QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot

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 8.0.0-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

## : Encounter example of emergency visit that escalated into inpatient patient

Page standards status: Informative

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    {
      "resourceType" : "Encounter",
      "id" : "encounter-ed-example",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-ed-example</b></p><a name=\"encounter-ed-example\"> </a><a name=\"hcencounter-ed-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99223}\">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.</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>period</b>: 2017-02-01 07:15:00+1000 --&gt; (ongoing)</p><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-example.html\">Emergency Waiting Room</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 07:15:00+1000 --&gt; 2017-02-01 08:45:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-example.html\">Emergency</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 08:45:00+1000 --&gt; 2017-02-01 09:27:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-example.html\">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 09:27:00+1000 --&gt; 2017-02-01 12:15:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-example.html\">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Reserved</p><p><b>period</b>: 2017-02-01 12:15:00+1000 --&gt; 2017-02-01 12:45:00+1000</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-example.html\">Ward 1, Room 42, Bed 1</a></p><p><b>status</b>: Active</p><p><b>period</b>: 2017-02-01 12:45:00+1000 --&gt; (ongoing)</p></blockquote></div>"
      },
      "status" : "in-progress",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP",
        "display" : "inpatient encounter"
      },
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "99223",
              "display" : "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" : {
        🔗 "reference" : "Patient/example"
      },
      "period" : {
        "start" : "2017-02-01T07:15:00+10:00"
      },
      "location" : [
        {
          "location" : {
            🔗 "reference" : "Location/example",
            "display" : "Emergency Waiting Room"
          },
          "status" : "active",
          "period" : {
            "start" : "2017-02-01T07:15:00+10:00",
            "end" : "2017-02-01T08:45:00+10:00"
          }
        },
        {
          "location" : {
            🔗 "reference" : "Location/example",
            "display" : "Emergency"
          },
          "status" : "active",
          "period" : {
            "start" : "2017-02-01T08:45:00+10:00",
            "end" : "2017-02-01T09:27:00+10:00"
          }
        },
        {
          "location" : {
            🔗 "reference" : "Location/example",
            "display" : "Ward 1, Room 42, Bed 1"
          },
          "status" : "active",
          "period" : {
            "start" : "2017-02-01T09:27:00+10:00",
            "end" : "2017-02-01T12:15:00+10:00"
          }
        },
        {
          "location" : {
            🔗 "reference" : "Location/example",
            "display" : "Ward 1, Room 42, Bed 1"
          },
          "status" : "reserved",
          "period" : {
            "start" : "2017-02-01T12:15:00+10:00",
            "end" : "2017-02-01T12:45:00+10:00"
          }
        },
        {
          "location" : {
            🔗 "reference" : "Location/example",
            "display" : "Ward 1, Room 42, Bed 1"
          },
          "status" : "active",
          "period" : {
            "start" : "2017-02-01T12:45:00+10:00"
          }
        }
      ]
    }