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FHIR IG analytics

Packagegov.cdc.nhsn.dqm
Resource TypeBundle
IdBundle-bundle-example-ach-monthly-subject-ach-pass1.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "bundle-example-ach-monthly-subject-ach-pass1",
  "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-9586d7a777e1"
  },
  "type": "collection",
  "timestamp": "2024-02-05T21:04:29.481+00:00",
  "entry": [
    {
      "fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "measurereport-example-individual-ach-monthly-pass1",
        "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-individual-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass1</b></p><a name=\"measurereport-example-individual-ach-monthly-pass1\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass1\"> </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-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass1.html\">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Condition Bacteremia (finding)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass1-central-line.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-blood.html\">Observation Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-csf.html\">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-gestational-age.html\">Observation Gestational age--at birth</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass1-central-line.html\">Procedure Placement procedure (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass1-lumbar.html\">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</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-NHSNAcuteCareHospitalMonthlyInitialPopulation.html\">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 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; 2024-02-04 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-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass1.html\">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Condition Bacteremia (finding)</a></li><li><a href=\"Device-device-example-ach-monthly-pass1-central-line.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-blood.html\">Observation Bacteria identified in Blood by Culture</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-csf.html\">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-gestational-age.html\">Observation Gestational age--at birth</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass1-central-line.html\">Procedure Placement procedure (procedure)</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass1-lumbar.html\">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</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-monthly-pass1"
            }
          },
          {
            "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-monthly-pass1"
            }
          },
          {
            "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-monthly-pass1"
            }
          },
          {
            "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-monthly-pass1"
            }
          },
          {
            "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-device"
                }
              ],
              "reference": "Device/device-example-ach-monthly-pass1-central-line"
            }
          },
          {
            "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-monthly-pass1-vancomycin"
            }
          },
          {
            "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-monthly-pass1-vancomycin"
            }
          },
          {
            "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/observation-example-ach-monthly-pass1-blood"
            }
          },
          {
            "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/observation-example-ach-monthly-pass1-csf"
            }
          },
          {
            "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-category"
                }
              ],
              "reference": "Observation/observation-example-ach-monthly-pass1-gestational-age"
            }
          },
          {
            "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-vital-signs-category"
                }
              ],
              "reference": "Observation/observation-example-ach-monthly-pass1-vitals-weight"
            }
          },
          {
            "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-procedure"
                }
              ],
              "reference": "Procedure/procedure-example-ach-monthly-pass1-central-line"
            }
          },
          {
            "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-procedure"
                }
              ],
              "reference": "Procedure/procedure-example-ach-monthly-pass1-lumbar"
            }
          },
          {
            "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-monthly-pass1-blood"
            }
          },
          {
            "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-monthly-pass1-csf"
            }
          },
          {
            "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-monthly-pass1-blood"
            }
          },
          {
            "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-monthly-pass1-csf"
            }
          }
        ],
        "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/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1"
        },
        "date": "2024-02-05T21:04:29.481+00:00",
        "reporter": {
          "reference": "Organization/organization-example-submitting-organization"
        },
        "period": {
          "start": "2024-01-05T00:00:00.000+00:00",
          "end": "2024-02-04T00:00:00.000+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-monthly-pass1"
          },
          {
            "reference": "Encounter/encounter-example-ach-monthly-pass1"
          },
          {
            "reference": "Coverage/coverage-example-ach-monthly-pass1"
          },
          {
            "reference": "Condition/condition-example-diagnosis-ach-monthly-pass1"
          },
          {
            "reference": "Device/device-example-ach-monthly-pass1-central-line"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass1-blood"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass1-csf"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass1-gestational-age"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass1-vitals-weight"
          },
          {
            "reference": "Procedure/procedure-example-ach-monthly-pass1-central-line"
