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 - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 (use: usual, period: 2001-05-06 --&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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
    <valueDateTime value="2015-10-31"/>
  </extension>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="resolved"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="encounter-diagnosis"/>
      <display value="Encounter Diagnosis"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="39065001"/>
      <display value="Burn of ear"/>
    </coding>
    <text value="Burnt Ear"/>
  </code>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="49521004"/>
      <display value="Left external ear structure"/>
    </coding>
    <text value="Left Ear"/>
  </bodySite>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example"/>
  </encounter>
  <onsetDateTime value="2015-10-31"/>
  <abatementDateTime value="2015-12-01"/>
  <recordedDate value="2015-11-01"/>
  <stage>
    <summary>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="258219007"/>
        <display value="stage II"/>
      </coding>
    </summary>
  </stage>
</Condition>