FHIR IG analytics| Package | gov.cdc.nhsn.dqm |
| Resource Type | Bundle |
| Id | Bundle-submission-full-example1.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "submission-full-example1",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle"
]
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9"
},
"type": "collection",
"timestamp": "2022-11-15T21:04:29.481+00:00",
"entry": [
{
"fullUrl": "http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization",
"resource": {
"resourceType": "Organization",
"id": "organization-example-submitting-organization",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-example-submitting-organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name=\"organization-example-submitting-organization\"> </a><a name=\"hcorganization-example-submitting-organization\"> </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-nhsn-submitting-organization.html\">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>"
},
"identifier": [
{
"system": "https://www.cdc.gov/nhsn/OrgID",
"value": "ExampleNHSNSubmitterOrgID"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "Example NHSN Submitter",
"telecom": [
{
"system": "phone",
"value": "5555555551",
"rank": 1
}
],
"address": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode": "unknown"
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Device/device-example-submitting-device",
"resource": {
"resourceType": "Device",
"id": "device-example-submitting-device",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-submitting-device\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name=\"device-example-submitting-device\"> </a><a name=\"hcdevice-example-submitting-device\"> </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-nhsn-submitting-device.html\">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>"
},
"deviceName": [
{
"name": "NHSN Link",
"type": "model-name"
}
],
"version": [
{
"component": {
"value": "api"
},
"value": "0.9.0"
},
{
"component": {
"value": "api"
},
"value": "20230713.1"
},
{
"component": {
"value": "api"
},
"value": "3f9662a8"
},
{
"component": {
"value": "cqf-ruler"
},
"value": "0.13.0"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest",
"resource": {
"resourceType": "List",
"id": "list-example-ach-monthly-patients-of-interest",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_list-example-ach-monthly-patients-of-interest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List list-example-ach-monthly-patients-of-interest</b></p><a name=\"list-example-ach-monthly-patients-of-interest\"> </a><a name=\"hclist-example-ach-monthly-patients-of-interest\"> </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-poi-list.html\">Patients-Of-Interest List</a></p></div><table class=\"clstu\"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></td></tr></table></div>"
},
"extension": [
{
"url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension",
"valuePeriod": {
"start": "2021-07-28T00:00:00Z",
"end": "2021-08-28T00:00:00Z"
}
}
],
"identifier": [
{
"system": "https://nhsnlink.org",
"value": "NHSNdQMAcuteCareHospitalMonthlyInitialPopulation"
}
],
"status": "current",
"mode": "changes",
"date": "2021-07-28T00:00:00Z",
"entry": [
{
"item": {
"reference": "Patient/patient-example-ach-monthly-pass1"
}
},
{
"item": {
"reference": "Patient/patient-example-ach-monthly-pass2"
}
},
{
"item": {
"reference": "Patient/patient-example-ach-monthly-pass3"
}
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1",
"resource": {
"resourceType": "MeasureReport",
"id": "measurereport-example-ach-monthly-subjectlist1",
"meta": {
"extension": [
{
"url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension",
"valueDateTime": "2023-05-23T06:07:08Z"
}
],
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ach-monthly-subjectlist1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ach-monthly-subjectlist1</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1\"> </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-subjectlist-measurereport.html\">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</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>period</b>: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000</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><td><b>SubjectResults</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><td><a href=\"#hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: List #list-example-ach-monthly-individual-measurereport-list</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </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-ip-measurereport-list.html\">NHSN Individual MeasureReport List</a></p></div><table class=\"clstu\"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass1.html\">MeasureReport: extension = Cohort,->Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified,->Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing),->Condition Bacteremia (finding),->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object),->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500,->Observation Bacteria identified in Blood by Culture,->Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection,->Observation Gestational age--at birth,->Observation Body weight,->Procedure Placement procedure (procedure),->Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic,->ServiceRequest Bacteria identified in Blood by Culture,->ServiceRequest Differential panel - Cerebral spinal fluid,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass2.html\">MeasureReport: extension = Cohort,->Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg,->Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500,->Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self,->Condition Diabetes mellitus type 2 (disorder),->Condition Thrombophlebitis of deep femoral vein (disorder),->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object),->Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH',->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500,->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] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500,->Observation aPTT in Blood by Coagulation assay,->Observation Glucose [Mass/volume] in Capillary blood by Glucometer,->Observation Glucose [Mass/volume] in Capillary blood by Glucometer,->Observation Hemoglobin A1c/Hemoglobin.total in Blood,->Observation Bacteria identified in Blood by Culture,->Observation Body weight,->Procedure Percutaneous insertion of inferior vena cava filter (procedure),->ServiceRequest aPTT in Blood by Coagulation assay,->ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer,->ServiceRequest Hemoglobin A1c [Mass/volume] in Blood,->ServiceRequest Hemoglobin [Mass/volume] in Venous blood,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass3.html\">MeasureReport: extension = Cohort,->Condition Acute sinusitis (disorder),->Condition Enterocolitis due to Clostridium difficile,->Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self,->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),->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 --> 2024-02-03 19:58:00-0500,->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 --> 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500,->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] = ->Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500,->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] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500,->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] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500,->Observation Clostridioides difficile (organism),->Observation Body height,->Observation Body weight,->Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, )),->Procedure Transfusion of red blood cells (procedure),->ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay,->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; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>"
},
"contained": [
{
"resourceType": "List",
"id": "list-example-ach-monthly-individual-measurereport-list",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"
]
},
"status": "current",
"mode": "snapshot",
"entry": [
{
"item": {
"reference": "MeasureReport/measurereport-example-individual-ach-monthly-pass1"
}
},
{
"item": {
"reference": "MeasureReport/measurereport-example-individual-ach-monthly-pass2"
}
},
{
"item": {
"reference": "MeasureReport/measurereport-example-individual-ach-monthly-pass3"
}
}
]
}
],
"status": "complete",
"type": "subject-list",
"measure": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
"period": {
"start": "2022-08-01T00:00:00+00:00",
"end": "2022-08-31T23:59:59+00:00"
},
"group": [
{
"population": [
{
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 1,
"subjectResults": {
"reference": "#list-example-ach-monthly-individual-measurereport-list"
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1",
"resource": {
"resourceType": "MeasureReport",
"id": "measurereport-example-individual-ach-monthly-pass1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-individual-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass1</b></p><a name=\"measurereport-example-individual-ach-monthly-pass1\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass1.html\">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Condition Bacteremia (finding)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass1-central-line.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-blood.html\">Observation Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-csf.html\">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-gestational-age.html\">Observation Gestational age--at birth</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass1-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass1-central-line.html\">Procedure Placement procedure (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass1-lumbar.html\">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass1</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html\">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass1.html\">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Condition Bacteremia (finding)</a></li><li><a href=\"Device-device-example-ach-monthly-pass1-central-line.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-blood.html\">Observation Bacteria identified in Blood by Culture</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-csf.html\">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-gestational-age.html\">Observation Gestational age--at birth</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass1-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass1-central-line.html\">Procedure Placement procedure (procedure)</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass1-lumbar.html\">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></li></ul></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code": "cohort"
}
]
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-minimal-patient"
}
],
