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

: Encounter example of emergency visit that escalated into inpatient patient - XML Representation

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="encounter-ed-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Encounter encounter-ed-example</b></p><a name="encounter-ed-example"> </a><a name="hcencounter-ed-example"> </a><a name="encounter-ed-example-en-US"> </a><p><b>status</b>: In Progress</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode</a> IMP: inpatient encounter</p><p><b>type</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 99223}">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.</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>period</b>: 2017-02-01 07:15:00+1000 --&gt; (ongoing)</p><blockquote><p><b>location</b></p><p><b>location</b>: <a href="Location-example.html">Emergency Waiting Room</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 07:15:00+1000 --&gt; 2017-02-01 08:45:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href="Location-example.html">Emergency</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 08:45:00+1000 --&gt; 2017-02-01 09:27:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href="Location-example.html">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 09:27:00+1000 --&gt; 2017-02-01 12:15:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href="Location-example.html">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Reserved</p><p><b>period</b>: 2017-02-01 12:15:00+1000 --&gt; 2017-02-01 12:45:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href="Location-example.html">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 12:45:00+1000 --&gt; (ongoing)</p></blockquote></div>
  </text>
  <status value="in-progress"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
    <display value="inpatient encounter"/>
  </class>
  <type>
    <coding>
      <system value="http://www.ama-assn.org/go/cpt"/>
      <code value="99223"/>
      <display
               value="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."/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <period>
    <start value="2017-02-01T07:15:00+10:00"/>
  </period>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="Emergency Waiting Room"/>
    </location>
    <status value="active"/>
    <period>
      <start value="2017-02-01T07:15:00+10:00"/>
      <end value="2017-02-01T08:45:00+10:00"/>
    </period>
  </location>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="Emergency"/>
    </location>
    <status value="active"/>
    <period>
      <start value="2017-02-01T08:45:00+10:00"/>
      <end value="2017-02-01T09:27:00+10:00"/>
    </period>
  </location>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="Ward 1, Room 42, Bed 1"/>
    </location>
    <status value="active"/>
    <period>
      <start value="2017-02-01T09:27:00+10:00"/>
      <end value="2017-02-01T12:15:00+10:00"/>
    </period>
  </location>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="Ward 1, Room 42, Bed 1"/>
    </location>
    <status value="reserved"/>
    <period>
      <start value="2017-02-01T12:15:00+10:00"/>
      <end value="2017-02-01T12:45:00+10:00"/>
    </period>
  </location>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="Ward 1, Room 42, Bed 1"/>
    </location>
    <status value="active"/>
    <period>
      <start value="2017-02-01T12:45:00+10:00"/>
    </period>
  </location>
</Encounter>