Details
-
Change Request
-
Resolution: Persuasive
-
Medium
-
US QI Core (FHIR)
-
current
-
Clinical Quality Information
-
QICore Encounter
-
-
Floyd Eisenberg/Michelle Curie: 24-0-0
-
Clarification
-
Non-substantive
Description
QI-Core Encounter.location (location) includes an extension for location period (qdm-to-qicore.html
The rationale is to continue a convention that the start/stop time for Encounter.period is admission to discharge time. This is distinct from arrivalTime which some inpatient measures need to determine time of a specific intervention after arrival. An effectiveTime cannot be both arrival and admission since there is no way to distinguish between these concepts. Therefore, measures have used a convention that Encounter.period addresses admission to discharge and that works for lengthOfStay. The convention uses location.period to indicate arrival to departure time. The challenge is that base FHIR and US Core do not have a specific concept for location.period.
Suggest that QI-Core provide guidance and an example of how to define arrivalTime versus admission time. Perhaps add an explanatory statement in the QDM to QI-Core table for Encounter.location.period row explaining the location period defines arrival and departure time for the location since the Encounter.period defines the admission to discharge time.