"reference": "Patient/patient-example-ach-monthly-pass1"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-encounter"
}
],
"reference": "Encounter/encounter-example-ach-monthly-pass1"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-coverage"
}
],
"reference": "Coverage/coverage-example-ach-monthly-pass1"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-condition"
}
],
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass1"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-device"
}
],
"reference": "Device/device-example-ach-monthly-pass1-central-line"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-medication-administration"
}
],
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-medication-request"
}
],
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-observation-lab-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass1-blood"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-observation-lab-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass1-csf"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-observation-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass1-gestational-age"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-observation-vital-signs-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass1-vitals-weight"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-procedure"
}
],
"reference": "Procedure/procedure-example-ach-monthly-pass1-central-line"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-procedure"
}
],
"reference": "Procedure/procedure-example-ach-monthly-pass1-lumbar"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-specimen"
}
],
"reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-specimen"
}
],
"reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
}
}
],
"identifier": [
{
"system": "http://example.org/fhir/measurereport/id",
"value": "123456789-pass1"
}
],
"status": "complete",
"type": "individual",
"measure": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1"
},
"date": "2024-02-05T21:04:29.481+00:00",
"reporter": {
"reference": "Organization/organization-example-submitting-organization"
},
"period": {
"start": "2024-01-05T00:00:00.000+00:00",
"end": "2024-02-04T00:00:00.000+00:00"
},
"improvementNotation": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code": "increase"
}
]
},
"group": [
{
"population": [
{
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 1
}
]
}
],
"evaluatedResource": [
{
"reference": "Patient/patient-example-ach-monthly-pass1"
},
{
"reference": "Encounter/encounter-example-ach-monthly-pass1"
},
{
"reference": "Coverage/coverage-example-ach-monthly-pass1"
},
{
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass1"
},
{
"reference": "Device/device-example-ach-monthly-pass1-central-line"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"
},
{
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
},
{
"reference": "Observation/observation-example-ach-monthly-pass1-blood"
},
{
"reference": "Observation/observation-example-ach-monthly-pass1-csf"
},
{
"reference": "Observation/observation-example-ach-monthly-pass1-gestational-age"
},
{
"reference": "Observation/observation-example-ach-monthly-pass1-vitals-weight"
},
{
"reference": "Procedure/procedure-example-ach-monthly-pass1-central-line"
},
{
"reference": "Procedure/procedure-example-ach-monthly-pass1-lumbar"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
},
{
"reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
},
{
"reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass1",
"resource": {
"resourceType": "Patient",
"id": "patient-example-ach-monthly-pass1",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass1</b></p><a name=\"patient-example-ach-monthly-pass1\"> </a><a name=\"hcpatient-example-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cross-measure-patient.html\">Cross-Measure Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 999-999-9999(Home)</li><li>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (United States)</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Next-of-Kin\">Next-of-Kin:</td><td colspan=\"3\"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2135-2\">Race & Ethnicity - CDC 2135-2</a>: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2054-5\">Race & Ethnicity - CDC 2054-5</a>: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
},
"extension": [
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2054-5",
"display": "Black or African American"
}
},
{
"url": "text",
"valueString": "Black or African American"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2135-2",
"display": "Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Hispanic or Latino"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "M"
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
],
"text": "MRN"
},
"system": "urn:oid:1.2.5.8.2.7",
"value": "1601191901010308"
}
],
"active": true,
"name": [
{
"use": "official",
"text": "Pass1 ACH",
"family": "ACH",
"given": [
"Pass1"
]
}
],
"telecom": [
{
"system": "phone",
"value": "999-999-9999",
"use": "home"
}
],
"gender": "female",
"birthDate": "2024-02-01",
"deceasedBoolean": false,
"address": [
{
"use": "home",
"type": "both",
"line": [
"456 Alphabet Street"
],
"city": "Lansing",
"district": "Ingham County",
"state": "MI",
"postalCode": "48864",
"country": "US"
}
],
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0131",
"code": "N",
"display": "Next-of-Kin"
}
]
}
],
"name": {
"text": "Mom Parent",
"family": "Parent",
"given": [
"Mom"
]
},
"address": {
"line": [
"456 Alphabet Street"
],
"city": "Lansing",
"state": "MI",
"postalCode": "48864"
}
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "English (United States)"
}
]
}
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass1",
"resource": {
"resourceType": "Encounter",
"id": "encounter-example-ach-monthly-pass1",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass1</b></p><a name=\"encounter-example-ach-monthly-pass1\"> </a><a name=\"hcencounter-example-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 32485007}\">Hospital Admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>period</b>: 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R50.9}\">Fever</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass1.html\">Thrombophlebitis</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source born}\">Born in hospital</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}\">Other</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-nicu-level-iii.html\">ACH Monthly Neonatal critical care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 16:02:00-0500 --> 2024-02-02 16:02:00-0500</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "10005104251"
}
],
"status": "in-progress",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "9.0.0",
"code": "ACUTE",
"display": "inpatient acute"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "32485007",
"display": "Hospital admission (procedure)"
}
],
"text": "Hospital Admission"
}
],
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"period": {
"start": "2024-02-01T16:02:00-05:00",
"end": "2024-02-04T19:00:00-05:00"
},
"reasonCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "R50.9",
"display": "Fever, unspecified"
}
],
"text": "Fever"
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass1",
"display": "Thrombophlebitis"
}
}
],
"hospitalization": {
"admitSource": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/admit-source",
"code": "born",
"display": "Born in hospital"
}
],
"text": "Born in hospital"
},
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "oth",
"display": "Other"
}
],
"text": "Other"
}
},
"location": [
{
"location": {
"reference": "Location/location-example-ach-monthly-nicu-level-iii",
"display": "ACH Monthly Neonatal critical care"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "wa",
"display": "Ward"
}
]
},
"period": {
"start": "2024-02-01T16:02:00-05:00",
"end": "2024-02-02T16:02:00-05:00"
}
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass1",
"resource": {
"resourceType": "Coverage",
"id": "coverage-example-ach-monthly-pass1",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass1</b></p><a name=\"coverage-example-ach-monthly-pass1\"> </a><a name=\"hccoverage-example-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-coverage.html\">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/084536836</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}\">subsidized health program</span></p><p><b>policyHolder</b>: <a href=\"http://example.org/fhir/RelatedPerson/exampleMom\">Mom Parent</a></p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}\">Child</span></p><p><b>period</b>: 2020-08-01 --> (ongoing)</p><p><b>payor</b>: <a href=\"http://example.org/fhir/Organization/Medicaid\">Medicaid</a></p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MB",
"display": "Member Number"
}
]
},
"system": "http://example.org/fhir/memberidentifier",
"value": "084536836"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "9.0.0",
"code": "SUBSIDIZ",
"display": "subsidized health program"
}
]
},
"policyHolder": {
"reference": "http://example.org/fhir/RelatedPerson/exampleMom",
"display": "Mom Parent"
},
"subscriberId": "98435938934",
"beneficiary": {
"reference": "Patient/patient-example-ach-monthly-pass1"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "child",
"display": "Child"
}
],
"text": "Child"
},
"period": {
"start": "2020-08-01"
},
"payor": [
{
"reference": "http://example.org/fhir/Organization/Medicaid",
"display": "Medicaid"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass1",
"resource": {
"resourceType": "Condition",
"id": "condition-example-diagnosis-ach-monthly-pass1",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass1</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass1\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 5758002}, {http://hl7.org/fhir/sid/icd-10-cm R78.81}\">Bacteremia</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"version": "4.0.0",
"code": "confirmed",
"display": "Confirmed"
}
],
"text": "Confirmed"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
],
"text": "Encounter Diagnosis"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "5758002",
"display": "Bacteremia (finding)"
},
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "R78.81",
"display": "Bacteremia"
}
],
"text": "Bacteremia"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass1-central-line",
"resource": {
"resourceType": "Device",
"id": "device-example-ach-monthly-pass1-central-line",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-ach-monthly-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass1-central-line</b></p><a name=\"device-example-ach-monthly-pass1-central-line\"> </a><a name=\"hcdevice-example-ach-monthly-pass1-central-line\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-device.html\">ACH Monthly Event Device</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510341 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 52124006}\">Central venous catheter, device</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "1000510341"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52124006",
