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

Extension: QICore Diagnosis Present on Admission

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission Version: 7.0.0-ballot
Draft as of 2018-08-22 Computable Name: QICoreDiagnosisPresentOnAdmission

Indicator of whether the Encounter diagnosis was present at the time of admission.

Context of Use

This extension may be used on the following element(s):

  • Element ID Encounter.diagnosis

NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns. 

define "Encounter With Diabetes Diagnosis Present on Admission":
  "Non-Elective Inpatient Encounter Less Than 120 Days" IPEncounter
    where exists (IPEncounter.diagnosis D
      where D.condition.getCondition().code in "Diabetes"
        and D.diagnosisPresentOnAdmission in "Present on Admission or Clinically Undetermined"
    )

Examples

Inpatient Admission for Appendicitis

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Indicator of whether the Encounter diagnosis was present at the time of admission.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 1..1 Extension onAdmission
... url 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission"
... value[x] 0..1 CodeableConcept Value of extension
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 1..1 Extension onAdmission
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Indicator of whether the Encounter diagnosis was present at the time of admission.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 1..1 Extension onAdmission
... url 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission"
... value[x] 0..1 CodeableConcept Value of extension
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 1..1 Extension onAdmission
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]requiredQICorePresentOnAdmission
http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()