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FHIR IG analytics

Packagegov.cdc.nhsn.dqm
Resource TypeBundle
IdBundle-bundle-example-ach-monthly-subject-ach-pass3.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-pass3",
  "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-9586d7a777e2"
  },
  "type": "collection",
  "timestamp": "2024-02-05T21:04:29.481+00:00",
  "entry": [
    {
      "fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "measurereport-example-individual-ach-monthly-pass3",
        "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-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass3</b></p><a name=\"measurereport-example-individual-ach-monthly-pass3\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass3\"> </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=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass3</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=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></li><li><a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object)</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</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-condition"
                }
              ],
              "reference": "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
            }
          },
          {
            "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-pass3"
            }
          },
          {
            "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-pass3"
            }
          },
          {
            "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-pass3-ivcs-pump"
            }
          },
          {
            "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-pass3-acute"
            }
          },
          {
            "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-pass3-short-stay"
            }
          },
          {
            "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-pass3-enoxaparin"
            }
          },
          {
            "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-pass3-metronidazole-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-monthly-pass3-metronidazole-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-administration"
                }
              ],
              "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
            }
          },
          {
            "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-pass3-cipro"
            }
          },
          {
            "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-pass3-enoxaparin"
            }
          },
          {
            "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-pass3-metronidazole"
            }
          },
          {
            "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-pass3-cdiff"
            }
          },
          {
            "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"
                }
              ],
              "reference": "Observation/observation-example-ach-monthly-pass3-vitals-height"
            }
          },
          {
            "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"
                }
              ],
              "reference": "Observation/observation-example-ach-monthly-pass3-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-minimal-patient"
                }
              ],
              "reference": "Patient/patient-example-ach-monthly-pass3"
            }
          },
          {
            "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-pass3-transfusion"
            }
          },
          {
            "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-servicerequest"
                }
              ],
              "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
            }
          },
          {
            "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-pass3-stool"
            }
          }
        ],
        "identifier": [
          {
            "system": "http://example.org/fhir/measurereport/id",
            "value": "123456789-pass3"
          }
        ],
        "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": "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
          },
          {
            "reference": "Condition/condition-example-diagnosis-ach-monthly-pass3"
          },
          {
            "reference": "Coverage/coverage-example-ach-monthly-pass3"
          },
          {
            "reference": "Device/device-example-ach-monthly-pass3-ivcs-pump"
          },
          {
            "reference": "Encounter/encounter-example-ach-monthly-pass3-acute"
          },
          {
            "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
          },
          {
            "reference": "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
          },
          {
            "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass3-cdiff"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass3-vitals-height"
          },
          {
            "reference": "Observation/observation-example-ach-monthly-pass3-vitals-weight"
          },
          {
            "reference": "Patient/patient-example-ach-monthly-pass3"
          },
          {
            "reference": "Procedure/procedure-example-ach-monthly-pass3-transfusion"
          },
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
          },
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass3-stool"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-example-ach-monthly-pass3",
        "meta": {
          "profile": [
            "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
          ],
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code": "R",
              "display": "Restricted"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass3</b></p><a name=\"patient-example-ach-monthly-pass3\"> </a><a name=\"hcpatient-example-ach-monthly-pass3\"> </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><p style=\"margin-bottom: 0px\">Security Label: Restricted (Details: Confidentiality code R = 'Restricted')</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"mailto:ACHtestcase@testcase.com\">ACHtestcase@testcase.com</a></li><li>5678 Sesame Lansing Lansing MI 48864 US </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 zh}\">Chinese</span></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\">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-2028-9\">Race &amp; Ethnicity - CDC 2028-9</a>: Asian</li><li>text: White</li></ul></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2028-9",
                  "display": "Asian"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "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": "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": "1601191903010308"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "text": "Pass3 ACH",
            "family": "ACH",
            "given": [
              "Pass3"
            ]
          }
        ],
        "telecom": [
          {
            "system": "email",
            "value": "ACHtestcase@testcase.com",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "2007-10-08",
        "address": [
          {
            "line": [
              "5678 Sesame Lansing"
            ],
            "city": "Lansing",
            "state": "MI",