"display": "Central venous catheter, device (physical object)"
}
],
"text": "Central venous catheter, device"
},
"patient": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass1-vancomycin",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass1-vancomycin</b></p><a name=\"medadmin-example-ach-monthly-pass1-vancomycin\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass1-vancomycin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 14:34:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>15mg/kg</td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>15 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/kg = 'mg/kg')</span></td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1018888111"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient"
},
"medicationReference": {
"reference": "Medication/medication-example-vancomycin-15",
"display": "vancomycin Injectable Solution 50MG"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T14:34:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
},
"dosage": {
"text": "15mg/kg",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 15,
"unit": "mg/kg",
"system": "http://unitsofmeasure.org",
"code": "mg/kg"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-example-ach-monthly-pass1-vancomycin",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass1-vancomycin</b></p><a name=\"medicationrequest-example-ach-monthly-pass1-vancomycin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass1-vancomycin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-02 13:43:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 15mg/kg every 12 hours</p><p><b>timing</b>: Once per 12 hours</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>15 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/kg = 'mg/kg')</span></td></tr></table></blockquote></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "101888811"
}
],
"status": "completed",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient"
}
],
"reportedBoolean": false,
"medicationReference": {
"reference": "Medication/medication-example-vancomycin-15",
"display": "vancomycin Injectable Solution 50MG"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"authoredOn": "2024-02-02T13:43:00-05:00",
"requester": {
"reference": "Patient/patient-example-ach-monthly-pass1"
},
"dosageInstruction": [
{
"text": "15mg/kg every 12 hours",
"timing": {
"repeat": {
"period": 12,
"periodUnit": "h"
}
},
"asNeededBoolean": false,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "calculated",
"display": "Calculated"
}
],
"text": "calculated"
},
"doseQuantity": {
"value": 15,
"unit": "mg/kg",
"system": "http://unitsofmeasure.org",
"code": "mg/kg"
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-blood",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass1-blood",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-blood</b></p><a name=\"observation-example-ach-monthly-pass1-blood\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-blood\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:12:00-0500</p><p><b>issued</b>: 2024-02-03 11:42:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 113962001}\">Staphylococcus capitis</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Blood by Culture"
}
],
"text": "Bacteria identified in Blood by Culture"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T18:12:00-05:00",
"issued": "2024-02-03T11:42:00-05:00",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "113962001",
"display": "Staphylococcus capitis ss capitis (organism)"
}
],
"text": "Staphylococcus capitis"
},
"specimen": {
"reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-csf",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass1-csf",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-csf</b></p><a name=\"observation-example-ach-monthly-pass1-csf\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-csf\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 61402-4}\">Serratia marcescens DNA</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:13:00-0500</p><p><b>issued</b>: 2024-02-03 11:47:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260373001}\">Detected (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "61402-4",
"display": "Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"
}
],
"text": "Serratia marcescens DNA"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T18:13:00-05:00",
"issued": "2024-02-03T11:47:00-05:00",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260373001",
"display": "Detected (qualifier value)"
}
]
},
"specimen": {
"reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-gestational-age",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass1-gestational-age",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-gestational-age\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-gestational-age</b></p><a name=\"observation-example-ach-monthly-pass1-gestational-age\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-gestational-age\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation.html\">ACH Monthly Event Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76516-4}\">Gestational age at birth</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 164 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "exam",
"display": "exam"
}
],
"text": "Exam"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "76516-4",
"display": "Gestational age--at birth"
}
],
"text": "Gestational age at birth"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T16:02:00-05:00",
"issued": "2024-02-01T16:02:00-05:00",
"valueQuantity": {
"value": 164,
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-vitals-weight",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass1-vitals-weight",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass1-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass1-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass1-vitals-weight\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Weight</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 0.58 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
],
"text": "Vital Signs"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body weight"
}
],
"text": "Weight"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T16:02:00-05:00",
"issued": "2024-02-01T16:02:00-05:00",
"valueQuantity": {
"value": 0.58,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-central-line",
"resource": {
"resourceType": "Procedure",
"id": "procedure-example-ach-monthly-pass1-central-line",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-central-line</b></p><a name=\"procedure-example-ach-monthly-pass1-central-line\"> </a><a name=\"hcprocedure-example-ach-monthly-pass1-central-line\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 312052002}\">Placement procedure (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:12:00-0500</p></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "1000510352"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "312052002",
"display": "Placement procedure (procedure)"
}
]
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"performedDateTime": "2024-02-02T18:12:00-05:00"
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-lumbar",
"resource": {
"resourceType": "Procedure",
"id": "procedure-example-ach-monthly-pass1-lumbar",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass1-lumbar\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-lumbar</b></p><a name=\"procedure-example-ach-monthly-pass1-lumbar\"> </a><a name=\"hcprocedure-example-ach-monthly-pass1-lumbar\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/ICD10 009U3ZX}\">Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:56:00-0500</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></p></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "1000510352"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://www.cms.gov/Medicare/Coding/ICD10",
"code": "009U3ZX",
"display": "Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"
}
]
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"performedDateTime": "2024-02-02T18:56:00-05:00",
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "272005",
"display": "Structure of superior articular process of lumbar vertebra (body structure)"
}
],
"text": "Structure of superior articular process of lumbar vertebra"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-blood",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass1-blood",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-blood</b></p><a name=\"servicerequest-example-ach-monthly-pass1-blood\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass1-blood\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-servicerequest.html\">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631821 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
],
"text": "Placer Identifier"
},
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1019631821"
}
],
"status": "completed",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
],
"text": "Laboratory procedure"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Blood by Culture"
}
],
"text": "Bacteria identified in Blood by Culture"
},
"quantityQuantity": {
"value": 1
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"event": [
"2024-02-02T17:22:00-05:00"
],
"repeat": {
"count": 1
},
"code": {
"text": "Once"
}
},
"authoredOn": "2024-02-02T17:22:00-05:00",
"specimen": [
{
"reference": "Specimen/specimen-example-ach-monthly-pass1-blood"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-csf",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass1-csf",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-csf</b></p><a name=\"servicerequest-example-ach-monthly-pass1-csf\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass1-csf\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-servicerequest.html\">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631822 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29584-0}\">Differential panel - Cerebral spinal fluid</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass1.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:30-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
],
"text": "Placer Identifier"
},
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1019631822"
}
],
"status": "completed",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
],
"text": "Laboratory procedure"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29584-0",
"display": "Differential panel - Cerebral spinal fluid"
}
],
"text": "Differential panel - Cerebral spinal fluid"
},
"quantityQuantity": {
"value": 1
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass1",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"event": [
"2024-02-02T17:22:30-05:00"
],
"repeat": {
"count": 1
},
"code": {
"text": "Once"
}
},
"authoredOn": "2024-02-02T17:22:30-05:00",
"specimen": [
{
"reference": "Specimen/specimen-example-ach-monthly-pass1-csf"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-blood",
