QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions
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<Encounter xmlns="http://hl7.org/fhir"> <id value="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><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><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>: Inpatient Hospital Care <span style="background: LightGoldenRodYellow">(Details : {http://www.ama-assn.org/go/cpt code '99223' = '99223', given as 'Inpatient Hospital Care'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Extension</b></td><td><b>Condition</b></td></tr><tr><td>*</td><td/><td><a href="Condition-appendicitis-example.html">Generated Summary: id: appendicitis-example; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span>; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span>; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span>; <span title="Codes: {http://snomed.info/sct 24484000}">Severe (severity modifier)</span>; <span title="Codes: {http://snomed.info/sct 74400008}">Appendicitis</span>; <span title="Codes: {http://snomed.info/sct 66754008}">Appendix structure</span>; onset: May 24, 2012 12:00:00 AM; recordedDate: May 24, 2012 12:00:00 AM</a></td></tr></table></div> </text> <extension url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure"> <extension url="type"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="80146002"/> <display value="Excision of appendix (procedure)"/> </coding> <text value="Excision of appendix (procedure)"/> </valueCodeableConcept> </extension> <extension url="rank"> <valuePositiveInt value="1"/> </extension> <extension url="procedure"> <valueReference> <reference value="Procedure/example"/> </valueReference> </extension> </extension> <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="Inpatient Hospital Care"/> </coding> </type> <subject> <reference value="Patient/example"/> </subject> <diagnosis> <extension url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/> <code value="y"/> <display value="Yes"/> </coding> </valueCodeableConcept> </extension> <condition> <reference value="Condition/appendicitis-example"/> </condition> </diagnosis> </Encounter>