          },
          {
            "reference": "Procedure/procedure-example-ach-monthly-pass1-lumbar"
          },
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
          },
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
          },
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
          },
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-example-ach-monthly-pass1",
        "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-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass1</b></p><a name=\"patient-example-ach-monthly-pass1\"> </a><a name=\"hcpatient-example-ach-monthly-pass1\"> </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;\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (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>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (United States)</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Next-of-Kin\">Next-of-Kin:</td><td colspan=\"3\"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </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-2135-2\">Race &amp; Ethnicity - CDC 2135-2</a>: Hispanic or Latino</li><li>text: 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\">M</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-2054-5\">Race &amp; Ethnicity - CDC 2054-5</a>: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2054-5",
                  "display": "Black or African American"
                }
              },
              {
                "url": "text",
                "valueString": "Black or African American"
              }
            ],
            "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": "2135-2",
                  "display": "Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "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": "M"
          }
        ],
        "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": "1601191901010308"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "text": "Pass1 ACH",
            "family": "ACH",
            "given": [
              "Pass1"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "999-999-9999",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "2024-02-01",
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "type": "both",
            "line": [
              "456 Alphabet Street"
            ],
            "city": "Lansing",
            "district": "Ingham County",
            "state": "MI",
            "postalCode": "48864",
            "country": "US"
          }
        ],
        "contact": [
          {
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code": "N",
                    "display": "Next-of-Kin"
                  }
                ]
              }
            ],
            "name": {
              "text": "Mom Parent",
              "family": "Parent",
              "given": [
                "Mom"
              ]
            },
            "address": {
              "line": [
                "456 Alphabet Street"
              ],
              "city": "Lansing",
              "state": "MI",
              "postalCode": "48864"
            }
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (United States)"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "Encounter",
        "id": "encounter-example-ach-monthly-pass1",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass1</b></p><a name=\"encounter-example-ach-monthly-pass1\"> </a><a name=\"hcencounter-example-ach-monthly-pass1\"> </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-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 32485007}\">Hospital Admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>period</b>: 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R50.9}\">Fever</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Thrombophlebitis</a></td></tr></table><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 born}\">Born in hospital</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}\">Other</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-nicu-level-iii.html\">ACH Monthly Neonatal critical care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 16:02:00-0500 --&gt; 2024-02-02 16:02:00-0500</td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "10005104251"
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "version": "9.0.0",
          "code": "ACUTE",
          "display": "inpatient acute"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "32485007",
                "display": "Hospital admission (procedure)"
              }
            ],
            "text": "Hospital Admission"
          }
        ],
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "period": {
          "start": "2024-02-01T16:02:00-05:00",
          "end": "2024-02-04T19:00:00-05:00"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-10-cm",
                "code": "R50.9",
                "display": "Fever, unspecified"
              }
            ],
            "text": "Fever"
          }
        ],
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/condition-example-diagnosis-ach-monthly-pass1",
              "display": "Thrombophlebitis"
            }
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "born",
                "display": "Born in hospital"
              }
            ],
            "text": "Born in hospital"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "oth",
                "display": "Other"
              }
            ],
            "text": "Other"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/location-example-ach-monthly-nicu-level-iii",
              "display": "ACH Monthly Neonatal critical care"
            },
            "physicalType": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code": "wa",
                  "display": "Ward"
                }
              ]
            },
            "period": {
              "start": "2024-02-01T16:02:00-05:00",
              "end": "2024-02-02T16:02:00-05:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "Coverage",
        "id": "coverage-example-ach-monthly-pass1",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass1</b></p><a name=\"coverage-example-ach-monthly-pass1\"> </a><a name=\"hccoverage-example-ach-monthly-pass1\"> </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-monthly-coverage.html\">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/084536836</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}\">subsidized health program</span></p><p><b>policyHolder</b>: <a href=\"http://example.org/fhir/RelatedPerson/exampleMom\">Mom Parent</a></p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}\">Child</span></p><p><b>period</b>: 2020-08-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"http://example.org/fhir/Organization/Medicaid\">Medicaid</a></p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MB",