            "postalCode": "48864",
            "country": "US"
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "zh",
                  "display": "Chinese"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute",
      "resource": {
        "resourceType": "Encounter",
        "id": "encounter-example-ach-monthly-pass3-acute",
        "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-pass3-acute\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-acute</b></p><a name=\"encounter-example-ach-monthly-pass3-acute\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-acute\"> </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>/10005104253a (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-ACUTE\">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 453701000124103}\">Critical care visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</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 other}\">From Short Stay</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>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-crit-part.html\">ACH Monthly Medical Critical Care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-02 16:43:00-0500 --&gt; 2024-03-02 19:58:00-0500</td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "10005104253a"
          }
        ],
        "status": "finished",
        "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": "453701000124103",
                "display": "In-person encounter"
              }
            ],
            "text": "Critical care visit"
          }
        ],
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "period": {
          "start": "2024-02-02T16:43:00-05:00",
          "end": "2024-02-03T19:58:00-05:00"
        },
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "other",
                "display": "Other"
              }
            ],
            "text": "From Short Stay"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home"
              }
            ],
            "text": "Home"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/location-example-ach-monthly-crit-part",
              "display": "ACH Monthly Medical Critical Care"
            },
            "physicalType": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code": "wa",
                  "display": "Ward"
                }
              ]
            },
            "period": {
              "start": "2024-02-02T16:43:00-05:00",
              "end": "2024-03-02T19:58:00-05:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay",
      "resource": {
        "resourceType": "Encounter",
        "id": "encounter-example-ach-monthly-pass3-short-stay",
        "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-pass3-short-stay\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-short-stay</b></p><a name=\"encounter-example-ach-monthly-pass3-short-stay\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-short-stay\"> </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>/10005104253a (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-SS\">ActCode SS</a>: short stay (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 8715000}\">Hospital Admission, Elective Procedure</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R19.7}\">Diarrhea</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-pass3.html\">Enterocolitis due to Clostridium difficile</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source outp}\">Outpatient</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-medsurg.html\">ACH Monthly Medical-Surgical Ward</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "10005104253a"
          }
        ],
        "status": "in-progress",
        "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": "8715000",
                "display": "Hospital admission, elective (procedure)"
              }
            ],
            "text": "Hospital Admission, Elective Procedure"
          }
        ],
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "period": {
          "start": "2024-02-01T14:12:00-05:00",
          "end": "2024-02-02T16:43:00-05:00"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-10-cm",
                "code": "R19.7",
                "display": "Diarrhea, unspecified"
              }
            ],
            "text": "Diarrhea"
          }
        ],
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/condition-example-diagnosis-ach-monthly-pass3",
              "display": "Enterocolitis due to Clostridium difficile"
            }
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "outp",
                "display": "From outpatient department"
              }
            ],
            "text": "Outpatient"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/location-example-ach-monthly-medsurg",
              "display": "ACH Monthly Medical-Surgical Ward"
            },
            "physicalType": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code": "wa",
                  "display": "Ward"
                }
              ]
            },
            "period": {
              "start": "2024-02-01T14:12:00-05:00",
              "end": "2024-02-02T16:43:00-05:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3",
      "resource": {
        "resourceType": "Coverage",
        "id": "coverage-example-ach-monthly-pass3",
        "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-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass3</b></p><a name=\"coverage-example-ach-monthly-pass3\"> </a><a name=\"hccoverage-example-ach-monthly-pass3\"> </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/0945345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">preferred provider organization policy</span></p><p><b>subscriberId</b>: 7843574536</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (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>: <a href=\"http://example.org/fhir/Organization/NationFirst\">Nation First Health Care</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": "0945345"
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version": "9.0.0",
              "code": "PPO",
              "display": "preferred provider organization policy"
            }
          ]
        },
        "subscriberId": "7843574536",
        "beneficiary": {
          "reference": "Patient/patient-example-ach-monthly-pass3"
        },
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "self",
              "display": "Self"
            }
          ]
        },
        "payor": [
          {
            "reference": "http://example.org/fhir/Organization/NationFirst",
            "display": "Nation First Health Care"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-example-diagnosis-ach-monthly-pass3-problem",
        "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-pass3-problem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3-problem</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3-problem\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3-problem\"> </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 resolved}\">Resolved</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 problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 15805002}, {http://hl7.org/fhir/sid/icd-10-cm J01.90}\">Acute sinusitis</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>onset</b>: 2024-01-21 07:32:00-0500</p><p><b>abatement</b>: 2024-02-02 16:43:00-0500</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "resolved",
