QI-Core Implementation Guide
7.0.1 - STU 7 United States of America flag

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Example Encounter: Encounter example

Page standards status: Informative

status: In Progress

class: ActCode IMP: inpatient encounter

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.

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

Diagnoses

-Condition
*Condition Appendicitis (disorder)