National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
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This page is part of the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: Acute Care Hospital Encounter Class ValueSet - JSON Representation

Page standards status: Trial-use Maturity Level: 1

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{
  "resourceType" : "ValueSet",
  "id" : "ach-encounter-class",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ach-encounter-class</b></p><a name=\"ach-encounter-class\"> </a><a name=\"hcach-encounter-class\"> </a><a name=\"ach-encounter-class-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">EMER</a></td><td>emergency</td><td>A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ACUTE</a></td><td>inpatient acute</td><td>An acute inpatient encounter.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">IMP</a></td><td>inpatient encounter</td><td>A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NONAC\">NONAC</a></td><td>inpatient non-acute</td><td>Any category of inpatient encounter except 'acute'</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-OBSENC\">OBSENC</a></td><td>observation encounter</td><td>An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS\">SS</a></td><td>short stay</td><td>An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pher"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/nhsn-dqm/ImplementationGuide/hl7.fhir.us.nhsn-dqm"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/nhsn-dqm/ImplementationGuide/hl7.fhir.us.nhsn-dqm"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/nhsn-dqm/ValueSet/ach-encounter-class",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.25.316204395913842452684237438142819890580.48.1"
    }
  ],
  "version" : "1.0.0-ballot",
  "name" : "AcuteCareHospitalEncounterClass",
  "title" : "Acute Care Hospital Encounter Class ValueSet",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-08-12T17:44:04+00:00",
  "publisher" : "HL7 International / Public Health",
  "contact" : [
    {
      "name" : "HL7 International / Public Health",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher"
        }
      ]
    }
  ],
  "description" : "Acute Care Hospital Encounter Class ValueSet",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "This Valueset is not copyrighted.",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "concept" : [
          {
            "code" : "EMER",
            "display" : "emergency"
          },
          {
            "code" : "ACUTE",
            "display" : "inpatient acute"
          },
          {
            "code" : "IMP",
            "display" : "inpatient encounter"
          },
          {
            "code" : "NONAC",
            "display" : "inpatient non-acute"
          },
          {
            "code" : "OBSENC",
            "display" : "observation encounter"
          },
          {
            "code" : "SS",
            "display" : "short stay"
          }
        ]
      }
    ]
  }
}