US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 2.2.0 See the Directory of published versions

• Narrative Content
• JSON

: example - XML Representation

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <source value="http://va.gov/fhir/sid/sta3n/512"/>
    <profile
             value="http://va.gov/fhir/StructureDefinition/EncounterPTFEncounter"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Encounter example</b></p><a name="example"> </a><a name="hcexample"> </a><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"/><p style="margin-bottom: 0px">Information Source: <a href="http://va.gov/fhir/sid/sta3n/512">http://va.gov/fhir/sid/sta3n/512</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-EncounterPTFEncounter.html">Encounter: PTF Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.0.1/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href="http://example.com/Patient/example">http://example.com/Patient/example</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}">P</span></td><td><a href="#hcexample/contained-role-example">PractitionerRole Internal Medicine Physician</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm I50.33}">Acute on chronic diastolic (congestive) heart failure</span></p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: ?rref?</p><p><b>use</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0359 1}, {http://va.gov/fhir/CodeSystem/9000010.07-.12 P}">PRIMARY</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: ?rref?</p><p><b>use</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0359 2}, {http://va.gov/fhir/CodeSystem/9000010.07-.12 S}">SECONDARY</span></p></blockquote><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td>PP MRI (Identifier: <code>http://va.gov/fhir/sid/sta3n/520/44-.001</code>/11317)</td></tr></table><p><b>serviceProvider</b>: Perry Point VAMC (Identifier: <code>http://va.gov/fhir/sid/vista/4-99</code>/512A5)</p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #contained-role-example</b></p><a name="example/contained-role-example"> </a><a name="hcexample/contained-role-example"> </a><p><b>practitioner</b>: DOE, JANE A (Identifier: <code>http://va.gov/fhir/sid/512/200</code>/10731)</p><p><b>code</b>: <span title="Codes:{http://nucc.org/provider-taxonomy 207R00000X}">Internal Medicine Physician</span></p></blockquote></div>
  </text>
  <contained>
    <PractitionerRole>
      <id value="contained-role-example"/>
      <practitioner>
        <identifier>
          <system value="http://va.gov/fhir/sid/512/200"/>
          <value value="10731"/>
        </identifier>
        <display value="DOE, JANE A"/>
      </practitioner>
      <code>
        <coding>
          <system value="http://nucc.org/provider-taxonomy"/>
          <code value="207R00000X"/>
          <display value="Internal Medicine Physician"/>
        </coding>
        <text value="Internal Medicine Physician"/>
      </code>
    </PractitionerRole>
  </contained>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
    <display value="inpatient encounter"/>
  </class>
  <subject>
    <reference value="http://example.com/Patient/example"/>
  </subject>
  <participant>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="PPRF"/>
        <display value="primary performer"/>
      </coding>
      <text value="P"/>
    </type>
    <individual>
      <reference value="#contained-role-example"/>
    </individual>
  </participant>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="I50.33"/>
      <display value="Acute on chronic diastolic (congestive) heart failure"/>
    </coding>
    <text value="Acute on chronic diastolic (congestive) heart failure"/>
  </reasonCode>
  <diagnosis>
    <condition>
      <extension
                 url="http://va.gov/fhir/5.0/StructureDefinition/extension-Encounter.diagnosis.condition">
        <extension url="concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
              <code value="I50.33"/>
              <display
                       value="Acute on chronic diastolic (congestive) heart failure"/>
            </coding>
            <text
                  value="Acute on chronic diastolic (congestive) heart failure"/>
          </valueCodeableConcept>
        </extension>
      </extension>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0359"/>
        <code value="1"/>
        <display value="The primary diagnosis"/>
      </coding>
      <coding>
        <system value="http://va.gov/fhir/CodeSystem/9000010.07-.12"/>
        <code value="P"/>
        <display value="PRIMARY"/>
      </coding>
      <text value="PRIMARY"/>
    </use>
  </diagnosis>
  <diagnosis>
    <condition>
      <extension
                 url="http://va.gov/fhir/5.0/StructureDefinition/extension-Encounter.diagnosis.condition">
        <extension url="concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
              <code value="J90"/>
              <display value="Pleural effusion, not elsewhere classified"/>
            </coding>
            <text value="Pleural effusion, not elsewhere classified"/>
          </valueCodeableConcept>
        </extension>
      </extension>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0359"/>
        <code value="2"/>
        <display value="For secondary diagnosis"/>
      </coding>
      <coding>
        <system value="http://va.gov/fhir/CodeSystem/9000010.07-.12"/>
        <code value="S"/>
        <display value="SECONDARY"/>
      </coding>
      <text value="SECONDARY"/>
    </use>
  </diagnosis>
  <location>
    <location>
      <identifier>
        <system value="http://va.gov/fhir/sid/sta3n/520/44-.001"/>
        <value value="11317"/>
      </identifier>
      <display value="PP MRI"/>
    </location>
  </location>
  <serviceProvider>
    <identifier>
      <system value="http://va.gov/fhir/sid/vista/4-99"/>
      <value value="512A5"/>
    </identifier>
    <display value="Perry Point VAMC"/>
  </serviceProvider>
</Encounter>