2026 US Quality Core Implementation Guide
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2026 US Quality Core Implementation Guide - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Encounter example of emergency visit that escalated into inpatient patient - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Encounter/encounter-ed-example> a fhir:Encounter ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "encounter-ed-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter" ;
       fhir:index 0 ;
       fhir:link <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-encounter.html\">US Quality Core Encounter</a></p></div><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/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 ( Social Security number (use: usual, period: 2001-05-06 --&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>"
  ] ;
  fhir:Encounter.status [ fhir:value "in-progress"] ;
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
     fhir:Coding.code [ fhir:value "IMP" ] ;
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ] ;
  fhir:Encounter.type [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "99223" ] ;
       fhir:Coding.display [ fhir: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." ]
     ]
  ] ;
  fhir:Encounter.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2017-02-01T07:15:00+10:00"^^xsd:dateTime ]
  ] ;
  fhir:Encounter.location [
     fhir:index 0 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/example> ;
       fhir:Reference.reference [ fhir:value "Location/example" ] ;
       fhir:Reference.display [ fhir:value "Emergency Waiting Room" ]
     ] ;
     fhir:Encounter.location.status [ fhir:value "active" ] ;
     fhir:Encounter.location.period [
       fhir:Period.start [ fhir:value "2017-02-01T07:15:00+10:00"^^xsd:dateTime ] ;
       fhir:Period.end [ fhir:value "2017-02-01T08:45:00+10:00"^^xsd:dateTime ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/example> ;
       fhir:Reference.reference [ fhir:value "Location/example" ] ;
       fhir:Reference.display [ fhir:value "Emergency" ]
     ] ;
     fhir:Encounter.location.status [ fhir:value "active" ] ;
     fhir:Encounter.location.period [
       fhir:Period.start [ fhir:value "2017-02-01T08:45:00+10:00"^^xsd:dateTime ] ;
       fhir:Period.end [ fhir:value "2017-02-01T09:27:00+10:00"^^xsd:dateTime ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/example> ;
       fhir:Reference.reference [ fhir:value "Location/example" ] ;
       fhir:Reference.display [ fhir:value "Ward 1, Room 42, Bed 1" ]
     ] ;
     fhir:Encounter.location.status [ fhir:value "active" ] ;
     fhir:Encounter.location.period [
       fhir:Period.start [ fhir:value "2017-02-01T09:27:00+10:00"^^xsd:dateTime ] ;
       fhir:Period.end [ fhir:value "2017-02-01T12:15:00+10:00"^^xsd:dateTime ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/example> ;
       fhir:Reference.reference [ fhir:value "Location/example" ] ;
       fhir:Reference.display [ fhir:value "Ward 1, Room 42, Bed 1" ]
     ] ;
     fhir:Encounter.location.status [ fhir:value "reserved" ] ;
     fhir:Encounter.location.period [
       fhir:Period.start [ fhir:value "2017-02-01T12:15:00+10:00"^^xsd:dateTime ] ;
       fhir:Period.end [ fhir:value "2017-02-01T12:45:00+10:00"^^xsd:dateTime ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/example> ;
       fhir:Reference.reference [ fhir:value "Location/example" ] ;
       fhir:Reference.display [ fhir:value "Ward 1, Room 42, Bed 1" ]
     ] ;
     fhir:Encounter.location.status [ fhir:value "active" ] ;
     fhir:Encounter.location.period [
       fhir:Period.start [ fhir:value "2017-02-01T12:45:00+10:00"^^xsd:dateTime ]
     ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Location/example> a fhir:Location .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Encounter/encounter-ed-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Encounter/encounter-ed-example.ttl> .