"resource": {
"resourceType": "Specimen",
"id": "specimen-example-ach-monthly-pass1-blood",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-blood</b></p><a name=\"specimen-example-ach-monthly-pass1-blood\"> </a><a name=\"hcspecimen-example-ach-monthly-pass1-blood\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082901, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:41</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122555007}\">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-02 18:12:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 76853006}\">Heel structure</span></td></tr></table></div>"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value": "C104082901",
"assigner": {
"display": "LIS"
}
},
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value": "C10408290:41"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "122555007",
"display": "Venous blood specimen (specimen)"
}
],
"text": "Venous blood specimen (specimen)"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"receivedTime": "2024-02-02T18:20:00-05:00",
"collection": {
"collectedDateTime": "2024-02-02T18:12:00-05:00",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "76853006",
"display": "Heel structure (body structure)"
}
],
"text": "Heel structure"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-csf",
"resource": {
"resourceType": "Specimen",
"id": "specimen-example-ach-monthly-pass1-csf",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-csf</b></p><a name=\"specimen-example-ach-monthly-pass1-csf\"> </a><a name=\"hcspecimen-example-ach-monthly-pass1-csf\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258450006}\">Cerebrospinal fluid specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-02 18:13:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></td></tr></table></div>"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value": "C104082902",
"assigner": {
"display": "LIS"
}
},
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value": "C10408290:42"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258450006",
"display": "Cerebrospinal fluid specimen (specimen)"
}
],
"text": "Cerebrospinal fluid specimen (specimen)"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1",
"display": "Pass1 ACH"
},
"receivedTime": "2024-02-02T18:20:00-05:00",
"collection": {
"collectedDateTime": "2024-02-02T18:13:00-05:00",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "272005",
"display": "Structure of superior articular process of lumbar vertebra (body structure)"
}
],
"text": "Structure of superior articular process of lumbar vertebra"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass2",
"resource": {
"resourceType": "MeasureReport",
"id": "measurereport-example-individual-ach-monthly-pass2",
"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-pass2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass2</b></p><a name=\"measurereport-example-individual-ach-monthly-pass2\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass2.html\">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html\">Condition Diabetes mellitus type 2 (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass2.html\">Condition Thrombophlebitis of deep femoral vein (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass2-compress-hose.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html\">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH'</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.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] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-aptt.html\">Observation aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-poc-1.html\">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-poc-2.html\">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-hemo-a1c.html\">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-hemo.html\">Observation Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass2-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass2-ivcf.html\">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html\">ServiceRequest aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html\">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html\">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html\">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-2.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass2</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 --> 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass2.html\">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html\">Condition Diabetes mellitus type 2 (disorder)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass2.html\">Condition Thrombophlebitis of deep femoral vein (disorder)</a></li><li><a href=\"Device-device-example-ach-monthly-pass2-compress-hose.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></li><li><a href=\"DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html\">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH'</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.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] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-aptt.html\">Observation aPTT in Blood by Coagulation assay</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-poc-1.html\">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-poc-2.html\">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-hemo-a1c.html\">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-hemo.html\">Observation Bacteria identified in Blood by Culture</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass2-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass2-ivcf.html\">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html\">ServiceRequest aPTT in Blood by Coagulation assay</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html\">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html\">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html\">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-2.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></li></ul></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code": "cohort"
}
]
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-minimal-patient"
}
],
"reference": "Patient/patient-example-ach-monthly-pass2"
}
},
{
"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-pass2-emergency"
}
},
{
"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-pass2-inpatient"
}
},
{
"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-pass2"
}
},
{
"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-pass2-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-pass2"
}
},
{
"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-pass2-compress-hose"
}
},
{
"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-diagnosticreport-lab"
}
],
"reference": "DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"
}
},
{
"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-pass2-dex4"
}
},
{
"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-pass2-heparin-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-pass2-heparin-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-pass2-insulin-lispro-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-pass2-insulin-lispro-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-pass2-insulin-lispro-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-administration"
}
],
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"
}
},
{
"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-pass2-dex4-tablet"
}
},
{
"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-pass2-heparin"
}
},
{
"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-pass2-insulin-lispro"
}
},
{
"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-pass2-metformin"
}
},
{
"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-pass2-aptt"
}
},
{
"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-pass2-poc-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-observation-lab-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass2-poc-2"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-observation-lab-category"
}
],
"reference": "Observation/observation-example-ach-monthly-pass2-hemo-a1c"
}
},
{
"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-pass2-hemo"
}
},
{
"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-pass2-vitals-weight"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-procedure"
}
],
"reference": "Procedure/procedure-example-ach-monthly-pass2-ivcf"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString": "sde-service-request"
}
],
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"
}
},
{
"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-pass2-blood-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-specimen"
}
],
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-2"
}
}
],
"identifier": [
{
"system": "http://example.org/fhir/measurereport/id",
"value": "123456789-pass2"
}
],
"status": "complete",
"type": "individual",
"measure": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass1"
},
"date": "2024-02-05T21:04:29.481+00:00",
"reporter": {
"reference": "Organization/organization-example-submitting-organization"
},
"period": {
"start": "2024-01-05T00:00:00.000+00:00",
"end": "2024-02-04T00:00:00.000+00:00"
},
"improvementNotation": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code": "increase"
}
]
},
"group": [
{
"population": [
{
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 1
}
]
}
],
"evaluatedResource": [
{
"reference": "Patient/patient-example-ach-monthly-pass2"
},
{
"reference": "Encounter/encounter-example-ach-monthly-pass2-emergency"
},
{
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient"
},
{
"reference": "Coverage/coverage-example-ach-monthly-pass2"
},
{
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass2-problem"
},
{
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass2"
},
{
"reference": "Device/device-example-ach-monthly-pass2-compress-hose"
},
{
"reference": "DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"
},
{
"reference": "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"
},
{
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"
},
{
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
},
{
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
},
{
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-aptt"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-poc-1"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-poc-2"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-hemo-a1c"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-hemo"
},
{
"reference": "Observation/observation-example-ach-monthly-pass2-vitals-weight"
},
{
"reference": "Procedure/procedure-example-ach-monthly-pass2-ivcf"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"
},
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"
},
{
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-1"
},
{
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-2"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass2",
"resource": {
