Defining URL: | https://fhir.medirecords.com/StructureDefinition/mr-encounter-admission |
Version: | 1.4.1 |
Name: | MREncounterAdmission |
Title: | MR Encounter Admission |
Status: | Active as of 2024-10-28 02:34:31+0000 |
Definition: | MediRecords Admission Encounter profile to record visit related details for a patient in context of an hospital admission. |
Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://fhir.medirecords.com/StructureDefinition/mr-encounter-admission
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseEncounter
Summary
Mandatory: 3 elements (34 nested mandatory elements)
Must-Support: 30 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from AUBaseEncounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | C | 0..* | AUBaseEncounter | MediRecords Admission Encounter inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished' |
meta | ||||
lastUpdated | S | 0..1 | instant | When the resource version last changed |
plannedStartDate | S | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate |
plannedEndDate | S | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate |
valueDateTime | C | 1..1 | dateTime | The planned end date (or discharge date) of the encounter in the format YYYY-MM-DD inv-mr-date-format-01: Date must be in YYYY-MM-DD format |
modeOfArrival | S | 0..1 | Coding | Transfer mode for the inpatient admission URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility. |
valueCoding | 1..1 | Coding | Value of extension Binding: MediRecords Transfer Mode (extensible) | |
reasonCancelled | S | 0..1 | CodeableConcept | Reason code for admission cancellation URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled |
valueCodeableConcept | 1..1 | CodeableConcept | Value of extension | |
coding | 0..0 | |||
text | 1..1 | string | Plain text representation of the concept Max Length: 500 | |
comment | S | 0..1 | string | Comment related to the Encounter URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext |
Slices for identifier | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type | |
identifier:visit-number | S | 0..1 | Identifier | Visit number |
type | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: VN | |
system | 1..1 | uri | Unique tenant identifier in the form 'urn:uuid:<<tenant-guid>>'. | |
value | 1..1 | string | Admission identifier (visit number) | |
assigner | ||||
display | 1..1 | string | Name of tenant | |
status | S | 1..1 | code | planned | in-progress | finished | cancelled Binding: MediRecords Admission Encounter Status (required) |
class | S | 1..1 | Coding | IMP | EMER Binding: MediRecords Admission Encounter Class (required) |
priority | S | 0..1 | CodeableConcept | Emergency triage priority Binding: MediRecords Triage Priority (extensible) |
text | 1..1 | string | Plain text representation of the concept | |
subject | S | 1..1 | Reference(MR Patient) | The patient present at the encounter |
Slices for participant | 0..* | BackboneElement | This is about the participant who is the performer Slice: Unordered, Open by pattern:type | |
participant:referring | S | 0..1 | BackboneElement | Referring doctor |
type | 1..* | CodeableConcept | Referring doctor role type Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |
individual | S | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | Referring doctor as user Practitioner or external PractitionerRole Contact |
reference | 1..1 | string | Relative reference to Referring doctor | |
display | 0..1 | string | Referring doctor name | |
participant:attending | S | 0..1 | BackboneElement | Attending doctor |
type | 1..* | CodeableConcept | Attending doctor role type Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
individual | S | 1..1 | Reference(MR Practitioner) | Attending doctor as user Practitioner |
reference | 1..1 | string | Relative reference to Attending doctor | |
display | 0..1 | string | Attending provider name | |
participant:anaesthetist | S | 0..1 | BackboneElement | Anaesthetist |
type | 1..* | CodeableConcept | Anaesthetist role type Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 88189002 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Anaesthesiologist | |
individual | S | 1..1 | Reference(MR Practitioner) | Anaesthetist as user Practitioner |
reference | 1..1 | string | Relative reference to Anaesthetist | |
display | 0..1 | string | Anaesthetist name | |
participant:usual-gp | S | 0..1 | BackboneElement | General Practitioner |
type | 1..* | CodeableConcept | GP role type Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59058001 | |
display | 1..1 | string | Representation defined by the system Fixed Value: General physician | |
individual | S | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | GP as user Practitioner or external PractitionerRole Contact |
reference | 1..1 | string | Relative reference to GP | |
display | 0..1 | string | GP name | |
appointment | S | 0..1 | Reference(Appointment) | Preadmission appointment |
identifier | 1..1 | Identifier | Preadmission appointment identifier | |
system | 1..1 | uri | Facility unique identifier in the form 'urn:uuid:<<practice-guid>>'. | |
value | 1..1 | string | Appointment unique identifier | |
assigner | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | |
display | 1..1 | string | Facility name | |
