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Encounter Abnormal Extension

Canonical../StructureDefinition/encounter-abnormal
Statusdraft · 1.26.0
BaseExtension (constraint)
ContextEncounter (element)
SourceFSH · JSON

Marks an encounter as abnormal: what this visit produced warrants somebody looking at it.

Elements / Details

Every element this profile touches, with its full definition. Element names in the tables link here.

Extension

Short Encounter Abnormal Extension
Definition Marks an encounter as abnormal: what this visit produced warrants somebody looking at it. One flag on the encounter, not a finding about any one result. R4 offers no element for this -- diagnosis names conditions and status names where the visit got to -- and it is deliberately coarser than an Observation.interpretation code, which answers the same question for a single measurement. This exists so a workflow can find the encounter at all without re-reading everything filed under it. A consumer wanting to know WHICH result was abnormal must read the results. Setting it has a consequence on a different resource. A periodic review walks orders carrying the action-on-abnormal instruction, follows each order to its appointments and each appointment to its encounters, and where any of those encounters carries this flag as true it flags the ORDER as needing review: a system note is added to the order, and every task filed against the order is given needs-review business status. Write true only where that outcome is intended. Absent and false mean the same thing. The review treats a missing extension, a false value and an unreadable one alike, and raises no error on any of them. false exists so the flag can be cleared in place rather than by removing the extension. At most one per encounter. A reader meeting more than one should take the first. Nothing writes this today. No writer in Nexus EMR produces the marker, so the review described above currently never fires on it and every encounter in the estate reads as not abnormal; that is tracked as FHIR-387. It is declared because the reader is live: an encounter carrying true from any source WILL be acted on as described. Treat this as an input contract, not as a field to expect in data Nexus EMR hands you. MIGRATION. The reader in Nexus EMR looks for this extension today at http://services.well.com/fhir/encounter/is-abnormal, an address on a host this specification does not govern, minted in application code before the guide declared the extension; the move onto the canonical declared here is tracked as FHIR-371. Write the canonical; expect both until the migration completes, and match both addresses exactly rather than deriving one from the other -- they share no final segment, so a rule built on the last path element reaches neither from the other.
Cardinality 0..*
Invariants ele-1, ext-1

Extension.id

Short Unique id for inter-element referencing
Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality 0..1
Type http://hl7.org/fhirpath/System.String

Extension.extension

Short Additional content defined by implementations
Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality 0..0
Type Extension
Invariants ele-1, ext-1
Also called extensions, user content

Extension.url

Short identifies the meaning of the extension
Definition Source of the definition for the extension code - a logical name or a URL.
Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality 1..1
Type http://hl7.org/fhirpath/System.String
Fixed value ../StructureDefinition/encounter-abnormal

Extension.value[x]

Short True when this encounter is marked abnormal
Definition true when this encounter is marked abnormal and a review of the orders it answers should surface it. false means not abnormal and carries nothing an absent extension does not; it exists so the flag can be cleared in place.
Cardinality 1..1
Type boolean
Must Support yes
Invariants ele-1