Extension: Encounter Clinical Summary

URL for this extension:

Production

https://fhir.netsmartcloud.com/v4/StructureDefinition/encounter-clinical-summary

Preview

https://fhirtest.netsmartcloud.com/v4/StructureDefinition/encounter-clinical-summary

Status: draft

This extension represents the Encounter Clinical Summary details.

Context of Use

This extension may be used on the Encounter resource.

Supported CareRecords

This extension is supported by the following CareRecords:

• Netsmart myAvatar

Formal Views of Extension Content

Differential Table

Name	Flags	Card.	Caller Type	Description & Constraints
Extension		0..1	Extension	Encounter Clinical Summary
- url		1..1	uri	"[base]/StructureDefinition/encounter-clinical-summary"
- extension:problem		0..*	Extension	Presenting Problem
- - url		1..1	uri	"presenting-problem"
- - value[x]		1..1	code	Presenting Problem Binding This is bound to a customizable dictionary configured in myAvatar and may vary by organization.
- extension:disability		0..*	Extension	Disability
- - url		1..1	uri	"disability"
- - value[x]		1..1	code	Disability Binding This is bound to a customizable dictionary configured in myAvatar and may vary by organization.
- extension:medication		0..*	Extension	Current Medication
- - url		1..1	uri	"current-medication"
- - value[x]		1..1	code	Current Medication Binding This is bound to a customizable dictionary configured in myAvatar and may vary by organization.
- extension:rights		0..1	Extension	Received Copy of Client Rights
- - url		1..1	uri	"received-copy-of-client-rights"
- - value[x]		1..1	boolean	Received Copy of Client Rights
- extension:directive		1..1	Extension	Has Advanced Directive
- - url		1..1	uri	"has-advanced-directive"
- - value[x]		1..1	boolean	Has Advanced Directive
- extension:note		0..*	Extension	Clinical Summary Note
- - url		1..1	uri	"note"
- - value[x]		1..1	annotation	Clinical Summary Note
- value[x]		0..0

Terminology Bindings

Path	Conformance	ValueSet
Extension.extension:problem.value[x]	extensible	This is bound to a customizable dictionary configured in myAvatar and may vary by organization.
Extension.extension:disability.value[x]	extensible	This is bound to a customizable dictionary configured in myAvatar and may vary by organization.
Extension.extension:medication.value[x]	extensible	This is bound to a customizable dictionary configured in myAvatar and may vary by organization.

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Examples

{
    "resourceCaller Type": "Encounter",
    "id": "arrived_3||6386.71",
    "extension": [
        {
            "url": "https://fhir.netsmartcloud.com/v4/StructureDefinition/encounter-clinical-summary",
            "extension": [
                {
                    "url": "presenting-problem",
                    "valueCode": "B"
                },
                {
                    "url": "presenting-problem",
                    "valueCode": "N"
                },
                {
                    "url": "disability",
                    "valueCode": "23"
                },
                {
                    "url": "disability",
                    "valueCode": "16"
                },
                {
                    "url": "current-medication",
                    "valueCode": "6"
                },
                {
                    "url": "current-medication",
                    "valueCode": "H"
                },
                {
                    "url": "received-copy-of-client-rights",
                    "valueBoolean": true
                },
                {
                    "url": "has-advanced-directive",
                    "valueBoolean": false
                },
                {
                    "url": "note",
                    "valueAnnotation": {
                        "text": "The first note.\nCan include line breaks."
                    }
                },
                {
                    "url": "note",
                    "valueAnnotation": {
                        "text": "Another note."
                    }
                }
            ]
        },
        // additional extensions
    ],
    "status": "arrived",
    // additional Encounter content
}