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Packagegov.cdc.nhsn.dqm
Resource TypeBundle
IdBundle-bundle-example-ach-daily-subject-rsvlabbtg.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "bundle-example-ach-daily-subject-rsvlabbtg",
  "meta": {
    "profile": [
      "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a75525"
  },
  "type": "collection",
  "timestamp": "2024-02-05T21:04:29.481+00:00",
  "entry": [
    {
      "fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "measurereport-example-ach-daily-rsvlabbtg",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ach-daily-rsvlabbtg</b></p><a name=\"measurereport-example-ach-daily-rsvlabbtg\"> </a><a name=\"hcmeasurereport-example-ach-daily-rsvlabbtg\"> </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=\"http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-02 06:00:00+0000; reasonCode = Throat pain</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-daily-rsvlabbtg.html\">Coverage: status = active; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-daily-rsvlabbtg.html\">Condition Respiratory syncytial virus as the cause of diseases classified elsewhere</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-1.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-01 17:30:09+0000</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-1.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-2.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-02 17:30:09+0000</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-2.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-lab-observation-example-ach-daily-rsvlabbtg.html\">Observation Respiratory syncytial virus Ag [Presence] in Throat</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-daily-rsvlabbtg-rsv.html\">ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-daily-rsvlabbtg.html\">Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass1</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html\">NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></p><p><b>date</b>: 2024-01-06 21:04:29+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></li><li><a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-02 06:00:00+0000; reasonCode = Throat pain</a></li><li><a href=\"Coverage-coverage-example-ach-daily-rsvlabbtg.html\">Coverage: status = active; relationship = Self</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-daily-rsvlabbtg.html\">Condition Respiratory syncytial virus as the cause of diseases classified elsewhere</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-1.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-01 17:30:09+0000</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-1.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-2.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-02 17:30:09+0000</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-2.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></li><li><a href=\"Observation-lab-observation-example-ach-daily-rsvlabbtg.html\">Observation Respiratory syncytial virus Ag [Presence] in Throat</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-daily-rsvlabbtg-rsv.html\">ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat</a></li><li><a href=\"Specimen-specimen-example-ach-daily-rsvlabbtg.html\">Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000</a></li></ul></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code": "cohort"
                }
              ]
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-minimal-patient"
                }
              ],
              "reference": "Patient/patient-example-ach-daily-rsvlabbtg"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-encounter"
                }
              ],
              "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-coverage"
                }
              ],
              "reference": "Coverage/coverage-example-ach-daily-rsvlabbtg"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-condition"
                }
              ],
              "reference": "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-medication-administration"
                }
              ],
              "reference": "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-medication-request"
                }
              ],
              "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-medication-administration"
                }
              ],
              "reference": "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-medication-request"
                }
              ],
              "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-observation-lab-category"
                }
              ],
              "reference": "Observation/lab-observation-example-ach-daily-rsvlabbtg"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-service-request"
                }
              ],
              "reference": "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString": "sde-specimen"
                }
              ],
              "reference": "Specimen/specimen-example-ach-daily-rsvlabbtg"
            }
          }
        ],
        "identifier": [
          {
            "system": "http://example.org/fhir/measurereport/id",
            "value": "123456789-pass1"
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild",
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg"
        },
        "date": "2024-01-06T21:04:29.481+00:00",
        "reporter": {
          "reference": "Organization/organization-example-submitting-organization"
        },
        "period": {
          "start": "2024-01-05T00:00:00.000+00:00",
          "end": "2024-01-06T00:00:00.000+00:00"
        },
