QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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

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{
  "resourceType" : "Encounter",
  "id" : "encounter-ed-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"encounter-ed-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;encounter-ed-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: in-progress</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: 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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99223)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; CHALMERS&quot;</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\">Location/example: Emergency Waiting Room</a> &quot;South Wing, second floor&quot;</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\">Location/example: Emergency</a> &quot;South Wing, second floor&quot;</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\">Location/example: Ward 1, Room 42, Bed 1</a> &quot;South Wing, second floor&quot;</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\">Location/example: Ward 1, Room 42, Bed 1</a> &quot;South Wing, second floor&quot;</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\">Location/example: Ward 1, Room 42, Bed 1</a> &quot;South Wing, second floor&quot;</p><p><b>status</b>: active</p><p><b>period</b>: 2017-02-01 12:45:00+1000 --&gt; (ongoing)</p></blockquote></div>"
  },
  "status" : "in-progress",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "IMP",
    "display" : "inpatient encounter"
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "99223",
          "display" : "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."
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/example"
  },
  "period" : {
    "start" : "2017-02-01T07:15:00+10:00"
  },
  "location" : [
    {
      "location" : {
        🔗 "reference" : "Location/example",
        "display" : "Emergency Waiting Room"
      },
      "status" : "active",
      "period" : {
        "start" : "2017-02-01T07:15:00+10:00",
        "end" : "2017-02-01T08:45:00+10:00"
      }
    },
    {
      "location" : {
        🔗 "reference" : "Location/example",
        "display" : "Emergency"
      },
      "status" : "active",
      "period" : {
        "start" : "2017-02-01T08:45:00+10:00",
        "end" : "2017-02-01T09:27:00+10:00"
      }
    },
    {
      "location" : {
        🔗 "reference" : "Location/example",
        "display" : "Ward 1, Room 42, Bed 1"
      },
      "status" : "active",
      "period" : {
        "start" : "2017-02-01T09:27:00+10:00",
        "end" : "2017-02-01T12:15:00+10:00"
      }
    },
    {
      "location" : {
        🔗 "reference" : "Location/example",
        "display" : "Ward 1, Room 42, Bed 1"
      },
      "status" : "reserved",
      "period" : {
        "start" : "2017-02-01T12:15:00+10:00",
        "end" : "2017-02-01T12:45:00+10:00"
      }
    },
    {
      "location" : {
        🔗 "reference" : "Location/example",
        "display" : "Ward 1, Room 42, Bed 1"
      },
      "status" : "active",
      "period" : {
        "start" : "2017-02-01T12:45:00+10:00"
      }
    }
  ]
}