Scope and usage

This profile is used as the Encounter resource for the HospitalNotification message. The HospitalNotificationEncounter inherits from the MedComCoreEncounter. Besides the references shown on the figure below, the MedComHospitalNotificationEncounter contains an episode of care identifier, a status describing the status of the encounter e.g., if the patient is onleave and the class of the admission, which can be either inpatient or emergency. Both status and class shall be included in all messages and depending on the status of the encounter, the status and class shall be assigned to different codes. Here you the find the combination of codes.

The HospitalNotification message is sent without patient consent, why only a limited data set is allowed to transmit due to Danish legislation. For this reason, is the HospitalNotificationEncounter profile quite narrow. More information about the legal aspects can be found here.

The figure below shows the references from a MedComHospitalNotificationEncounter.

Please refer to the tab “Snapshot Table(Must support)” below for the definition of the required content of a MedComHospitalNotificationEncounter.

Service Provider

The element Encounter.serviceProvider describes the organization or hospital department in charge of the patient’s admission. The element references a MedComMessagingOrganization or MedComCoreOrganization, since MedComMessaigingOrganization inherits properties from MedComCoreOrganization.

The sender of a HospitalNotification (MessageHeader.sender) and the serviceProvider (Encounter.serviceProvider) may be the same hospital department, hence be represented referencing the same instance of a Organization resource, which shall be a MedComMessagingOrganization. However, the sender organisation may be a higher-level deparment (in the SOR register)than the serviceProvider organisation, and in this case they shall be represented referencing two different instances of a Organization resource.

An example of different serviceProvider and sender organisation can be found here. Other examples will have the same organisation as serviceProvider and sender.

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from MedComCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	MedComCoreEncounter	An interaction during which services are provided to the patient
status		1..1	code	in-progress | onleave | finished | entered-in-error Binding: MedComHospitalNotificationEncounterStatusCodes (required)
class		1..1	Coding	inpatient | emergency | other Binding: MedComHospitalNotificationEncounterClassCodes (required)
type		0..0
serviceType		0..0
priority		0..0
episodeOfCare		1..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
reference		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
episodeOfCare:lpr3identifier		0..1	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
reference		0..0
identifier	SΣ	1..1	Lpr3Identifier	An identifier intended for computation
basedOn		0..0
participant		0..0
appointment		0..0
period	S	1..1	Period	The start and end time of the encounter
start	S	1..1	dateTime	Starting time with inclusive boundary
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0	Reference(Account)
hospitalization		0..0
location		0..0
serviceProvider		1..1	Reference(MedComCoreOrganization) {b}	The organization (facility) responsible for this encounter
partOf		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	MedComCoreEncounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	1..1	code	in-progress | onleave | finished | entered-in-error Binding: MedComHospitalNotificationEncounterStatusCodes (required)
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	inpatient | emergency | other Binding: MedComHospitalNotificationEncounterClassCodes (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
subject	SΣ	1..1	Reference(MedComCorePatient) {b}	The patient or group present at the encounter
Slices for episodeOfCare	SΣ	1..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system
episodeOfCare:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare:lpr3identifier	SΣ	0..1	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Lpr3Identifier	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
period	S	1..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
serviceProvider	S	1..1	Reference(MedComCoreOrganization) {b}	The organization (facility) responsible for this encounter
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	MedComCoreEncounter	An interaction during which services are provided to the patient
status	?!Σ	1..1	code	in-progress | onleave | finished | entered-in-error Binding: MedComHospitalNotificationEncounterStatusCodes (required)
class	Σ	1..1	Coding	inpatient | emergency | other Binding: MedComHospitalNotificationEncounterClassCodes (required)
subject	Σ	1..1	Reference(MedComCorePatient) {b}	The patient or group present at the encounter
Slices for episodeOfCare	Σ	1..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system
episodeOfCare:All Slices				Content/Rules for all slices
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
episodeOfCare:lpr3identifier	Σ	0..1	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
identifier	Σ	1..1	Lpr3Identifier	An identifier intended for computation
period		1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
serviceProvider		1..1	Reference(MedComCoreOrganization) {b}	The organization (facility) responsible for this encounter
Documentation for this format

This structure is derived from MedComCoreEncounter

Summary

Mandatory: 5 elements
Must-Support: 3 elements
Prohibited: 15 elements

Differential View

This structure is derived from MedComCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	MedComCoreEncounter	An interaction during which services are provided to the patient
status		1..1	code	in-progress | onleave | finished | entered-in-error Binding: MedComHospitalNotificationEncounterStatusCodes (required)
class		1..1	Coding	inpatient | emergency | other Binding: MedComHospitalNotificationEncounterClassCodes (required)
type		0..0
serviceType		0..0
priority		0..0
episodeOfCare		1..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
reference		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
episodeOfCare:lpr3identifier		0..1	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
reference		0..0
identifier	SΣ	1..1	Lpr3Identifier	An identifier intended for computation
basedOn		0..0
participant		0..0
appointment		0..0
period	S	1..1	Period	The start and end time of the encounter
start	S	1..1	dateTime	Starting time with inclusive boundary
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0	Reference(Account)
hospitalization		0..0
location		0..0
serviceProvider		1..1	Reference(MedComCoreOrganization) {b}	The organization (facility) responsible for this encounter
partOf		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	MedComCoreEncounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	1..1	code	in-progress | onleave | finished | entered-in-error Binding: MedComHospitalNotificationEncounterStatusCodes (required)
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	inpatient | emergency | other Binding: MedComHospitalNotificationEncounterClassCodes (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
subject	SΣ	1..1	Reference(MedComCorePatient) {b}	The patient or group present at the encounter
Slices for episodeOfCare	SΣ	1..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system
episodeOfCare:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare:lpr3identifier	SΣ	0..1	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	Lpr3Identifier	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
period	S	1..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
serviceProvider	S	1..1	Reference(MedComCoreOrganization) {b}	The organization (facility) responsible for this encounter
Documentation for this format