        "improvementNotation": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code": "increase"
            }
          ]
        },
        "group": [
          {
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                },
                "count": 1
              }
            ]
          }
        ],
        "evaluatedResource": [
          {
            "reference": "Patient/patient-example-ach-daily-rsvlabbtg"
          },
          {
            "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg"
          },
          {
            "reference": "Coverage/coverage-example-ach-daily-rsvlabbtg"
          },
          {
            "reference": "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2"
          },
          {
            "reference": "Observation/lab-observation-example-ach-daily-rsvlabbtg"
          },
          {
            "reference": "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv"
          },
          {
            "reference": "Specimen/specimen-example-ach-daily-rsvlabbtg"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-example-ach-daily-rsvlabbtg",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-daily-rsvlabbtg</b></p><a name=\"patient-example-ach-daily-rsvlabbtg\"> </a><a name=\"hcpatient-example-ach-daily-rsvlabbtg\"> </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-cross-measure-patient.html\">Cross-Measure Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 999-999-9999(Home)</li><li>123 Happy Place Charlotte MI 48813 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: mother\">mother:</td><td colspan=\"3\"><ul><li>Mother Nature</li><li>123 Happy Place Charlotte MI 48813 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2076-8\">Race &amp; Ethnicity - CDC 2076-8</a>: Native Hawaiian or Other Pacific Islander</li><li>text: Native Hawaiian or Other Pacific Islander</li></ul></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2076-8",
                  "display": "Native Hawaiian or Other Pacific Islander"
                }
              },
              {
                "url": "text",
                "valueString": "Native Hawaiian or Other Pacific Islander"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Non Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ],
              "text": "MRN"
            },
            "system": "urn:oid:1.2.5.8.2.7",
            "value": "1000009002"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "text": "ACHDaily RSVLabBTG",
            "family": "RSVLabBTG",
            "given": [
              "ACHDaily"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "999-999-9999",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "2015-05-05",
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "line": [
              "123 Happy Place"
            ],
            "city": "Charlotte",
            "state": "MI",
            "postalCode": "48813",
            "country": "US"
          }
        ],
        "contact": [
          {
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "MTH",
                    "display": "mother"
                  }
                ]
              }
            ],
            "name": {
              "text": "Mother Nature",
              "family": "Nature",
              "given": [
                "Mother"
              ]
            },
            "address": {
              "use": "home",
              "line": [
                "123 Happy Place"
              ],
              "city": "Charlotte",
              "state": "MI",
              "postalCode": "48813",
              "country": "US"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Encounter",
        "id": "encounter-example-ach-daily-rsvlabbtg",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-daily-rsvlabbtg</b></p><a name=\"encounter-example-ach-daily-rsvlabbtg\"> </a><a name=\"hcencounter-example-ach-daily-rsvlabbtg\"> </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-ach-daily-encounter.html\">ACH Daily Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/123456789987 (use: usual, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS\">ActCode SS</a>: Short Stay (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 183452005}\">Emergency hospital admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, rsvlabbtg</a></p><p><b>period</b>: 2024-01-01 08:00:00+0000 --&gt; 2024-01-02 06:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 162397003}\">Sore throat</span></p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source gp}\">Pediatrician's office</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-daily-emergency.html\">EMERGENCY - PAVILION</a></td><td>2024-01-14 08:00:00+0000 --&gt; 2024-01-22 12:00:00+0000</td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "123456789987"
          }
        ],
        "status": "finished",
        "_status": {
          "extension": [
            {
              "url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension",
              "valueString": "TRIAGED"
            }
          ]
        },
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "version": "9.0.0",
          "code": "SS",
          "display": "Short Stay"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "183452005",
                "display": "Emergency hospital admission (procedure)"
              }
            ],
            "text": "Emergency hospital admission"
          }
        ],
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, rsvlabbtg"
        },
        "period": {
          "start": "2024-01-01T08:00:00Z",
          "end": "2024-01-02T06:00:00Z"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "162397003",
                "display": "Throat pain"
              }