"resourceType": "Patient",
"id": "patient-example-ach-monthly-pass2",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-monthly-pass2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass2</b></p><a name=\"patient-example-ach-monthly-pass2\"> </a><a name=\"hcpatient-example-ach-monthly-pass2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cross-measure-patient.html\">Cross-Measure Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">2024-02-02 16:22:00-0500</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 999-999-9999(Home)</li><li>123 Sesame Street Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race & Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC 2106-3</a>: White</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": "2106-3",
"display": "White"
}
},
{
"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": "F"
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
],
"text": "MRN"
},
"system": "urn:oid:1.2.5.8.2.7",
"value": "1601191902010308"
}
],
"active": true,
"name": [
{
"use": "official",
"text": "Pass2 ACH",
"family": "ACH",
"given": [
"Pass2"
]
}
],
"telecom": [
{
"system": "phone",
"value": "999-999-9999",
"use": "home"
}
],
"gender": "female",
"birthDate": "1965-12-22",
"deceasedDateTime": "2024-02-02T16:22:00-05:00",
"address": [
{
"line": [
"123 Sesame Street Lansing"
],
"city": "Lansing",
"district": "Ingham County",
"state": "MI",
"postalCode": "48864",
"country": "US"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-emergency",
"resource": {
"resourceType": "Encounter",
"id": "encounter-example-ach-monthly-pass2-emergency",
"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-pass2-emergency\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass2-emergency</b></p><a name=\"encounter-example-ach-monthly-pass2-emergency\"> </a><a name=\"hcencounter-example-ach-monthly-pass2-emergency\"> </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>/10005104252a (use: usual, )</p><p><b>status</b>: Triaged</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">ActCode EMER</a>: emergency (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 4525004}\">Emergency department patient visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>period</b>: 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm M79.661}\">Leg pain, lower right</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-pass2.html\">Thrombophlebitis</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 other}\">Walk-in</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-emergency.html\">ACH Monthly Emergency Department</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-01-31 02:35:00-0500 --> 2024-02-01 01:02:00-0500</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "10005104252a"
}
],
"status": "triaged",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "9.0.0",
"code": "EMER",
"display": "emergency"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "4525004",
"display": "Emergency department patient visit"
}
],
"text": "Emergency department patient visit"
}
],
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"period": {
"start": "2024-01-31T02:35:00-05:00",
"end": "2024-01-31T22:02:00-05:00"
},
"reasonCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "M79.661",
"display": "Pain in right lower leg"
}
],
"text": "Leg pain, lower right"
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/condition-example-diagnosis-ach-monthly-pass2",
"display": "Thrombophlebitis"
}
}
],
"hospitalization": {
"admitSource": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/admit-source",
"code": "other",
"display": "Other"
}
],
"text": "Walk-in"
}
},
"location": [
{
"location": {
"reference": "Location/location-example-ach-monthly-emergency",
"display": "ACH Monthly Emergency Department"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "wa",
"display": "Ward"
}
]
},
"period": {
"start": "2024-01-31T02:35:00-05:00",
"end": "2024-02-01T01:02:00-05:00"
}
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-inpatient",
"resource": {
"resourceType": "Encounter",
"id": "encounter-example-ach-monthly-pass2-inpatient",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass2-inpatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass2-inpatient</b></p><a name=\"encounter-example-ach-monthly-pass2-inpatient\"> </a><a name=\"hcencounter-example-ach-monthly-pass2-inpatient\"> </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>Original Resource ID</b>: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3</p><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104252b (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-IMP\">ActCode IMP</a>: inpatient encounter (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 32485007}\">Hospital Admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>period</b>: 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500</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 emd}\">Emergency Department</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition exp}\">Expired</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-inpatient.html\">ACH Monthly Inpatient Hospital Ward</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 01:02:00-0500 --> 2024-02-02 16:22:00-0500</td></tr></table></div>"
},
"extension": [
{
"url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
"valueString": "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3"
}
],
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "10005104252b"
}
],
"status": "finished",
"_status": {
"extension": [
{
"url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension",
"valueString": "COMPLETED"
}
]
},
"class": {
"extension": [
{
"url": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-mapped-concept-extension",
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.example.com/prorpietary",
"code": "I",
"display": "Inpatient"
}
]
}
}
],
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "9.0.0",
"code": "IMP",
"display": "inpatient encounter"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "32485007",
"display": "Hospital admission (procedure)"
}
],
"text": "Hospital Admission"
}
],
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"period": {
"start": "2024-01-31T22:02:00-05:00",
"end": "2024-02-02T16:22:00-05:00"
},
"hospitalization": {
"admitSource": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/admit-source",
"code": "emd",
"display": "From accident/emergency department"
}
],
"text": "Emergency Department"
},
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "exp",
"display": "expired"
}
],
"text": "Expired"
}
},
"location": [
{
"location": {
"reference": "Location/location-example-ach-monthly-inpatient",
"display": "ACH Monthly Inpatient Hospital Ward"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "wa",
"display": "Ward"
}
]
},
"period": {
"start": "2024-02-01T01:02:00-05:00",
"end": "2024-02-02T16:22:00-05:00"
}
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass2",
"resource": {
"resourceType": "Coverage",
"id": "coverage-example-ach-monthly-pass2",
"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-pass2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass2</b></p><a name=\"coverage-example-ach-monthly-pass2\"> </a><a name=\"hccoverage-example-ach-monthly-pass2\"> </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/93565936</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HMO}\">health maintenance organization policy</span></p><p><b>subscriberId</b>: 89345743</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (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/PayerComm\">PayerComm</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": "93565936"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "9.0.0",
"code": "HMO",
"display": "health maintenance organization policy"
}
]
},
"subscriberId": "89345743",
"beneficiary": {
"reference": "Patient/patient-example-ach-monthly-pass2"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self",
"display": "Self"
}
]
},
"payor": [
{
"reference": "http://example.org/fhir/Organization/PayerComm",
"display": "PayerComm"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2-problem",
"resource": {
"resourceType": "Condition",
"id": "condition-example-diagnosis-ach-monthly-pass2-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-pass2-problem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2-problem</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass2-problem\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass2-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 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 problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 44054006}, {http://hl7.org/fhir/sid/icd-10-cm E11.9}\">Diabetes mellitus without complication</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 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": "problem-list-item",
"display": "Problem List Item"
}
],
"text": "Problem List Item"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "44054006",
"display": "Diabetes mellitus type 2 (disorder)"
},
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "E11.9",
"display": "Type 2 diabetes mellitus without complications"
}
],
"text": "Diabetes mellitus without complication"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2",
"resource": {
"resourceType": "Condition",
"id": "condition-example-diagnosis-ach-monthly-pass2",
"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-pass2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass2\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1748006}\">Thrombophlebitis</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"version": "4.0.0",
"code": "confirmed",
"display": "Confirmed"
}
],
"text": "Confirmed"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
],
"text": "Encounter Diagnosis"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1748006",
"display": "Thrombophlebitis of deep femoral vein (disorder)"
}
],
"text": "Thrombophlebitis"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass2-compress-hose",
"resource": {
"resourceType": "Device",
"id": "device-example-ach-monthly-pass2-compress-hose",
"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-pass2-compress-hose\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass2-compress-hose</b></p><a name=\"device-example-ach-monthly-pass2-compress-hose\"> </a><a name=\"hcdevice-example-ach-monthly-pass2-compress-hose\"> </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>/100051034 (use: usual, )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 348681001}\">Graduated compression elastic hosiery</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "100051034"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "348681001",
"display": "Graduated compression elastic hosiery (physical object)"
}
],
"text": "Graduated compression elastic hosiery"
},
"patient": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology",
"resource": {
"resourceType": "DiagnosticReport",
"id": "diagnosticreport-example-ach-monthly-pass2-radiology",
"meta": {
"profile": [