                  "display": "Member Number"
                }
              ]
            },
            "system": "http://example.org/fhir/memberidentifier",
            "value": "084536836"
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version": "9.0.0",
              "code": "SUBSIDIZ",
              "display": "subsidized health program"
            }
          ]
        },
        "policyHolder": {
          "reference": "http://example.org/fhir/RelatedPerson/exampleMom",
          "display": "Mom Parent"
        },
        "subscriberId": "98435938934",
        "beneficiary": {
          "reference": "Patient/patient-example-ach-monthly-pass1"
        },
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "child",
              "display": "Child"
            }
          ],
          "text": "Child"
        },
        "period": {
          "start": "2020-08-01"
        },
        "payor": [
          {
            "reference": "http://example.org/fhir/Organization/Medicaid",
            "display": "Medicaid"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass1",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-example-diagnosis-ach-monthly-pass1",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass1</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass1\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass1\"> </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-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><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://snomed.info/sct 5758002}, {http://hl7.org/fhir/sid/icd-10-cm R78.81}\">Bacteremia</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p></div>"
        },
        "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://snomed.info/sct",
              "code": "5758002",
              "display": "Bacteremia (finding)"
            },
            {
              "system": "http://hl7.org/fhir/sid/icd-10-cm",
              "code": "R78.81",
              "display": "Bacteremia"
            }
          ],
          "text": "Bacteremia"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass1-central-line",
      "resource": {
        "resourceType": "Device",
        "id": "device-example-ach-monthly-pass1-central-line",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-ach-monthly-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass1-central-line</b></p><a name=\"device-example-ach-monthly-pass1-central-line\"> </a><a name=\"hcdevice-example-ach-monthly-pass1-central-line\"> </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-monthly-device.html\">ACH Monthly Event Device</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510341 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 52124006}\">Central venous catheter, device</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "1000510341"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "52124006",
              "display": "Central venous catheter, device (physical object)"
            }
          ],
          "text": "Central venous catheter, device"
        },
        "patient": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-monthly-pass1-vancomycin",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass1-vancomycin</b></p><a name=\"medadmin-example-ach-monthly-pass1-vancomycin\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass1-vancomycin\"> </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-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111 (use: usual, )</p><p><b>status</b>: Completed</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-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 14:34:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</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>15mg/kg</td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>15 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/kg = 'mg/kg')</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "1018888111"
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "inpatient",
              "display": "Inpatient"
            }
          ],
          "text": "Inpatient"
        },
        "medicationReference": {
          "reference": "Medication/medication-example-vancomycin-15",
          "display": "vancomycin Injectable Solution 50MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "context": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "effectiveDateTime": "2024-02-02T14:34:00-05:00",
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
        },
        "dosage": {
          "text": "15mg/kg",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "47625008",
                "display": "Intravenous route"
              }
            ],
            "text": "IV"
          },
          "dose": {
            "value": 15,
            "unit": "mg/kg",
            "system": "http://unitsofmeasure.org",
            "code": "mg/kg"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-monthly-pass1-vancomycin",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass1-vancomycin</b></p><a name=\"medicationrequest-example-ach-monthly-pass1-vancomycin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass1-vancomycin\"> </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-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811 (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>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-02 13:43:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 15mg/kg every 12 hours</p><p><b>timing</b>: Once per 12 hours</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>15 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/kg = 'mg/kg')</span></td></tr></table></blockquote></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101888811"
          }
        ],
        "status": "completed",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient"
          }
        ],
        "reportedBoolean": false,
        "medicationReference": {
          "reference": "Medication/medication-example-vancomycin-15",
          "display": "vancomycin Injectable Solution 50MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "authoredOn": "2024-02-02T13:43:00-05:00",
        "requester": {
          "reference": "Patient/patient-example-ach-monthly-pass1"
        },
        "dosageInstruction": [
          {
            "text": "15mg/kg every 12 hours",
