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

## : Condition Encounter Diagnosis example

Page standards status: Informative

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    <Condition xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: Condition example</b></p><a name="example"> </a><a name="hcexample"> </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-condition-encounter-diagnosis.html">QICore Condition Encounter Diagnosis</a></p></div><p><b>Condition Asserted Date</b>: 2015-10-31</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}">Resolved</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 39065001}">Burnt Ear</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 49521004}">Left Ear</span></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">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.</a></p><p><b>onset</b>: 2015-10-31</p><p><b>abatement</b>: 2015-12-01</p><p><b>recordedDate</b>: 2015-11-01</p><h3>Stages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Summary</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 258219007}">stage II</span></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
        <valueDateTime value="2015-10-31"/>
      </extension>
      <clinicalStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
          <code value="resolved"/>
        </coding>
      </clinicalStatus>
      <verificationStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
          <code value="confirmed"/>
        </coding>
      </verificationStatus>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-category"/>
          <code value="encounter-diagnosis"/>
          <display value="Encounter Diagnosis"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="39065001"/>
          <display value="Burn of ear"/>
        </coding>
        <text value="Burnt Ear"/>
      </code>
      <bodySite>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="49521004"/>
          <display value="Left external ear structure"/>
        </coding>
        <text value="Left Ear"/>
      </bodySite>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <onsetDateTime value="2015-10-31"/>
      <abatementDateTime value="2015-12-01"/>
      <recordedDate value="2015-11-01"/>
      <stage>
        <summary>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="258219007"/>
            <display value="stage II"/>
          </coding>
        </summary>
      </stage>
    </Condition>