QI-Core Implementation Guide
7.0.0-ballot - STU7 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Example Procedure: Procedure example

Generated Narrative: Procedure example

status: Completed

code: Excision of appendix (procedure)

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

encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); 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.

performed: 2013-04-05 09:20:00-0400 --> 2013-04-05 10:30:00-0400

Performers

-Actor
*Dr Cecil Surgeon

reasonCode: Abdominal pain (finding)

bodySite: Appendix structure

report: Diagnostic Report for 'CBC panel - Blood by Automated count' for '->Peter Chalmers'