"http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_diagnosticreport-example-ach-monthly-pass2-radiology\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport diagnosticreport-example-ach-monthly-pass2-radiology</b></p><a name=\"diagnosticreport-example-ach-monthly-pass2-radiology\"> </a><a name=\"hcdiagnosticreport-example-ach-monthly-pass2-radiology\"> </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-diagnosticreport-note.html\">ACH Monthly Event Diagnostic Report - Report and Note</a></p></div><h2><span title=\"Codes:{http://snomed.info/sct 14331000087103}\">ultrasonography of right lower limb</span> (<span title=\"Codes:{http://loinc.org LP29684-5}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</td></tr><tr><td>When For</td><td>2024-02-01 23:14:00-0500</td></tr><tr><td>Reported</td><td>2024-02-02 08:52:00-0500</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 128053003}\">Deep venous thrombosis (disorder)</span></li></ul></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "LP29684-5",
"display": "Radiology"
}
],
"text": "Radiology"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "14331000087103",
"display": "Doppler ultrasonography of vascular structure of right lower limb (procedure)"
}
],
"text": "ultrasonography of right lower limb"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T23:14:00-05:00",
"issued": "2024-02-02T08:52:00-05:00",
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "128053003",
"display": "Deep venous thrombosis (disorder)"
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-dex4",
"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-pass2-dex4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-dex4</b></p><a name=\"medadmin-example-ach-monthly-pass2-dex4\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-dex4\"> </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>/101888893 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-dex4-tablet.html\">Dex4 4 gm chewable tablet X1</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Emergency Encounter</a></p><p><b>effective</b>: 2024-01-31 04:54:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</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>4 gm chewable tablet X1</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>4 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg = 'g')</span></td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "101888893"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "outpatient",
"display": "Outpatient"
}
],
"text": "Outpatient"
},
"medicationReference": {
"reference": "Medication/medication-example-dex4-tablet",
"display": "Dex4 4 gm chewable tablet X1"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-emergency",
"display": "Emergency Encounter"
},
"effectiveDateTime": "2024-01-31T04:54:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"
},
"dosage": {
"text": "4 gm chewable tablet X1",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Use"
}
],
"text": "Oral"
},
"dose": {
"value": 4,
"unit": "g",
"system": "http://unitsofmeasure.org",
"code": "g"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-heparin-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-pass2-heparin-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-1</b></p><a name=\"medadmin-example-ach-monthly-pass2-heparin-1\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-heparin-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>/101888895 (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-heparin.html\">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 12:22:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</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>0.5 mL</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>5000 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": "101888895"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-heparin",
"display": "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T12:22:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
},
"dosage": {
"text": "0.5 mL",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 5000,
"unit": "uL",
"system": "http://unitsofmeasure.org",
"code": "uL"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-heparin-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-pass2-heparin-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-2</b></p><a name=\"medadmin-example-ach-monthly-pass2-heparin-2\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-heparin-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>/101888895 (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-heparin.html\">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 13:26:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</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>0.5 mL</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>5000 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": "101888895"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-heparin",
"display": "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T13:26:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
},
"dosage": {
"text": "0.5 mL",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 5000,
"unit": "uL",
"system": "http://unitsofmeasure.org",
"code": "uL"
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-insulin-lispro-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-pass2-insulin-lispro-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-1</b></p><a name=\"medadmin-example-ach-monthly-pass2-insulin-lispro-1\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-insulin-lispro-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>/1018888942 (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-insulin-lispro.html\">Insulin Lispro</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 12:00:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</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>Give 5 units before breakfast</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>5</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1018888942"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-insulin-lispro",
"display": "Insulin Lispro"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T12:00:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
},
"dosage": {
"text": "Give 5 units before breakfast",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 5
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-insulin-lispro-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-pass2-insulin-lispro-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-2</b></p><a name=\"medadmin-example-ach-monthly-pass2-insulin-lispro-2\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-insulin-lispro-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>/1018888943 (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-insulin-lispro.html\">Insulin Lispro</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 19:00:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</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>Give 5 units before dinner</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>4</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1018888943"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-insulin-lispro",
"display": "Insulin Lispro"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-01T19:00:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
},
"dosage": {
"text": "Give 5 units before dinner",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 4
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-insulin-lispro-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-pass2-insulin-lispro-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-3</b></p><a name=\"medadmin-example-ach-monthly-pass2-insulin-lispro-3\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-insulin-lispro-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>/1018888944 (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-insulin-lispro.html\">Insulin Lispro</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 07:00:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</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>Give 5 units before breakfast</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>5</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1018888944"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-insulin-lispro",
"display": "Insulin Lispro"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T07:00:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
},
"dosage": {
"text": "Give 5 units before breakfast",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 5
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medadmin-example-ach-monthly-pass2-insulin-lispro-4",
"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-pass2-insulin-lispro-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-4</b></p><a name=\"medadmin-example-ach-monthly-pass2-insulin-lispro-4\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass2-insulin-lispro-4\"> </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>/1018888945 (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-insulin-lispro.html\">Insulin Lispro</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 15:00:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</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>Give 5 units before dinner</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>4</td></tr></table></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "1018888945"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "inpatient",
"display": "Inpatient"
}
],
"text": "Inpatient Medication"
},
"medicationReference": {
"reference": "Medication/medication-example-insulin-lispro",
"display": "Insulin Lispro"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"context": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T15:00:00-05:00",
"request": {
"reference": "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
},
"dosage": {
"text": "Give 5 units before dinner",
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"dose": {
"value": 4
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-example-ach-monthly-pass2-dex4-tablet",
"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-pass2-dex4-tablet\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-dex4-tablet</b></p><a name=\"medicationrequest-example-ach-monthly-pass2-dex4-tablet\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass2-dex4-tablet\"> </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 outpatient}\">Outpatient</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href=\"Medication-medication-example-dex4-tablet.html\">Dex4 4 gm chewable tablet X1</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Emergency Encounter</a></p><p><b>authoredOn</b>: 2024-01-31 04:46:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 4 gm chewable tablet X1</p><p><b>timing</b>: Once 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>4 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg = 'g')</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": "outpatient",