            "timing": {
              "repeat": {
                "period": 12,
                "periodUnit": "h"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "47625008",
                  "display": "Intravenous route"
                }
              ],
              "text": "IV"
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "Calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 15,
                  "unit": "mg/kg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg/kg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass1-blood",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-blood</b></p><a name=\"observation-example-ach-monthly-pass1-blood\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-blood\"> </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-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></p><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 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:12:00-0500</p><p><b>issued</b>: 2024-02-03 11:42:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 113962001}\">Staphylococcus capitis</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
        },
        "basedOn": [
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
          }
        ],
        "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": "600-7",
              "display": "Bacteria identified in Blood by Culture"
            }
          ],
          "text": "Bacteria identified in Blood by Culture"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "effectiveDateTime": "2024-02-02T18:12:00-05:00",
        "issued": "2024-02-03T11:42:00-05:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "113962001",
              "display": "Staphylococcus capitis ss capitis (organism)"
            }
          ],
          "text": "Staphylococcus capitis"
        },
        "specimen": {
          "reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass1-csf",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-csf</b></p><a name=\"observation-example-ach-monthly-pass1-csf\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-csf\"> </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-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><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 61402-4}\">Serratia marcescens DNA</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:13:00-0500</p><p><b>issued</b>: 2024-02-03 11:47:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260373001}\">Detected (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
        },
        "basedOn": [
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
          }
        ],
        "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": "61402-4",
              "display": "Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"
            }
          ],
          "text": "Serratia marcescens DNA"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "effectiveDateTime": "2024-02-02T18:13:00-05:00",
        "issued": "2024-02-03T11:47:00-05:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-gestational-age",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass1-gestational-age",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-gestational-age\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-gestational-age</b></p><a name=\"observation-example-ach-monthly-pass1-gestational-age\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-gestational-age\"> </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-monthly-observation.html\">ACH Monthly Event Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76516-4}\">Gestational age at birth</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 164 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "exam"
              }
            ],
            "text": "Exam"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "76516-4",
              "display": "Gestational age--at birth"
            }
          ],
          "text": "Gestational age at birth"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "effectiveDateTime": "2024-02-01T16:02:00-05:00",
        "issued": "2024-02-01T16:02:00-05:00",
        "valueQuantity": {
          "value": 164,
          "unit": "day",
          "system": "http://unitsofmeasure.org",
          "code": "d"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-vitals-weight",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass1-vitals-weight",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass1-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-vitals-weight\"> </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-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Weight</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 0.58 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29463-7",
              "display": "Body weight"
            }
          ],
          "text": "Weight"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "effectiveDateTime": "2024-02-01T16:02:00-05:00",
        "issued": "2024-02-01T16:02:00-05:00",
        "valueQuantity": {
          "value": 0.58,
          "unit": "kg",
          "system": "http://unitsofmeasure.org",
          "code": "kg"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-central-line",
      "resource": {
        "resourceType": "Procedure",
        "id": "procedure-example-ach-monthly-pass1-central-line",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-central-line</b></p><a name=\"procedure-example-ach-monthly-pass1-central-line\"> </a><a name=\"hcprocedure-example-ach-monthly-pass1-central-line\"> </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-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 312052002}\">Placement procedure (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:12:00-0500</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "1000510352"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "312052002",
              "display": "Placement procedure (procedure)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "performedDateTime": "2024-02-02T18:12:00-05:00"
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-lumbar",
      "resource": {
        "resourceType": "Procedure",
        "id": "procedure-example-ach-monthly-pass1-lumbar",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass1-lumbar\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-lumbar</b></p><a name=\"procedure-example-ach-monthly-pass1-lumbar\"> </a><a name=\"hcprocedure-example-ach-monthly-pass1-lumbar\"> </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-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/ICD10 009U3ZX}\">Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:56:00-0500</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "1000510352"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://www.cms.gov/Medicare/Coding/ICD10",