period | 0..1 | Period | The actual start and end time of the encounter | |
start | S | 1..1 | dateTime | The actual start time of the encounter |
end | S | 0..1 | dateTime | The actual end time of the encounter |
length | S | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) |
code | 1..1 | code | d (days) Fixed Value: d | |
reasonCode | S | 0..1 | CodeableConcept | Chief complaint of the patient for this encounter Binding: EncounterReasonCodes (extensible) |
coding | 0..1 | Coding | Code defined by a terminology system | |
text | 1..1 | string | Plain text representation of the concept | |
hospitalization | ||||
admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (extensible) |
coding | 0..1 | Coding | Code defined by a terminology system | |
text | 1..1 | string | Plain text representation of the concept | |
destination | S | 0..1 | Reference(MR Organisation | MR Organisation Service Provider) | Facility or external service provider to which the patient is discharged |
reference | 1..1 | string | Relative reference to destination facility/service provider | |
display | 0..1 | string | Facility or external service provider name | |
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode |
coding | 0..1 | Coding | Code defined by a terminology system | |
text | 1..1 | string | Plain text representation of the concept | |
location | 0..1 | BackboneElement | Current location of patient within the facility | |
location | S | 1..1 | Reference(MR Location Admission) | Venue of where the encounter took place |
reference | 1..1 | string | Relative reference to most specific Location of type Bed, Room or Ward | |
display | 0..1 | string | Contatenated description of location heirarchy including ward, bed and room | |
physicalType | S | 1..1 | CodeableConcept | wa (Ward) | ro (Room) | bd (Bed) Binding: MediRecords Admission Encounter Location PhysicalType (required) |
serviceProvider | S | 1..1 | Reference(MR Organisation) | Facility where the patient is admitted |
reference | 1..1 | string | Relative reference to facility | |
display | 0..1 | string | Facility name | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | C | 0..* | AUBaseEncounter | MediRecords Admission Encounter inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished' | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
encounterDescription | 0..1 | string | Description, overview or summary of an encounter URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description | |||||
associatedHealthcareService | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice | |||||
plannedStartDate | S | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate | ||||
plannedEndDate | S | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate" | |||||
Slices for value[x] | 1..1 | dateTime | The planned end date/time (or discharge date) of the encounter Slice: Unordered, Closed by type:$this | |||||
value[x]:valueDateTime | C | 1..1 | dateTime | The planned end date (or discharge date) of the encounter in the format YYYY-MM-DD inv-mr-date-format-01: Date must be in YYYY-MM-DD format | ||||
modeOfArrival | S | 0..1 | Coding | Transfer mode for the inpatient admission URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility. | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" | |||||
Slices for value[x] | 1..1 | Coding | Value of extension Slice: Unordered, Closed by type:$this Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility. | |||||
value[x]:valueCoding | 1..1 | Coding | Value of extension Binding: MediRecords Transfer Mode (extensible) | |||||
reasonCancelled | S | 0..1 | CodeableConcept | Reason code for admission cancellation URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled" | |||||
Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
text | Σ | 1..1 | string | Plain text representation of the concept Max Length: 500 | ||||
comment | S | 0..1 | string | Comment related to the Encounter URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type | ||||
identifier:visit-number | SΣ | 0..1 | Identifier | Visit number | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: VN | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
system | Σ | 1..1 | uri | Unique tenant identifier in the form 'urn:uuid:<<tenant-guid>>'. Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | Admission identifier (visit number) Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 1..1 | string | Name of tenant | ||||
status | ?!SΣ | 1..1 | code | planned | in-progress | finished | cancelled Binding: MediRecords Admission Encounter Status (required) | ||||
statusHistory | 0..* | BackboneElement | List of past encounter statuses | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
period | 1..1 | Period | The time that the episode was in the specified status | |||||
class | SΣ | 1..1 | Coding | IMP | EMER Binding: MediRecords Admission Encounter Class (required) | ||||
classHistory | 0..* | BackboneElement | List of past encounter classes | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
period | 1..1 | Period | The time that the episode was in the specified class | |||||
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | ||||
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