              "display": "Resolved"
            }
          ]
        },
        "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": "problem-list-item",
                "display": "Problem List Item"
              }
            ],
            "text": "Problem List Item"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "15805002",
              "display": "Acute sinusitis (disorder)"
            },
            {
              "system": "http://hl7.org/fhir/sid/icd-10-cm",
              "code": "J01.90",
              "display": "Acute sinusitis, unspecified"
            }
          ],
          "text": "Acute sinusitis"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "onsetDateTime": "2024-01-21T07:32:00-05:00",
        "abatementDateTime": "2024-02-02T16:43:00-05:00"
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-example-diagnosis-ach-monthly-pass3",
        "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-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3\"> </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://hl7.org/fhir/sid/icd-10-cm A04.7}\">Enterocolitis due to Clostridium difficile</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 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://hl7.org/fhir/sid/icd-10-cm",
              "code": "A04.7",
              "display": "Enterocolitis due to Clostridium difficile"
            }
          ],
          "text": "Enterocolitis due to Clostridium difficile"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump",
      "resource": {
        "resourceType": "Device",
        "id": "device-example-ach-monthly-pass3-ivcs-pump",
        "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-pass3-ivcs-pump\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass3-ivcs-pump</b></p><a name=\"device-example-ach-monthly-pass3-ivcs-pump\"> </a><a name=\"hcdevice-example-ach-monthly-pass3-ivcs-pump\"> </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>/100051035 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 469317002}\">Intermittent venous compression system pump</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "100051035"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "469317002",
              "display": "Intermittent venous compression system pump (physical object)"
            }
          ],
          "text": "Intermittent venous compression system pump"
        },
        "patient": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-monthly-pass3-enoxaparin",
        "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-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medadmin-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-enoxaparin\"> </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>/101888833 (use: usual, )</p><p><b>status</b>: Not Done</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>effective</b>: 2024-02-02 21:04:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101888833"
          }
        ],
        "status": "not-done",
        "category": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "inpatient",
              "display": "Inpatient"
            }
          ],
          "text": "Inpatient Medication"
        },
        "medicationReference": {
          "reference": "Medication/medication-example-enoxaparin",
          "display": "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "context": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display": "Critical care visit"
        },
        "effectiveDateTime": "2024-02-02T21:04:00-05:00",
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
        },
        "dosage": {
          "text": "0.4ml subcutaneous once daily in abdomen",
          "site": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "42972002",
                "display": "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
              }
            ]
          },
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral Use"
              }
            ],
            "text": "Oral"
          },
          "dose": {
            "value": 4000,
            "unit": "uL",
            "system": "http://unitsofmeasure.org",
            "code": "uL"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-monthly-pass3-metronidazole-1",
        "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-pass3-metronidazole-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-1</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-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-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>/1018888321 (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 Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 21:02:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "1018888321"
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "inpatient",
              "display": "Inpatient"
            }
          ],
          "text": "Inpatient Medication"
        },
        "medicationReference": {
          "reference": "Medication/medication-example-metronidazole",
          "display": "Metronidazole 500 MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "context": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "effectiveDateTime": "2024-02-01T21:02:00-05:00",
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage": {
          "text": "5mg tablet by mouth twice daily",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral Use"
              }
            ],
            "text": "Oral"
          },
          "dose": {
            "value": 5,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-monthly-pass3-metronidazole-2",
        "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-pass3-metronidazole-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-2</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-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-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>/1018888322 (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 Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-02 21:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "1018888322"
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "inpatient",
              "display": "Inpatient"
            }
          ],
          "text": "Inpatient Medication"
        },
        "medicationReference": {
          "reference": "Medication/medication-example-metronidazole",
          "display": "Metronidazole 500 MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "context": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "effectiveDateTime": "2024-02-02T21:09:00-05:00",
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage": {
          "text": "5mg tablet by mouth twice daily",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral Use"
              }
            ],
            "text": "Oral"
          },
          "dose": {
            "value": 5,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3",
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "medadmin-example-ach-monthly-pass3-metronidazole-3",
        "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-pass3-metronidazole-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-3</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-3\"> </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>/1018888323 (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 Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-03 09:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "1018888323"
