QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

: Condition Encounter Diagnosis example - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 39065001}\">Burnt Ear</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 49521004}\">Left Ear</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.</a></p><p><b>onset</b>: 2015-10-31</p><p><b>abatement</b>: 2015-12-01</p><p><b>recordedDate</b>: 2015-11-01</p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 258219007}\">stage II</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
      "valueDateTime" : "2015-10-31"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "resolved"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "39065001",
        "display" : "Burn of ear"
      }
    ],
    "text" : "Burnt Ear"
  },
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "49521004",
          "display" : "Left external ear structure"
        }
      ],
      "text" : "Left Ear"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/example"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example"
  },
  "onsetDateTime" : "2015-10-31",
  "abatementDateTime" : "2015-12-01",
  "recordedDate" : "2015-11-01",
  "stage" : [
    {
      "summary" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "258219007",
            "display" : "stage II"
          }
        ]
      }
    }
  ]
}