Encounter-ClosedInpatient
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"assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample2", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "T857", "display": "Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample3", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "Y833", "display": "Surgical operation with formation of external stoma" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample4", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "K432", "display": "Incisional hernia without obstruction or gangrene" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample5", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "K219", "display": "Gastro-oesophageal reflux disease without oesophagitis" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample6", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "J459", "display": "Asthma, unspecified" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } }, { "resourceType": "Condition", "id": "NCR-ConditionExample7", "meta": { "profile": [ "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" ] }, "clinicalStatus": "active", "category": [ { "coding": [ { "system": "http://hl7.org/fhir/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "Z931", "display": "Gastrostomy status" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "context": { "reference": "Encounter/NCR-EncounterExample-ClosedInpatient" }, "onsetDateTime": "2022-05-29", "assertedDate": "2022-05-29T07:55:30.047+00:00", "asserter": { "display": "Dr Manu Bjorn (C1234567)" } } ], "extension": [ { "url": "https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4EncounterServiceType", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "310151004", "display": "Gastrointestinal surgery service" } ] } } ], "identifier": [ { "system": "http://fhir.nuh.nhs.uk/encounter/identifier", "value": "I2200722123S" } ], "status": "finished", "statusHistory": [ { "status": "in-progress", "period": { "start": "2022-05-26T10:00:00Z", "end": "2022-05-28T17:00:00Z" } }, { "status": "finished", "period": { "start": "2022-05-28T17:00:00Z" } } ], "class": { "system": "http://hl7.org/fhir/v3/ActCode", "code": "IMP", "display": "inpatient encounter" }, "type": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "185212007", "display": "Seen in hospital ward" } ] } ], "priority": { "coding": [ { "system": "http://hl7.org/fhir/v3/ActPriority", "code": "EL", "display": "elective" } ] }, "subject": { "reference": "Patient/9690937286", "display": "Mr Horace SKELLY" }, "participant": [ { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "PPRF", "display": "primary performer" } ] } ], "individual": { "reference": "Practitioner/NCR-PractitionerExample-Acute01", "display": "Dr Pat CLIFTON" } }, { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "ADM", "display": "admitter" } ] } ], "individual": { "reference": "Practitioner/NCR-PractitionerExample-Acute01", "display": "Dr Pat CLIFTON" } }, { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "PART", "display": "Participation" } ] } ], "individual": { "reference": "Practitioner/NCR-PractitionerExample-Acute02", "display": "Nisha BAINS" } } ], "period": { "start": "2022-05-26T10:00:00Z", "end": "2022-05-28T17:00:00Z" }, "reason": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "119292006", "display": "Disorder of gastrointestinal tract" } ] } ], "diagnosis": [ { "condition": { "reference": "#NCR-ConditionExample1", "display": "Mechanical complication of gastrointestinal prosthetic devices, implants and grafts" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "CC", "display": "Chief complaint" } ] }, "rank": 1 }, { "condition": { "reference": "#NCR-ConditionExample2", "display": "Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 }, { "condition": { "reference": "#NCR-ConditionExample3", "display": "Surgical operation with formation of external stoma" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 }, { "condition": { "reference": "#NCR-ConditionExample4", "display": "Incisional hernia without obstruction or gangrene" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 }, { "condition": { "reference": "#NCR-ConditionExample5", "display": "Gastro-oesophageal reflux disease without oesophagitis" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 }, { "condition": { "reference": "#NCR-ConditionExample6", "display": "Asthma, unspecified" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 }, { "condition": { "reference": "#NCR-ConditionExample7", "display": "Gastrostomy status" }, "role": { "coding": [ { "system": "http://hl7.org/fhir/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 } ], "hospitalization": { "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-AdmissionMethod-1", "code": "13", "display": "Planned" } ] } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-DischargeMethod-1", "code": "1", "display": "Patient discharged on clinical advice or with clinical consent" } ] } }, { "extension": [ { "url": "status", "valueCode": "ready" }, { "url": "predictedDate", "valueDateTime": "2022-05-28" }, { "url": "actualDate", "valueDateTime": "2022-05-29T12:30:00Z" } ], "url": "https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-MedicallySafeForDischarge" } ], "origin": { "reference": "#NCRLocationHouseAdmissionExample", "display": "3 Bowesfield Crescent, Stockton-On-Tees, TS18 3BL" }, "admitSource": { "coding": [ { "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SourceOfAdmission-1", "code": "19", "display": "Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode." } ] }, "destination": { "reference": "#NCRLocationHouseAdmissionExample", "display": "3 Bowesfield Crescent, Stockton-On-Tees, TS18 3BL" }, "dischargeDisposition": { "coding": [ { "system": "https://fhir.yhcr.nhs.uk/CodeSystem/Interweave-DischargeDestination-1", "code": "19", "display": "Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode." } ] } }, "location": [ { "location": { "reference": "Location/NCR-LocationExample-Ward01", "display": "Queens Medical Centre: South Block: B Floor: Ward SB47" }, "status": "completed", "period": { "start": "2022-05-26T10:00:00Z", "end": "2022-05-27T09:10:00Z" } }, { "location": { "reference": "Location/NCR-LocationExample-Ward02", "display": "Queens Medical Centre: South Block: B Floor: Ward SB48" }, "status": "completed", "period": { "start": "2022-05-27T09:10:00Z", "end": "2022-05-28T17:00:00Z" } } ] }