          }
        ],
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "inpatient",
              "display": "Inpatient"
            }
          ],
          "text": "Inpatient Medication"
        },
        "medicationReference": {
          "reference": "Medication/medication-example-metronidazole",
          "display": "Metronidazole 500 MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "context": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "effectiveDateTime": "2024-02-03T09:09:00-05:00",
        "request": {
          "reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage": {
          "text": "5mg tablet by mouth twice daily",
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral Use"
              }
            ],
            "text": "Oral"
          },
          "dose": {
            "value": 5,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-monthly-pass3-cipro",
        "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-pass3-cipro\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-cipro</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-cipro\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-cipro\"> </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>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Home Medication</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href=\"Medication-medication-example-cipro-500.html\">Ciprofloxacin 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 19:15:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 500mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</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>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101888892"
          }
        ],
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "community",
                "display": "Community"
              }
            ],
            "text": "Home Medication"
          }
        ],
        "reportedBoolean": true,
        "medicationReference": {
          "reference": "Medication/medication-example-cipro-500",
          "display": "Ciprofloxacin 500 MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "authoredOn": "2024-02-01T19:15:00-05:00",
        "requester": {
          "reference": "Patient/patient-example-ach-monthly-pass3"
        },
        "recorder": {
          "display": "Patient Identified"
        },
        "dosageInstruction": [
          {
            "text": "500mg tablet by mouth twice daily",
            "timing": {
              "repeat": {
                "frequency": 2,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral Use"
                }
              ],
              "text": "Oral"
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "Calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 500,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-monthly-pass3-enoxaparin",
        "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-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-enoxaparin\"> </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>/101888833 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>authoredOn</b>: 2024-02-02 12:21:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.4ml subcutaneous once daily in abdomen</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</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>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></blockquote></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101888833"
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient Medication"
          }
        ],
        "reportedBoolean": false,
        "medicationReference": {
          "reference": "Medication/medication-example-enoxaparin",
          "display": "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display": "Critical care visit"
        },
        "authoredOn": "2024-02-02T12:21:00-05:00",
        "requester": {
          "reference": "Patient/patient-example-ach-monthly-pass3"
        },
        "dosageInstruction": [
          {
            "text": "0.4ml subcutaneous once daily in abdomen",
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "asNeededBoolean": false,
            "site": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "42972002",
                  "display": "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
                }
              ]
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral Use"
                }
              ],
              "text": "Oral"
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "Calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 4000,
                  "unit": "uL",
                  "system": "http://unitsofmeasure.org",
                  "code": "uL"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "medicationrequest-example-ach-monthly-pass3-metronidazole",
        "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-pass3-metronidazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-metronidazole</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-metronidazole\"> </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>/101888832 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 20:33:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 5mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</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>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value": "101888832"
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient Medication"
          }
        ],
        "reportedBoolean": false,
        "medicationReference": {
          "reference": "Medication/medication-example-metronidazole",
          "display": "Metronidazole 500 MG"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass2 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "authoredOn": "2024-02-01T20:33:00-05:00",
        "requester": {
          "reference": "Patient/patient-example-ach-monthly-pass3"
        },
        "dosageInstruction": [
          {
            "text": "5mg tablet by mouth twice daily",
            "timing": {
              "repeat": {
                "frequency": 2,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral Use"
                }
              ],
              "text": "Oral"
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "Calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 5,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass3-cdiff",
        "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-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-cdiff</b></p><a name=\"observation-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-cdiff\"> </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-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</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://snomed.info/sct 5933001}\">C. Diff.</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:02:00-0500</p><p><b>issued</b>: 2024-02-02 15:30:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>"
        },
        "basedOn": [
          {
            "reference": "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "5933001",
              "display": "Clostridioides difficile (organism)"
            }
          ],
          "text": "C. Diff."
