MedMij:V2018.01 FHIR GP-EncounterReport

Uit informatiestandaarden
Versie door Maarten Ligtvoet (overleg | bijdragen) op 21 feb 2018 om 10:22 (Copy of Vdraft)
(wijz) ← Oudere versie | Huidige versie (wijz) | Nieuwere versie → (wijz)
Ga naar: navigatie, zoeken

{{#customtitle:MedMij FHIR IG - gp-EncounterReport}}

General information

Name: GP-EncounterReport
Version: 1.0
Publication date: 11-01-2018
Status wikipage: draft

This FHIR profile is based on encounter reports consisting of S-O-A-P encoded journal entries as defined in the HIS reference model (Dutch GP association NHG). Each EncounterReport shall be associated with exactly one Encounter and may be associated with zero to many EpisodeOfCare resources.

Concept

An encounter is between a general practitioner, or someone assisting in his practice and covers one or more issues. The encounter is recorded in S-O-A-P encoded journal entries (Dutch: S-O-E-P). A journal entry may be textual or structured and may additionally be ICPC-1-NL coded. Journal entries are grouped around the issue, so if there are more issues, then the are multiple EncounterReports.

S-O-A-P is:

  • Subjective (Dutch: Subjectief)
  • Objective (Dutch: Objectief)
  • Assessment (Dutch: Evaluatie)
  • Plan (Dutch: Plan)

Purpose

Convey information recorded during an encounter.

Content

gp-EncounterReport

Formal url http://fhir.nl/fhir/StructureDefinition/gp-EncounterReport
Published by Nictiz
Status draft
Extension code-icpc-1-nl
Example example of gp-EncounterReport