            ],
            "text": "Sore throat"
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "gp",
                "display": "General Practitioner referral"
              }
            ],
            "text": "Pediatrician's office"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home"
              }
            ],
            "text": "Home"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/location-example-ach-daily-emergency",
              "display": "EMERGENCY - PAVILION"
            },
            "period": {
              "start": "2024-01-14T08:00:00Z",
              "end": "2024-01-22T12:00:00Z"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Coverage",
        "id": "coverage-example-ach-daily-rsvlabbtg",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-daily-rsvlabbtg</b></p><a name=\"coverage-example-ach-daily-rsvlabbtg\"> </a><a name=\"hccoverage-example-ach-daily-rsvlabbtg\"> </a><p><b>status</b>: Active</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: Self Pay</p></div>"
        },
        "status": "active",
        "beneficiary": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg"
        },
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "self"
            }
          ],
          "text": "Self"
        },
        "payor": [
          {
            "display": "Self Pay"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-example-diagnosis-ach-daily-rsvlabbtg",
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-daily-rsvlabbtg</b></p><a name=\"condition-example-diagnosis-ach-daily-rsvlabbtg\"> </a><a name=\"hccondition-example-diagnosis-ach-daily-rsvlabbtg\"> </a><p><b>Original Resource ID</b>: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</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://hl7.org/fhir/sid/icd-10-cm B97.4}\">RSV</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>encounter</b>: Inpatient</p></div>"
        },
        "extension": [
          {
            "url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
            "valueString": "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "version": "4.0.0",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ],
            "text": "Encounter Diagnosis"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/icd-10-cm",
              "code": "B97.4",
              "display": "Respiratory syncytial virus as the cause of diseases classified elsewhere"
            }
          ],
          "text": "RSV"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "encounter": {
          "display": "Inpatient"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-daily-rsvlabbtg-1",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-daily-rsvlabbtg-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-1</b></p><a name=\"medadmin-example-ach-daily-rsvlabbtg-1\"> </a><a name=\"hcmedadmin-example-ach-daily-rsvlabbtg-1\"> </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-ach-daily-medicationadministration.html\">ACH Daily Event Medication Administration</a></p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-rsvlabbtg-1.html\">Ribavirin inhalation solution 6g/vial via nebulizer</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>effective</b>: 2024-01-01 12:30:00+0000 --&gt; 2024-01-01 17:30:09+0000</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-1.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td><td>6 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></td></tr></table></div>"
        },
        "status": "completed",
        "medicationReference": {
          "extension": [
            {
              "url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
              "valueString": "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3"
            }
          ],
          "reference": "Medication/medication-example-ach-daily-rsvlabbtg-1",
          "display": "Ribavirin inhalation solution 6g/vial via nebulizer"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "effectivePeriod": {
          "start": "2024-01-01T12:30:00Z",
          "end": "2024-01-01T17:30:09Z"
        },
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1"
        },
        "dosage": {
          "text": "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral route"
              }
            ]
          },
          "dose": {
            "value": 6,
            "unit": "g",
            "system": "http://unitsofmeasure.org",
            "code": "g"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-daily-rsvlabbtg-1",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-daily-rsvlabbtg-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-1</b></p><a name=\"medicationrequest-example-ach-daily-rsvlabbtg-1\"> </a><a name=\"hcmedicationrequest-example-ach-daily-rsvlabbtg-1\"> </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-ach-daily-medicationrequest.html\">ACH Daily Event Medication Request</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101903002 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-rsvlabbtg-1.html\">Ribavirin inhalation solution 6g/vial via nebulizer</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Hospital Encounter</a></p><p><b>authoredOn</b>: 2024-01-01 11:45:15+0000</p><p><b>requester</b>: Faculty Physician Um_Cln, MD</p><p><b>recorder</b>: Faculty Physician Um_Cln, MD</p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td>Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6</td><td>Code , Once per 6 hours</td><td>false</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral use</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101903002"
          }
        ],
        "status": "completed",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient"