"display": "Outpatient"
}
],
"text": "Outpatient"
}
],
"reportedBoolean": true,
"medicationReference": {
"reference": "Medication/medication-example-dex4-tablet",
"display": "Dex4 4 gm chewable tablet X1"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-emergency",
"display": "Emergency Encounter"
},
"authoredOn": "2024-01-31T04:46:00-05:00",
"requester": {
"reference": "Patient/patient-example-ach-monthly-pass2"
},
"dosageInstruction": [
{
"text": "4 gm chewable tablet X1",
"timing": {
"repeat": {
"frequency": 1,
"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": 4,
"unit": "g",
"system": "http://unitsofmeasure.org",
"code": "g"
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-example-ach-monthly-pass2-heparin",
"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-pass2-heparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-heparin</b></p><a name=\"medicationrequest-example-ach-monthly-pass2-heparin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass2-heparin\"> </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>/101888895 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-heparin.html\">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-01 12:00:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.5 mL</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>5000 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": "101888895"
}
],
"status": "completed",
"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-heparin",
"display": "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"authoredOn": "2024-02-01T12:00:00-05:00",
"requester": {
"reference": "Patient/patient-example-ach-monthly-pass2"
},
"dosageInstruction": [
{
"text": "0.5 mL",
"timing": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"doseAndRate": [
{
"doseQuantity": {
"value": 5000,
"unit": "uL",
"system": "http://unitsofmeasure.org",
"code": "uL"
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-example-ach-monthly-pass2-insulin-lispro",
"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-pass2-insulin-lispro\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-insulin-lispro</b></p><a name=\"medicationrequest-example-ach-monthly-pass2-insulin-lispro\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass2-insulin-lispro\"> </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>/101888894 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-insulin-lispro.html\">Insulin Lispro</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-01 12:00:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 5 units before breakfast</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 4 units before dinner</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>4</td></tr></table></blockquote></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.798",
"value": "101888894"
}
],
"status": "completed",
"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-insulin-lispro",
"display": "Insulin Lispro"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"authoredOn": "2024-02-01T12:00:00-05:00",
"requester": {
"reference": "Patient/patient-example-ach-monthly-pass2"
},
"dosageInstruction": [
{
"text": "Give 5 units before breakfast",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
},
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code": "AM"
}
]
}
},
"asNeededBoolean": false,
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"doseAndRate": [
{
"doseQuantity": {
"value": 5
}
}
]
},
{
"text": "Give 4 units before dinner",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
},
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code": "BED"
}
]
}
},
"asNeededBoolean": false,
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"doseAndRate": [
{
"doseQuantity": {
"value": 4
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-example-ach-monthly-pass2-metformin",
"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-pass2-metformin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-metformin</b></p><a name=\"medicationrequest-example-ach-monthly-pass2-metformin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass2-metformin\"> </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-metformin-1000.html\">Metformin hydrochloride 1000 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Emergency Encounter</a></p><p><b>authoredOn</b>: 2024-01-31 04:22:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 1000 mg 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>1000 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-metformin-1000",
"display": "Metformin hydrochloride 1000 MG"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-emergency",
"display": "Emergency Encounter"
},
"authoredOn": "2024-01-31T04:22:00-05:00",
"requester": {
"reference": "Patient/patient-example-ach-monthly-pass2"
},
"recorder": {
"display": "Patient Identified"
},
"dosageInstruction": [
{
"text": "1000 mg 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": 1000,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-aptt",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-aptt",
"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-pass2-aptt\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-aptt</b></p><a name=\"observation-example-ach-monthly-pass2-aptt\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-aptt\"> </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-pass2-aptt.html\">ServiceRequest aPTT in Blood by Coagulation assay</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 3173-2}\">aPTT</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 11:24:00-0500</p><p><b>issued</b>: 2024-02-02 11:29:00-0500</p><p><b>value</b>: 8 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codes = 's')</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "3173-2",
"display": "aPTT in Blood by Coagulation assay"
}
],
"text": "aPTT"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T11:24:00-05:00",
"issued": "2024-02-02T11:29:00-05:00",
"valueQuantity": {
"value": 8,
"unit": "s",
"system": "http://unitsofmeasure.org",
"code": "s"
},
"specimen": {
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-1"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-1",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-poc-1",
"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-pass2-poc-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-1</b></p><a name=\"observation-example-ach-monthly-pass2-poc-1\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-poc-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-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html\">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 41653-7}\">Glucose</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-01-31 23:01:00-0500</p><p><b>issued</b>: 2024-01-31 23:02:00-0500</p><p><b>value</b>: 53 d/gL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/dL = 'g/dL')</span></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "41653-7",
"display": "Glucose [Mass/volume] in Capillary blood by Glucometer"
}
],
"text": "Glucose"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-01-31T23:01:00-05:00",
"issued": "2024-01-31T23:02:00-05:00",
"valueQuantity": {
"value": 53,
"unit": "d/gL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-2",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-poc-2",
"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-pass2-poc-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-2</b></p><a name=\"observation-example-ach-monthly-pass2-poc-2\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-poc-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-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html\">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 41653-7}\">Glucose</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 10:14:00-0500</p><p><b>issued</b>: 2024-02-02 10:15:00-0500</p><p><b>value</b>: 105 d/gL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/dL = 'g/dL')</span></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "41653-7",
"display": "Glucose [Mass/volume] in Capillary blood by Glucometer"
}
],
"text": "Glucose"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T10:14:00-05:00",
"issued": "2024-02-02T10:15:00-05:00",
"valueQuantity": {
"value": 105,
"unit": "d/gL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo-a1c",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-hemo-a1c",
"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-pass2-hemo-a1c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo-a1c</b></p><a name=\"observation-example-ach-monthly-pass2-hemo-a1c\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-hemo-a1c\"> </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-pass2-hemo-a1c.html\">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 4548-4}\">Hemoglobin A1c</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-01-31 23:01:00-0500</p><p><b>issued</b>: 2024-01-31 23:52:00-0500</p><p><b>value</b>: 7.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "4548-4",
"display": "Hemoglobin A1c/Hemoglobin.total in Blood"
}
],
"text": "Hemoglobin A1c"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-01-31T23:01:00-05:00",
"issued": "2024-01-31T23:52:00-05:00",
"valueQuantity": {
"value": 7.5,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
"specimen": {
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-1"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-hemo",
"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-pass2-hemo\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo</b></p><a name=\"observation-example-ach-monthly-pass2-hemo\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-hemo\"> </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-pass2-hemo.html\">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 11:24:00-0500</p><p><b>issued</b>: 2024-02-02 11:29:00-0500</p><p><b>value</b>: 8 d/gL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/dL = 'g/dL')</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-2.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Blood by Culture"
}
],
"text": "Bacteria identified in Blood by Culture"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"effectiveDateTime": "2024-02-02T11:24:00-05:00",
"issued": "2024-02-02T11:29:00-05:00",
"valueQuantity": {
"value": 8,
"unit": "d/gL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
},
"specimen": {
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-2"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-vitals-weight",
"resource": {
"resourceType": "Observation",
"id": "observation-example-ach-monthly-pass2-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-pass2-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass2-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass2-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-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-emergency.html\">Emergency Encounter</a></p><p><b>effective</b>: 2024-01-31 01:42:00-0500</p><p><b>issued</b>: 2024-01-31 01:42:00-0500</p><p><b>value</b>: 113.4 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-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-emergency",
