Admissions

This category contains the registration of all daycare and clinical admissions. This category contains the overarching admission information; one admission can consist of multiple admission periods at for example different departments (ICU > MCU > Cardiology).

Of note: in NL & BE, admissions can also be 1 day admissions that last < 24 hours, e.g. short admissions before small procedures such as medication administration, routine surgeries such as cataract surgery, or short admission to perform PET scan with contrast.

Overview

Filter name in app	Priority	FHIR field (PFS)	Brief description	Example data
ID	Must have	Encounter.identifier.value	Unique identifier for admission
DBC ID	N/A	Not yet mapped	NL-specific: Unique ID of the DBC code (diagnosis-treatment-combination) that the admission is linked to.
Episode of care ID	Could have	Encounter.EpisodeOfCare	Unique identifier of the Episode of Care that the admission is linked to. I.e. indicates context in which the admission took place.
Admission reason	Must have	Encounter.reasonCode.coding.display	Reason for admitting the patient.	Fracture upper arm, ganglion, adenotomy + eustachian tubes on both sides, population screening colonoscopy
Specialism	Must have	Not yet mapped	Specialism where the patient is admitted.
Location	Should have	Encounter.location.location	The location (hospital building) where the admission takes place.	Location east, location south.
Length of stay	Must have	Encounter.length	Total length of admission.	240 min, 6 days, 21 days.
Emergency	Could have	Not yet mapped	Indicates if this concerns an unplanned emergency admission, or a regular admission.	Emergency, non-emergency, regular.
Discharge destination	Should have	Encounter.dischargeDisposition.coding.display	Place the patient will go after being discharged from the hospital.	Own home, deceased (no obduction), institution (rehabillitation), nursing home.
Origin	Should have	Encounter.hospitalization.admitSource.coding.display	Indicates where the patient was before being admitted to hospital.	Own home, from own hospital, A&E, nursing home, [name of other hospital]
Age at time of event	Must have	Derived from Patient (Encounter.subject)	Age of the patient, in years, when the admission started.
Status	Must have	Encounter.status	Status of the admission.	Planned, discharged, cancelled, waiting list, call-in confirmed.
Type	Could have	Encounter.coding.display	The type of admission.	Dialysis, daycare, A&E, Partus
Care provider name	Could have	Derived from Practitioner (Encounter.participant.individual)	Name of the care provider responsible for the admission.	Dr. Jane Doe, nurse John Doe.
Care provider position	Could have	Derived from Practitioner (Encounter.participant.individual)	Position of the care provider responsible for the admission.	Neurologist, gynaecologist, doctor-in-training, wound treatment nurse.
Start date	Must have	Encounter.period.start	Start date and -time of the admission.	DD-MM-YYYY hh:mm
End date	Must have	Encounter.period.end	End date and -time of the admission.	DD-MM-YYYY hh:mm