          }
        ],
        "medicationReference": {
          "reference": "Medication/medication-example-ach-daily-rsvlabbtg-1",
          "display": "Ribavirin inhalation solution 6g/vial via nebulizer"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg",
          "display": "Hospital Encounter"
        },
        "authoredOn": "2024-01-01T11:45:15Z",
        "requester": {
          "type": "Practitioner",
          "display": "Faculty Physician Um_Cln, MD"
        },
        "recorder": {
          "type": "Practitioner",
          "display": "Faculty Physician Um_Cln, MD"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute",
              "display": "Short course (acute) therapy"
            }
          ],
          "text": "Short course (acute) therapy"
        },
        "dosageInstruction": [
          {
            "text": "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2024-01-01T12:30:15Z",
                  "end": "2024-01-01T17:30:15Z"
                },
                "frequency": 1,
                "period": 6,
                "periodUnit": "h"
              },
              "code": {
                "text": "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral use"
                }
              ],
              "text": "Oral use"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-daily-rsvlabbtg-2",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-daily-rsvlabbtg-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-2</b></p><a name=\"medadmin-example-ach-daily-rsvlabbtg-2\"> </a><a name=\"hcmedadmin-example-ach-daily-rsvlabbtg-2\"> </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-ach-daily-medicationadministration.html\">ACH Daily Event Medication Administration</a></p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-rsvlabbtg-2.html\">Nasal Saline spray</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>effective</b>: 2024-01-01 12:30:00+0000 --&gt; 2024-01-02 17:30:09+0000</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-2.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>Nasal Saline spray, one spray each nostril QID</td><td><span title=\"Codes:{http://snomed.info/sct 46713006}\">Nasal use</span></td><td>1 U<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU = 'U')</span></td></tr></table></div>"
        },
        "status": "completed",
        "medicationReference": {
          "extension": [
            {
              "url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
              "valueString": "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3"
            }
          ],
          "reference": "Medication/medication-example-ach-daily-rsvlabbtg-2",
          "display": "Nasal Saline spray"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "effectivePeriod": {
          "start": "2024-01-01T12:30:00Z",
          "end": "2024-01-02T17:30:09Z"
        },
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2"
        },
        "dosage": {
          "text": "Nasal Saline spray, one spray each nostril QID",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "46713006",
                "display": "Nasal use"
              }
            ]
          },
          "dose": {
            "value": 1,
            "unit": "U",
            "system": "http://unitsofmeasure.org",
            "code": "U"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-daily-rsvlabbtg-2",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-daily-rsvlabbtg-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-2</b></p><a name=\"medicationrequest-example-ach-daily-rsvlabbtg-2\"> </a><a name=\"hcmedicationrequest-example-ach-daily-rsvlabbtg-2\"> </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-ach-daily-medicationrequest.html\">ACH Daily Event Medication Request</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101903002 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-rsvlabbtg-2.html\">Nasal Saline spray</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Hospital Encounter</a></p><p><b>authoredOn</b>: 2024-01-01 11:45:15+0000</p><p><b>requester</b>: Faculty Physician Um_Cln, MD</p><p><b>recorder</b>: Faculty Physician Um_Cln, MD</p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td>Nasal Saline spray, one spray each nostril QID</td><td>Code , Once</td><td>false</td><td><span title=\"Codes:{http://snomed.info/sct 46713006}\">Nasal use</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101903002"
          }
        ],
        "status": "completed",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient"
          }
        ],
        "medicationReference": {
          "reference": "Medication/medication-example-ach-daily-rsvlabbtg-2",
          "display": "Nasal Saline spray"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg",
          "display": "Hospital Encounter"
        },
        "authoredOn": "2024-01-01T11:45:15Z",
        "requester": {
          "type": "Practitioner",
          "display": "Faculty Physician Um_Cln, MD"
        },
        "recorder": {
          "type": "Practitioner",
          "display": "Faculty Physician Um_Cln, MD"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute",
              "display": "Short course (acute) therapy"
            }
          ],
          "text": "Short course (acute) therapy"
        },
        "dosageInstruction": [
          {
            "text": "Nasal Saline spray, one spray each nostril QID",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2024-01-01T12:00:15Z",
                  "end": "2024-01-02T07:00:15Z"
                }
              },
              "code": {
                "text": "Nasal Saline spray, one spray each nostril QID"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "46713006",