priority | S | 0..1 | CodeableConcept | Emergency triage priority Binding: MediRecords Triage Priority (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 1..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(MR Patient) | The patient present at the encounter | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
Slices for participant | Σ | 0..* | BackboneElement | This is about the participant who is the performer Slice: Unordered, Open by pattern:type | ||||
participant:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
participant:referring | SΣ | 0..1 | BackboneElement | Referring doctor | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 1..* | CodeableConcept | Referring doctor role type Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | SΣ | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | Referring doctor as user Practitioner or external PractitionerRole Contact | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to Referring doctor | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Referring doctor name | ||||
participant:attending | SΣ | 0..1 | BackboneElement | Attending doctor | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 1..* | CodeableConcept | Attending doctor role type Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | SΣ | 1..1 | Reference(MR Practitioner) | Attending doctor as user Practitioner | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to Attending doctor | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Attending provider name | ||||
participant:anaesthetist | SΣ | 0..1 | BackboneElement | Anaesthetist | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 1..* | CodeableConcept | Anaesthetist role type Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 88189002 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Anaesthesiologist | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | SΣ | 1..1 | Reference(MR Practitioner) | Anaesthetist as user Practitioner | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to Anaesthetist | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Anaesthetist name | ||||
participant:usual-gp | SΣ | 0..1 | BackboneElement | General Practitioner | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 1..* | CodeableConcept | GP role type Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59058001 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: General physician | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | SΣ | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | GP as user Practitioner or external PractitionerRole Contact | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to GP | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | GP name | ||||
appointment | SΣ | 0..1 | Reference(Appointment) | Preadmission appointment | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 1..1 | Identifier | Preadmission appointment identifier | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | Σ | 1..1 | uri | Facility unique identifier in the form 'urn:uuid:<<practice-guid>>'. Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | Appointment unique identifier Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 1..1 | string | Facility name | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
period | 0..1 | Period | The actual start and end time of the encounter | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | SΣC | 1..1 | dateTime | The actual start time of the encounter | ||||
end | SΣC | 0..1 | dateTime | The actual end time of the encounter | ||||
length | S | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | Σ | 0..1 | string | Unit representation | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form | ||||
code | Σ | 1..1 | code | d (days) Fixed Value: d | ||||
reasonCode | SΣ | 0..1 | CodeableConcept | Chief complaint of the patient for this encounter Binding: EncounterReasonCodes (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
text | Σ | 1..1 | string | Plain text representation of the concept | ||||
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||
hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
text | Σ | 1..1 | string | Plain text representation of the concept | ||||
reAdmission | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
destination | S | 0..1 | Reference(MR Organisation | MR Organisation Service Provider) | Facility or external service provider to which the patient is discharged | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to destination facility/service provider | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Facility or external service provider name | ||||
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
text | Σ | 1..1 | string | Plain text representation of the concept | ||||
location | 0..1 | BackboneElement | Current location of patient within the facility | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
location | S | 1..1 | Reference(MR Location Admission) | Venue of where the encounter took place | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to most specific Location of type Bed, Room or Ward | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Contatenated description of location heirarchy including ward, bed and room | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
physicalType | S | 1..1 | CodeableConcept | wa (Ward) | ro (Room) | bd (Bed) Binding: MediRecords Admission Encounter Location PhysicalType (required) | ||||
