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How do we get the Visit number(unique business identifier for an encounter) from encounter fhir resource?

Jay RajendranJan 24 2024

Hello Team - we are looking for identifying the unique enounter business identifier for use in your application. Currently the encounter identifier we see in Encounter Resource are either account Number or Fin Number, we assume both are not unique to the encounter vs they are unique to the account. Do we have any options to get the unique enounter identifier.

Sharing below the encounter resource sample from cerner sandbox,

 "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "_system": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode": "unknown"
                }
              ]
            },
            "value": "15951",
            "period": {
              "start": "2019-12-26T15:41:55.000Z"
            }
          }
        ],

Additonal encounter details,

 "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97939518",
      "resource": {
        "resourceType": "Encounter",
        "id": "97939518",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-10-02T00:08:17.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Hospital, MX Hospital, NU05, 102, A</p><p><b>Type</b>: Inpatient</p><p><b>Service Type</b>: Medicine-General</p><p><b>Class</b>: inpatient encounter</p><p><b>Status</b>: Finished</p><p><b>Period Start Date</b>: Dec 26, 2019  3:38 P.M. UTC</p><p><b>Period End Date</b>: Jan  7, 2020  6:00 A.M. UTC</p><p><b>Reason For Visit</b>: Illness</p><p><b>Attending Physician</b>: Cerner Test, Physician - Hospitalist Cerner</p></div>"
        },
        "extension": [
          {
            "id": "CA-0",
            "extension": [
              {
                "id": "ENCNTR:17368048",
                "valueString": "Full Reg Date/Time",
                "url": "custom-attribute-name"
              },
              {
                "valueDateTime": "2019-12-26T15:41:52.000Z",
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "id": "CA-1",
            "extension": [
              {
                "id": "ENCNTR:2572582103",
                "valueString": "Driving Dx",
                "url": "custom-attribute-name"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/nomenclature",
                      "code": "13249728",
                      "display": "Primary stabbing headache",
                      "userSelected": false
                    }
                  ],
                  "text": "Primary stabbing headache"
                },
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount",
            "valueMoney": {
              "value": 0.0,
              "currency": "USD"
            }
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "_system": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode": "unknown"
                }
              ]
            },
            "value": "15951",
            "period": {
              "start": "2019-12-26T15:41:55.000Z"
            }
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter",
          "userSelected": false
        },
This post has been answered by Kennan Keim-Oracle on Jan 24 2024
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Added on Jan 24 2024
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