                  "display": "Nasal use"
                }
              ],
              "text": "Nasal use"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Observation",
        "id": "lab-observation-example-ach-daily-rsvlabbtg",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_lab-observation-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation lab-observation-example-ach-daily-rsvlabbtg</b></p><a name=\"lab-observation-example-ach-daily-rsvlabbtg\"> </a><a name=\"hclab-observation-example-ach-daily-rsvlabbtg\"> </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-ach-daily-observation-lab.html\">ACH Daily Event Lab Result Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 31949-1}\">RSV Ag Ql (Throat)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Hospital Encounter</a></p><p><b>effective</b>: 2024-01-01 12:15:00+0000</p><p><b>issued</b>: 2024-01-01 12:15:00+0000</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 720735008}\">Presumptive positive</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-daily-rsvlabbtg.html\">Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000</a></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "31949-1",
              "display": "Respiratory syncytial virus Ag [Presence] in Throat"
            }
          ],
          "text": "RSV Ag Ql (Throat)"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg",
          "display": "Hospital Encounter"
        },
        "effectiveDateTime": "2024-01-01T12:15:00Z",
        "issued": "2024-01-01T12:15:00Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "720735008",
              "display": "Presumptive positive"
            }
          ],
          "text": "Presumptive positive"
        },
        "specimen": {
          "reference": "Specimen/specimen-example-ach-daily-rsvlabbtg"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "servicerequest-example-ach-daily-rsvlabbtg-rsv",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-daily-rsvlabbtg-rsv\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-daily-rsvlabbtg-rsv</b></p><a name=\"servicerequest-example-ach-daily-rsvlabbtg-rsv\"> </a><a name=\"hcservicerequest-example-ach-daily-rsvlabbtg-rsv\"> </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-ach-daily-servicerequest.html\">ACH Daily Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631821 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 31949-1}\">RSV Ag Ql (Throat)</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily RSVLabBTG</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-rsvlabbtg.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-01-02 17:22:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-daily-rsvlabbtg.html\">Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000</a></p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PLAC",
                  "display": "Placer Identifier"
                }
              ],
              "text": "Placer Identifier"
            },
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "1019631821"
          }
        ],
        "status": "completed",
        "intent": "original-order",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "108252007",
                "display": "Laboratory procedure"
              }
            ],
            "text": "Laboratory procedure"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "31949-1",
              "display": "Respiratory syncytial virus Ag [Presence] in Throat"
            }
          ],
          "text": "RSV Ag Ql (Throat)"
        },
        "quantityQuantity": {
          "value": 1
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily RSVLabBTG"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-daily-rsvlabbtg",
          "display": "Hospital Admission"
        },
        "occurrenceTiming": {
          "event": [
            "2024-02-02T17:22:00-05:00"
          ],
          "repeat": {
            "count": 1
          },
          "code": {
            "text": "Once"
          }
        },
        "authoredOn": "2024-01-02T17:22:00-05:00",
        "specimen": [
          {
            "reference": "Specimen/specimen-example-ach-daily-rsvlabbtg"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-example-ach-daily-rsvlabbtg",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-daily-rsvlabbtg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-daily-rsvlabbtg</b></p><a name=\"specimen-example-ach-daily-rsvlabbtg\"> </a><a name=\"hcspecimen-example-ach-daily-rsvlabbtg\"> </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-ach-daily-specimen.html\">ACH Daily Event Specimen</a></p></div><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258500001}\">Nasopharyngeal swab (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-rsvlabbtg.html\">ACHDaily, RSVLabBTG</a></p><p><b>receivedTime</b>: 2024-01-01 15:00:00+0000</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-01-01 14:00:00+0000</td><td><span title=\"Codes:{http://snomed.info/sct 1825009}\">Entire root of nose (body structure)</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "258500001",
              "display": "Nasopharyngeal swab (specimen)"
            }
          ],
          "text": "Nasopharyngeal swab (specimen)"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-daily-rsvlabbtg",
          "display": "ACHDaily, RSVLabBTG"
        },
        "receivedTime": "2024-01-01T15:00:00Z",
        "collection": {
          "collectedDateTime": "2024-01-01T14:00:00Z",
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "1825009",
                "display": "Entire root of nose (body structure)"
              }
            ]
          }
        }
      }
    }
  ]
}