QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

Encounter/example

Formats: Narrative, XML, JSON, Turtle

Raw xml


<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>