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Packageil.hdp.fhir.r4
Resource TypeEncounter
IdEncounter-hdp-segment-er.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Segment: Emergency department evaluation.

Includes triage, initial assessment, and stabilization prior to transfer to the ward.


Source1

{
  "resourceType": "Encounter",
  "id": "hdp-segment-er",
  "meta": {
    "security": [
      {
        "system": "http://fhir.health.gov.il/cs/il-hdp-information-buckets",
        "code": "encounterInformation",
        "display": "Encounter information"
      }
    ],
    "profile": [
      "http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-inpatient-care-segment"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://hospital1.example.org/encounters",
      "value": "HOSP1-ER-2024-0001"
    }
  ],
  "statusHistory": [
    {
      "period": {
        "start": "2024-11-28T08:15:00+02:00",
        "end": "2024-11-28T12:30:00+02:00"
      },
      "status": "in-progress"
    },
    {
      "period": {
        "start": "2024-11-28T12:30:00+02:00",
        "end": "2024-11-28T12:30:00+02:00"
      },
      "status": "finished"
    }
  ],
  "classHistory": [
    {
      "period": {
        "start": "2024-11-28T08:15:00+02:00",
        "end": "2024-11-28T12:30:00+02:00"
      },
      "class": {
        "code": "EMER",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "display": "emergency"
      }
    }
  ],
  "type": [
    {
      "coding": [
        {
          "system": "http://fhir.health.gov.il/cs/il-core-encounter-type",
          "code": "inpatient-care-segment-hdp",
          "display": "Inpatient care segment (HDP encounter type)"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "1258986006",
          "display": "Face-to-face encounter"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/il-hdp-patient",
    "display": "ILHDP Patient"
  },
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PPRF",
              "display": "primary performer"
            }
          ]
        }
      ],
      "individual": {
        "reference": "Practitioner/practitioner-md",
        "display": "Dr. Greenfeld Diana"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "SPRF",
              "display": "secondary performer"
            }
          ]
        }
      ],
      "individual": {
        "reference": "Practitioner/practitioner-nurse",
        "display": "Registered Nurse"
      }
    }
  ],
  "period": {
    "start": "2024-11-28T08:15:00+02:00",
    "end": "2024-11-28T12:30:00+02:00"
  },
  "serviceProvider": {
    "reference": "Organization/hospital1-er",
    "display": "Hospital1 Emergency Department"
  },
  "partOf": {
    "reference": "Encounter/hdp-hospitalization-hospital1",
    "display": "Hospital1 Hospitalization"
  },
  "location": [
    {
      "location": {
        "reference": "Location/hospital1-er-nu",
        "display": "Hospital1 ER Nursing Unit"
      },
      "period": {
        "start": "2024-11-28T08:15:00+02:00",
        "end": "2024-11-28T12:30:00+02:00"
      },
      "status": "completed"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/hdp-pneumonia",
      "display": "Community acquired pneumonia"
    }
  ],
  "diagnosis": [
    {
      "condition": {
        "reference": "Condition/hdp-pneumonia",
        "display": "Community acquired pneumonia"
      },
      "use": {
        "coding": [
          {
            "code": "AD",
            "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role"
          }
        ]
      },
      "rank": 1
    }
  ],
  "status": "finished",
  "class": {
    "code": "EMER",
    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "display": "emergency"
  },
  "serviceType": {
    "coding": [
      {
        "code": "409971007",
        "system": "http://snomed.info/sct",
        "display": "Emergency medical services"
      }
    ]
  }
}