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Hospital Admission, Short Stay"
        },
        "effectiveDateTime": "2024-02-01T19:02:00-05:00",
        "issued": "2024-02-02T15:30:00-05:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "10828004",
              "display": "Positive (qualifier value)"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/specimen-example-ach-monthly-pass3-stool"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass3-vitals-height",
        "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-pass3-vitals-height\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-height</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-height\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-vitals-height\"> </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 8302-2}\">Height</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 176.8 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</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": "8302-2",
              "display": "Body height"
            }
          ],
          "text": "Height"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "effectiveDateTime": "2024-02-01T19:21:00-05:00",
        "issued": "2024-02-01T19:21:00-05:00",
        "valueQuantity": {
          "value": 176.8,
          "unit": "cm",
          "system": "http://unitsofmeasure.org",
          "code": "cm"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-example-ach-monthly-pass3-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-pass3-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-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-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 54.4 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-pass3",
          "display": "Pass3 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Short Stay"
        },
        "effectiveDateTime": "2024-02-01T19:21:00-05:00",
        "issued": "2024-02-01T19:21:00-05:00",
        "valueQuantity": {
          "value": 54.4,
          "unit": "kg",
          "system": "http://unitsofmeasure.org",
          "code": "kg"
        }
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion",
      "resource": {
        "resourceType": "Procedure",
        "id": "procedure-example-ach-monthly-pass3-transfusion",
        "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-pass3-transfusion\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass3-transfusion</b></p><a name=\"procedure-example-ach-monthly-pass3-transfusion\"> </a><a name=\"hcprocedure-example-ach-monthly-pass3-transfusion\"> </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>/100051035264 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 116863004}\">Transfusion of red blood cells (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>performed</b>: 2024-02-02 20:43:00-0500</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value": "100051035264"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116863004",
              "display": "Transfusion of red blood cells (procedure)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display": "Critical care visit"
        },
        "performedDateTime": "2024-02-02T20:43:00-05:00"
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "servicerequest-example-ach-monthly-pass3-cdiff",
        "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-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass3-cdiff</b></p><a name=\"servicerequest-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass3-cdiff\"> </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/1019631826 (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 13957-6}\">C. Diff. toxin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>occurrence</b>: Code , Events: 2024-02-01 18:12:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-01 18:12:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</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": "1019631826"
          }
        ],
        "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": "13957-6",
              "display": "Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"
            }
          ],
          "text": "C. Diff. toxin"
        },
        "quantityQuantity": {
          "value": 1
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "encounter": {
          "reference": "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display": "Hospital Admission, Short Stay"
        },
        "occurrenceTiming": {
          "event": [
            "2024-02-01T18:12:00-05:00"
          ],
          "repeat": {
            "count": 1
          },
          "code": {
            "text": "Once"
          }
        },
        "authoredOn": "2024-02-01T18:12:00-05:00",
        "specimen": [
          {
            "reference": "Specimen/specimen-example-ach-monthly-pass3-stool"
          }
        ]
      }
    },
    {
      "fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-example-ach-monthly-pass3-stool",
        "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-pass3-stool\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass3-stool</b></p><a name=\"specimen-example-ach-monthly-pass3-stool\"> </a><a name=\"hcspecimen-example-ach-monthly-pass3-stool\"> </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>/C104082905, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:45</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 429901000124102}\">Bloody stool specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>receivedTime</b>: 2024-02-01 19:12:00-0500</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>2024-02-01 19:02:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 181261002}\">Entire rectum (body structure)</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
            "value": "C104082905",
            "assigner": {
              "display": "LIS"
            }
          },
          {
            "system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
            "value": "C10408290:45"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "429901000124102",
              "display": "Bloody stool specimen (specimen)"
            }
          ],
          "text": "Bloody stool specimen (specimen)"
        },
        "subject": {
          "reference": "Patient/patient-example-ach-monthly-pass3",
          "display": "Pass3 ACH"
        },
        "receivedTime": "2024-02-01T19:12:00-05:00",
        "collection": {
          "collectedDateTime": "2024-02-01T19:02:00-05:00",
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "181261002",
                "display": "Entire rectum (body structure)"
              }
            ]
          }
        }
      }
    }
  ]
}