US Quality Core Implementation Guide
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US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

: Encounter example

Page standards status: Informative

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-encounter"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Encounter 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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-encounter.html">US Quality Core Encounter</a></p></div><p><b>identifier</b>: <code>http://hospital.example.org/encounter-ids</code>/ENC-2026-987654 (use: official, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 32485007}, {http://www.ama-assn.org/go/cpt 99223}">Inpatient Hospital Admission</span></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActPriority UR}">urgent</span></p><p><b>subject</b>: <a href="Patient-example.html">Example Patient</a></p><p><b>period</b>: 2026-08-01 10:30:00-0400 --&gt; 2026-08-05 14:00:00-0400</p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Condition</b></td><td><b>Use</b></td><td><b>Rank</b></td></tr><tr><td style="display: none">*</td><td/><td><a href="Condition-appendicitis-example.html">Appendicitis</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}">Admission diagnosis</span></td><td>1</td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}">Discharged to Home</span></td></tr></table><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><a href="Location-example.html">South Wing, second floor</a></td><td>Completed</td><td>2026-08-01 11:00:00-0400 --&gt; 2026-08-05 14:00:00-0400</td></tr></table></div>
  </text>
  <identifier>
    <use value="official"/>
    <system value="http://hospital.example.org/encounter-ids"/>
    <value value="ENC-2026-987654"/>
  </identifier>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
    <display value="inpatient encounter"/>
  </class>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="32485007"/>
      <display value="Hospital admission"/>
    </coding>
    <coding>
      <system value="http://www.ama-assn.org/go/cpt"/>
      <code value="99223"/>
      <display
               value="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."/>
    </coding>
    <text value="Inpatient Hospital Admission"/>
  </type>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"/>
      <code value="UR"/>
      <display value="urgent"/>
    </coding>
  </priority>
  <subject>🔗 
    <reference value="Patient/example"/>
    <display value="Example Patient"/>
  </subject>
  <period>
    <start value="2026-08-01T10:30:00-04:00"/>
    <end value="2026-08-05T14:00:00-04:00"/>
  </period>
  <diagnosis>
    <extension
               url="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-diagnosis-present-on-admission">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
          <code value="Y"/>
        </coding>
        <text value="Yes"/>
      </valueCodeableConcept>
    </extension>
    <condition>🔗 
      <reference value="Condition/appendicitis-example"/>
      <display value="Appendicitis"/>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
        <code value="AD"/>
        <display value="Admission diagnosis"/>
      </coding>
    </use>
    <rank value="1"/>
  </diagnosis>
  <hospitalization>
    <dischargeDisposition>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
        <code value="home"/>
        <display value="Home"/>
      </coding>
      <text value="Discharged to Home"/>
    </dischargeDisposition>
  </hospitalization>
  <location>
    <location>🔗 
      <reference value="Location/example"/>
      <display value="South Wing, second floor"/>
    </location>
    <status value="completed"/>
    <period>
      <start value="2026-08-01T11:00:00-04:00"/>
      <end value="2026-08-05T14:00:00-04:00"/>
    </period>
  </location>
</Encounter>