Representation

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="8b35277e-75c9-4cbf-a37a-e5bca54de792"/>
  <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="8b35277e-75c9-4cbf-a37a-e5bca54de792"> </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;8b35277e-75c9-4cbf-a37a-e5bca54de792&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>Encounter plannedStartDate</b>: 2023-10-20 01:00:00+0000</p><p><b>Encounter plannedEndDate</b>: 2023-10-22</p><p><b>MR Comment Note Extension</b>: Planned Encounter for a Patient who has been discharged from a Hospital</p><p><b>Encounter Mode Of Arrival</b>: Helicopter (Details: http://terminology.hl7.org/CodeSystem/v2-0430 code H = 'Helicopter', stated as 'Helicopter')</p><p><b>identifier</b>: Visit number/ADM-27</p><p><b>status</b>: finished</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/5.5.0/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>: anaesthetist <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#88189002)</span></p><p><b>individual</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40052.html">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40052: Dr Helen Mayo</a> &quot; MAYO&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/5.5.0/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>: 2023-10-20 01:22:00+0000 --&gt; 2023-10-20 01:33:00+0000</p><p><b>reasonCode</b>: Appendix haematoma <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#262858002)</span></p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td>Other location or Home <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (separation-mode-1#9 &quot;Other/Home&quot;)</span></td></tr></table><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/5.5.0/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: FHIR Practice</a> &quot;Healthy Live Clinic&quot;</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate">
    <valueDateTime value="2023-10-20T01:00:00Z"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate">
    <valueDateTime value="2023-10-22"/>
  </extension>
  <extension
             url="https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext">
    <valueString
                 value="Planned Encounter for a Patient who has been discharged from a Hospital"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival">
    <valueCoding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0430"/>
      <code value="H"/>
      <display value="Helicopter"/>
    </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:9a4a9b5f-b001-43a6-8ce9-2c0c97133e88"/>
    <value value="ADM-27"/>
  </identifier>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
    <display value="inpatient encounter"/>
  </class>
  <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://snomed.info/sct"/>
        <code value="88189002"/>
        <display value="anaesthetist"/>
      </coding>
    </type>
    <individual>🔗 
      <reference value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40052"/>
      <display value="Dr Helen Mayo"/>
    </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="2023-10-20T01:22:00Z"/>
    <end value="2023-10-20T01:33:00Z"/>
  </period>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="262858002"/>
      <display value="Appendix haematoma"/>
    </coding>
    <text value="Appendix haematoma"/>
  </reasonCode>
  <hospitalization>
    <dischargeDisposition>
      <coding>
        <system
                value="https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1"/>
        <code value="9"/>
        <display value="Other/Home"/>
      </coding>
      <text value="Other location or Home"/>
    </dischargeDisposition>
  </hospitalization>
  <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="FHIR Practice"/>
  </serviceProvider>
</Encounter>