"display": "Emergency Encounter"
},
"effectiveDateTime": "2024-01-31T01:42:00-05:00",
"issued": "2024-01-31T01:42:00-05:00",
"valueQuantity": {
"value": 113.4,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass2-ivcf",
"resource": {
"resourceType": "Procedure",
"id": "procedure-example-ach-monthly-pass2-ivcf",
"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-pass2-ivcf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass2-ivcf</b></p><a name=\"procedure-example-ach-monthly-pass2-ivcf\"> </a><a name=\"hcprocedure-example-ach-monthly-pass2-ivcf\"> </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>/10005103526 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 397913009}\">Percutaneous insertion of inferior vena cava filter (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-01 05:02:00-0500</p></div>"
},
"identifier": [
{
"use": "usual",
"system": "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value": "10005103526"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "397913009",
"display": "Percutaneous insertion of inferior vena cava filter (procedure)"
}
]
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"performedDateTime": "2024-02-01T05:02:00-05:00"
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass2-aptt",
"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-pass2-aptt\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-aptt</b></p><a name=\"servicerequest-example-ach-monthly-pass2-aptt\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass2-aptt\"> </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/1019631824 (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>priority</b>: STAT</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 3173-2}\">aPTT</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</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": "1019631824"
}
],
"status": "completed",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
],
"text": "Laboratory procedure"
}
],
"priority": "stat",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "3173-2",
"display": "aPTT in Blood by Coagulation assay"
}
],
"text": "aPTT"
},
"quantityQuantity": {
"value": 1
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"event": [
"2024-01-31T22:21:00-05:00"
],
"repeat": {
"count": 1
},
"code": {
"text": "Once"
}
},
"authoredOn": "2024-01-31T22:21:00-05:00",
"specimen": [
{
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-1"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass2-glucose",
"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-pass2-glucose\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-glucose</b></p><a name=\"servicerequest-example-ach-monthly-pass2-glucose\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass2-glucose\"> </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/1019631824 (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 41653-7}\">Glucose</span></p><p><b>quantity</b>: 2</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Count 2 times, Once per 1 day</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</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": "1019631824"
}
],
"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": "41653-7",
"display": "Glucose [Mass/volume] in Capillary blood by Glucometer"
}
],
"text": "Glucose"
},
"quantityQuantity": {
"value": 2
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"repeat": {
"count": 2,
"period": 1,
"periodUnit": "d"
},
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code": "BID",
"display": "BID"
}
]
}
},
"authoredOn": "2024-01-31T22:21:00-05:00"
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass2-hemo-a1c",
"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-pass2-hemo-a1c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo-a1c</b></p><a name=\"servicerequest-example-ach-monthly-pass2-hemo-a1c\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass2-hemo-a1c\"> </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/1019631823 (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 41995-2}\">Hemoglobin A1c</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-1.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</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": "1019631823"
}
],
"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": "41995-2",
"display": "Hemoglobin A1c [Mass/volume] in Blood"
}
],
"text": "Hemoglobin A1c"
},
"quantityQuantity": {
"value": 1
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"event": [
"2024-01-31T22:21:00-05:00"
],
"repeat": {
"count": 1
},
"code": {
"text": "Once"
}
},
"authoredOn": "2024-01-31T22:21:00-05:00",
"specimen": [
{
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-1"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-example-ach-monthly-pass2-hemo",
"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-pass2-hemo\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo</b></p><a name=\"servicerequest-example-ach-monthly-pass2-hemo\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass2-hemo\"> </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/1019631824 (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>priority</b>: STAT</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30350-3}\">Hemoglobin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass2-inpatient.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 11:22:00-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-02-02 11:22:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass2-blood-2.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</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": "1019631824"
}
],
"status": "completed",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
],
"text": "Laboratory procedure"
}
],
"priority": "stat",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30350-3",
"display": "Hemoglobin [Mass/volume] in Venous blood"
}
],
"text": "Hemoglobin"
},
"quantityQuantity": {
"value": 1
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass2 ACH"
},
"encounter": {
"reference": "Encounter/encounter-example-ach-monthly-pass2-inpatient",
"display": "Hospital Admission"
},
"occurrenceTiming": {
"event": [
"2024-02-02T11:22:00-05:00"
],
"repeat": {
"count": 1
},
"code": {
"text": "Once"
}
},
"authoredOn": "2024-02-02T11:22:00-05:00",
"specimen": [
{
"reference": "Specimen/specimen-example-ach-monthly-pass2-blood-2"
}
]
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-1",
"resource": {
"resourceType": "Specimen",
"id": "specimen-example-ach-monthly-pass2-blood-1",
"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-pass2-blood-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-1</b></p><a name=\"specimen-example-ach-monthly-pass2-blood-1\"> </a><a name=\"hcspecimen-example-ach-monthly-pass2-blood-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-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122555007}\">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-01-31 22:50:00-0500</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>2024-01-31 22:42:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td></tr></table></div>"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value": "C104082902",
"assigner": {
"display": "LIS"
}
},
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value": "C10408290:42"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "122555007",
"display": "Venous blood specimen (specimen)"
}
],
"text": "Venous blood specimen (specimen)"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass1 ACH"
},
"receivedTime": "2024-01-31T22:50:00-05:00",
"collection": {
"collectedDateTime": "2024-01-31T22:42:00-05:00",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
}
}
}
},
{
"fullUrl": "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-2",
"resource": {
"resourceType": "Specimen",
"id": "specimen-example-ach-monthly-pass2-blood-2",
"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-pass2-blood-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-2</b></p><a name=\"specimen-example-ach-monthly-pass2-blood-2\"> </a><a name=\"hcspecimen-example-ach-monthly-pass2-blood-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-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122555007}\">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 11:26:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-02 11:24:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></td></tr></table></div>"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value": "C104082902",
"assigner": {
"display": "LIS"
}
},
{
"system": "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value": "C10408290:42"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "122555007",
"display": "Venous blood specimen (specimen)"
}
],
"text": "Venous blood specimen (specimen)"
},
"subject": {
"reference": "Patient/patient-example-ach-monthly-pass2",
"display": "Pass1 ACH"
},
"receivedTime": "2024-02-02T11:26:00-05:00",
"collection": {
"collectedDateTime": "2024-02-02T11:24:00-05:00",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255295007",
"display": "Structure of blood vessel of left upper arm (body structure)"
}
]
}
}
}
},
{
"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 --> 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 --> 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] = ->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] = ->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] = ->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] = ->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] = ->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] = ->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] = ->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 --> 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 --> 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 --> 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] = ->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] = ->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] = ->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] = ->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] = ->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] = ->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] = ->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 & 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 & 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 --> 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 --> 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 --> 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 --> 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] = ->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] = ->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] = ->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] = ->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)"
}
]
}
}
}
}
]
}