This is a short message to quickly notify the general practitioner (or referring physician) of the admission of the patient.
This transaction only requires a level 1 of kmehr normalization. However, further levels may be applied (see structure overview).
|id||id of the transaction according to the ID-KMEHR conventions|
|cd||You must use the value 'admission' from CD-TRANSACTION.You can always add your own local codes.|
|date||This is the date of reporting of the admission notification.|
|time||This is the time of reporting of the admission notification.|
|author||This is the person assuming the responsibility of medical content of the admission notification.|
|iscomplete||If this is false, this means that you transfer only part of the information and that the recipient should expect a more complete version later.|
|isvalidated||If this is false, this means that the information has not been validated medically.|
You have the choice between:
text(s) : to transfer your admission notification as free text.
lnk(s) : to encapsulate your admission notification as a multimedia object (Word document for example).
item(s) : to further structure your admission notification.
Any item from CD-ITEM can be used but we strongly recommend the following.
|Item type (cd)||Item Purpose||Item structure|
||your local admission number||content (text)|
|encountertype||hospitalisation, emergency, etc ...||content(text | cd) cd element refers to CD-ENCOUTER dictionary|
|encounterdatetime||admission date and time||content (date time)|
|encounterlocation||to document institution, site, unit, room and bed||content (text | cd)|
|encounterresponsible||responsible of the encounter (can be used to identify the individual and/or the medical department in charge of the patient)||content(text | hcparty)|
|transactionreason||reason for admission||content text|
|encounterorigin||origin of the patient before admission (ambulance, home...)||content(text | cd) cd element refers to CD-MKG-ORIGIN dictionary|
|referrer||the type of entity that referred the patient to the organisation
type of admission process: (planned admission, emergency, ...)
|content(text | cd) cd element refers to CD-MKG-REFERRER dictionary|
|admission type||type of admission process (planned admission, emergency, …)||content(text | cd) cd element refers to CD-MKG-ADMISSION dictionary|