              "code": "009U3ZX",
              "display": "Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "performedDateTime": "2024-02-02T18:56:00-05:00",
        "bodySite": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "272005",
                "display": "Structure of superior articular process of lumbar vertebra (body structure)"
              }
            ],
            "text": "Structure of superior articular process of lumbar vertebra"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "servicerequest-example-ach-monthly-pass1-blood",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-blood</b></p><a name=\"servicerequest-example-ach-monthly-pass1-blood\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass1-blood\"> </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-monthly-servicerequest.html\">ACH Monthly 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 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.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>: 2024-02-02 17:22:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</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": "600-7",
              "display": "Bacteria identified in Blood by Culture"
            }
          ],
          "text": "Bacteria identified in Blood by Culture"
        },
        "quantityQuantity": {
          "value": 1
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "occurrenceTiming": {
          "event": [
            "2024-02-02T17:22:00-05:00"
          ],
          "repeat": {
            "count": 1
          },
          "code": {
            "text": "Once"
          }
        },
        "authoredOn": "2024-02-02T17:22:00-05:00",
        "specimen": [
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "servicerequest-example-ach-monthly-pass1-csf",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-csf</b></p><a name=\"servicerequest-example-ach-monthly-pass1-csf\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass1-csf\"> </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-monthly-servicerequest.html\">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631822 (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 29584-0}\">Differential panel - Cerebral spinal fluid</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:30-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:30-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</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": "1019631822"
          }
        ],
        "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": "29584-0",
              "display": "Differential panel - Cerebral spinal fluid"
            }
          ],
          "text": "Differential panel - Cerebral spinal fluid"
        },
        "quantityQuantity": {
          "value": 1
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass1",
          "display": "Hospital Admission"
        },
        "occurrenceTiming": {
          "event": [
            "2024-02-02T17:22:30-05:00"
          ],
          "repeat": {
            "count": 1
          },
          "code": {
            "text": "Once"
          }
        },
        "authoredOn": "2024-02-02T17:22:30-05:00",
        "specimen": [
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-example-ach-monthly-pass1-blood",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-blood</b></p><a name=\"specimen-example-ach-monthly-pass1-blood\"> </a><a name=\"hcspecimen-example-ach-monthly-pass1-blood\"> </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-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082901, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:41</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122555007}\">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</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>2024-02-02 18:12:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 76853006}\">Heel structure</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
            "value": "C104082901",
            "assigner": {
              "display": "LIS"
            }
          },
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
            "value": "C10408290:41"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "122555007",
              "display": "Venous blood specimen (specimen)"
            }
          ],
          "text": "Venous blood specimen (specimen)"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "receivedTime": "2024-02-02T18:20:00-05:00",
        "collection": {
          "collectedDateTime": "2024-02-02T18:12:00-05:00",
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "76853006",
                "display": "Heel structure (body structure)"
              }
            ],
            "text": "Heel structure"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-example-ach-monthly-pass1-csf",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-csf</b></p><a name=\"specimen-example-ach-monthly-pass1-csf\"> </a><a name=\"hcspecimen-example-ach-monthly-pass1-csf\"> </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-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258450006}\">Cerebrospinal fluid specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</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>2024-02-02 18:13:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
            "value": "C104082902",
            "assigner": {
              "display": "LIS"
            }
          },
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
            "value": "C10408290:42"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "258450006",
              "display": "Cerebrospinal fluid specimen (specimen)"
            }
          ],
          "text": "Cerebrospinal fluid specimen (specimen)"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass1",
          "display": "Pass1 ACH"
        },
        "receivedTime": "2024-02-02T18:20:00-05:00",
        "collection": {
          "collectedDateTime": "2024-02-02T18:13:00-05:00",
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "272005",
                "display": "Structure of superior articular process of lumbar vertebra (body structure)"
              }
            ],
            "text": "Structure of superior articular process of lumbar vertebra"
          }
        }
      }
    }
  ]
}