period | 0..1 | Period | Time period during which the patient was present at the location | |||||
serviceProvider | S | 1..1 | Reference(MR Organisation) | Facility where the patient is admitted | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Relative reference to facility | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Facility name | ||||
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | AUBaseEncounter | MediRecords Admission Encounter | |
meta | Σ | 0..1 | Meta | Metadata about the resource |
lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
plannedStartDate | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate | |
plannedEndDate | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate | |
modeOfArrival | 0..1 | Coding | Transfer mode for the inpatient admission URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility. | |
reasonCancelled | 0..1 | CodeableConcept | Reason code for admission cancellation URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled | |
comment | 0..1 | string | Comment related to the Encounter URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext | |
identifier:visit-number | Σ | 0..1 | Identifier | Visit number |
status | ?!Σ | 1..1 | code | planned | in-progress | finished | cancelled Binding: MediRecords Admission Encounter Status (required) |
class | Σ | 1..1 | Coding | IMP | EMER Binding: MediRecords Admission Encounter Class (required) |
priority | 0..1 | CodeableConcept | Emergency triage priority Binding: MediRecords Triage Priority (extensible) | |
subject | Σ | 1..1 | Reference(MR Patient) | The patient present at the encounter |
participant:referring | Σ | 0..1 | BackboneElement | Referring doctor |
individual | Σ | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | Referring doctor as user Practitioner or external PractitionerRole Contact |
participant:attending | Σ | 0..1 | BackboneElement | Attending doctor |
individual | Σ | 1..1 | Reference(MR Practitioner) | Attending doctor as user Practitioner |
participant:anaesthetist | Σ | 0..1 | BackboneElement | Anaesthetist |
individual | Σ | 1..1 | Reference(MR Practitioner) | Anaesthetist as user Practitioner |
participant:usual-gp | Σ | 0..1 | BackboneElement | General Practitioner |
individual | Σ | 1..1 | Reference(MR Practitioner | MR PractitionerRole Contact) | GP as user Practitioner or external PractitionerRole Contact |
appointment | Σ | 0..1 | Reference(Appointment) | Preadmission appointment |
period | 0..1 | Period | The actual start and end time of the encounter | |
start | ΣC | 1..1 | dateTime | The actual start time of the encounter |
end | ΣC | 0..1 | dateTime | The actual end time of the encounter |
length | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | |
reasonCode | Σ | 0..1 | CodeableConcept | Chief complaint of the patient for this encounter Binding: EncounterReasonCodes (extensible) |
hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service | |
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (extensible) | |
destination | 0..1 | Reference(MR Organisation | MR Organisation Service Provider) | Facility or external service provider to which the patient is discharged | |
dischargeDisposition | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible) | |
location | 0..1 | BackboneElement | Current location of patient within the facility | |
location | 1..1 | Reference(MR Location Admission) | Venue of where the encounter took place | |
physicalType | 1..1 | CodeableConcept | wa (Ward) | ro (Room) | bd (Bed) Binding: MediRecords Admission Encounter Location PhysicalType (required) | |
serviceProvider | 1..1 | Reference(MR Organisation) | Facility where the patient is admitted | |
Documentation for this format |
This structure is derived from AUBaseEncounter
Summary
Mandatory: 3 elements (34 nested mandatory elements)
Must-Support: 30 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from AUBaseEncounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | C | 0..* | AUBaseEncounter | MediRecords Admission Encounter inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished' |
meta | ||||
lastUpdated | S | 0..1 | instant | When the resource version last changed |
plannedStartDate | S | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate |
plannedEndDate | S | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate |
valueDateTime | C | 1..1 | dateTime | The planned end date (or discharge date) of the encounter in the format YYYY-MM-DD inv-mr-date-format-01: Date must be in YYYY-MM-DD format |
modeOfArrival | S | 0..1 | Coding | Transfer mode for the inpatient admission URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility. |
valueCoding | 1..1 | Coding | Value of extension Binding: MediRecords Transfer Mode (extensible) | |
reasonCancelled | S | 0..1 | CodeableConcept | Reason code for admission cancellation URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled |
valueCodeableConcept | 1..1 | CodeableConcept | Value of extension | |
coding | 0..0 | |||
text | 1..1 | string | Plain text representation of the concept Max Length: 500 | |
comment | S | 0..1 | string | Comment related to the Encounter URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext |
Slices for identifier | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unord |