Encounters Section (entries required) (V3)
OID: 2.16.840.1.113883.10.20.22.2.22.1
LOINCs: #{"46240-8"}
Alias: encounters
Entries Required: true
Internal ID: EncountersSectionentriesrequiredV3
Outpatient visit example
{
"diagnosis" : [ {
"condition" : {
"code" : {
"coding" : [ {
"code" : "64109004",
"display" : "Costal Chondritis",
"system" : "http://snomed.info/sct"
} ]
},
"id" : "db734647-fc99-424c-a864-7e3cda82e704",
"onset" : {
"dateTime" : "2012-08-15"
},
"recorder" : null,
"category" : [ {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
} ]
} ],
"subject" : {
"id" : "patient",
"resourceType" : "Patient"
},
"resourceType" : "Condition"
}
} ],
"meta" : {
"profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"type" : [ {
"coding" : [ {
"code" : "99213",
"display" : "Office outpatient visit 15 minutes",
"system" : "http://www.ama-assn.org/go/cpt"
} ]
} ],
"resourceType" : "Encounter",
"status" : "unknown",
"id" : "2a620155-9d11-439e-92b3-5d9815ff4de8",
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [ {
"code" : "04",
"display" : "Discharged/Transferred to a Facility that Provides Custodial or Supportive Care",
"system" : "urn:oid:2.16.840.1.113883.6.301.5"
} ]
}
},
"period" : {
"start" : "2012-08-15"
},
"location" : [ {
"location" : {
"address" : {
"line" : [ "1004 Healthcare Dr." ],
"use" : null,
"city" : "Portland",
"state" : "OR",
"postalCode" : "97005",
"country" : null
},
"telecom" : [ {
"system" : "phone",
"value" : "+1(555)555-1004",
"use" : null
} ],
"id" : "2a620155-9d11-439e-92b3-5d9815ff4de8",
"resourceType" : "Location"
}
} ],
"subject" : {
"id" : "patient",
"resourceType" : "Patient"
},
"reasonReference" : [ {
"status" : "final",
"code" : {
"coding" : [ {
"code" : "404684003",
"display" : "Finding",
"system" : "http://snomed.info/sct"
} ]
},
"id" : "2a620155-9d11-439e-92b3-5d9815ff4de8",
"value" : {
"CodeableConcept" : {
"coding" : [ {
"code" : "233604007",
"display" : "Pneumonia",
"system" : "http://snomed.info/sct"
} ]
}
},
"effective" : {
"Period" : {
"start" : "2012-09-25T11:30:00-05:00",
"end" : null
}
},
"subject" : {
"id" : "patient",
"resourceType" : "Patient"
},
"resourceType" : "Observation"
} ]
}C-CDA Equivalent:
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.2.22.1"/>
<code codeSystem="2.16.840.1.113883.6.1"
codeSystemName="http://loinc.org"
displayName="display string"
code="46240-8"/>
<title>Encounters Section (entries required) (V3)</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Date</th>
<th>Type</th>
<th>Department</th>
<th>CareTeam</th>
<th>Description</th>
</tr>
</thead>
<tbody>
<tr>
<td>08/15/2012 12:00AM UTC - Now</td>
<td>Office outpatient visit 15 minutes</td>
<td>97005, Portland, OR, 1004 Healthcare Dr.</td>
<td>N/A</td>
<td>Costal Chondritis</td>
</tr>
</tbody>
</table>
</text>
<entry>
<encounter moodCode="EVN" classCode="ENC">
<sdtc:dischargeDispositionCode codeSystem="2.16.840.1.113883.6.301.5"
codeSystemName="urn:oid:2.16.840.1.113883.6.301.5"
displayName="Discharged/Transferred to a Facility that Provides Custodial or Supportive Care"
code="04"/>
<templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
<code codeSystem="2.16.840.1.113883.6.12"
codeSystemName="http://www.ama-assn.org/go/cpt"
displayName="Office outpatient visit 15 minutes"
code="99213"/>
<effectiveTime>
<low value="20120815"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<participant typeCode="LOC">
<participantRole classCode="SDLOC">
<templateId root="2.16.840.1.113883.10.20.22.4.32"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
<code nullFlavor="NI"/>
<addr>
<state>OR</state>
<city>Portland</city>
<postalCode>97005</postalCode>
<streetAddressLine>1004 Healthcare Dr.</streetAddressLine>
</addr>
<telecom value="+1(555)555-1004"/>
</participantRole>
</participant>
<entryRelationship typeCode="RSON">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
<code codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Finding"
code="404684003"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20120925113000-0500"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Pneumonia"
code="233604007"
xsi:type="CD"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.80" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.80"/>
<code code="29308-4" codeSystem="2.16.840.1.113883.6.1"/>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="db734647-fc99-424c-a864-7e3cda82e704"/>
<code xsi:type="CD"
code="55607006"
displayName="Problem"
codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96">
<translation nullFlavor="UNK"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low value="20120815"/>
<high nullFlavor="NI"/>
</effectiveTime>
<value codeSystem="2.16.840.1.113883.6.96"
codeSystemName="http://snomed.info/sct"
displayName="Costal Chondritis"
code="64109004"
xsi:type="CD"/>
</observation>
</entryRelationship>
</act>
</entryRelationship>
</encounter>
</entry>
</section>Last updated