{ "resourceType" : "Bundle", "id" : "bundle-example-ach-daily-full", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a7bbb3" }, "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.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization organization-example-submitting-organization

Profile: NHSN Submitting Organization

identifier: http://www.cy118119.com/nhsn/OrgID/ExampleNHSNSubmitterOrgID

active: true

type: Healthcare Provider

name: Example NHSN Submitter

telecom: ph: 5555555551

address:

" }, "identifier" : [{ "system" : "http://www.cy118119.com/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.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Device device-example-submitting-device

Profile: NHSN Submitting Device

DeviceNames

-NameType
*NHSN LinkModel name

version

component: api

value: 0.9.0

version

component: api

value: 20230713.1

version

component: api

value: 3f9662a8

version

component: cqf-ruler

value: 0.13.0

" }, "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-daily-patients-of-interest", "resource" : { "resourceType" : "List", "id" : "list-example-ach-daily-patients-of-interest", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: List list-example-ach-daily-patients-of-interest

Profile: Patients-Of-Interest List

Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Items
ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))
ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))
ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))
ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))
" }, "identifier" : [{ "system" : "https://nhsnlink.org", "value" : "NHSNdQMAcuteCareHospitalInitialPopulation" }], "status" : "current", "mode" : "changes", "date" : "2021-07-28T00:00:00Z", "entry" : [{ "item" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass" } }, { "item" : { "reference" : "Patient/patient-example-ach-daily-negativepcr" } }, { "item" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" } }, { "item" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-subjectlist", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-subjectlist", "meta" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension", "valueDateTime" : "2023-05-23T06:07:08Z" }], "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-subjectlist

Profile: Subject-List MeasureReport Profile

status: Complete

type: Subject List

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000

group

Populations

-CodeCountSubjectResults
*Initial Population4List for 'Unspecified List Type' for 'Unspecified Subject'

Generated Narrative: List #list-example-ach-daily-individual-measurereport-list

Profile: NHSN Individual MeasureReport List

Mode: Snapshot List Status: Current
Items
MeasureReport: extension = Cohort,->ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing),->Condition Shortness of breath,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000,->Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition COVID-19,->MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000,->Procedure Intubation of respiratory tract (procedure); identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills,->Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition Influenza due to identified novel influenza A virus,->MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 00:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = Throat pain,->Coverage: status = active; relationship = Self,->Condition Respiratory syncytial virus as the cause of diseases classified elsewhere,->MedicationAdministration: status = completed; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation Respiratory syncytial virus Ag [Presence] in Throat,->ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat,->Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
" }, "contained" : [{ "resourceType" : "List", "id" : "list-example-ach-daily-individual-measurereport-list", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"] }, "status" : "current", "mode" : "snapshot", "entry" : [{ "item" : { "reference" : "MeasureReport/measurereport-example-ach-daily-initialpopulationpass" } }, { "item" : { "reference" : "MeasureReport/measurereport-example-ach-daily-negativepcr" } }, { "item" : { "reference" : "MeasureReport/measurereport-example-ach-daily-influenzatherapeutic" } }, { "item" : { "reference" : "MeasureReport/measurereport-example-ach-daily-rsvlabbtg" } }] }], "status" : "complete", "type" : "subject-list", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|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" : 4, "subjectResults" : { "reference" : "#list-example-ach-daily-individual-measurereport-list" } }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-initialpopulationpass", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-initialpopulationpass

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Shortness of breath

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

identifier: http://example.org/fhir/measurereport/id/123456789-pass1

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

subject: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

date: 2024-02-05 21:04:29+0000

reporter: Organization Example NHSN Submitter

period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "cohort" }] } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-minimal-patient" }], "reference" : "Patient/patient-example-ach-daily-initialpopulationpass" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-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-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-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-coverage" }], "reference" : "Coverage/coverage-example-ach-daily-initialpopulationpass" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-daily-initialpopulationpass" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/lab-observation-example-ach-daily-initialpopulationpass" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-specimen" }], "reference" : "Specimen/specimen-example-ach-daily-initialpopulationpass" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass1" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass" }, "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" : "2024-01-06T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-daily-initialpopulationpass" }, { "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-1" }, { "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-2" }, { "reference" : "Coverage/coverage-example-ach-daily-initialpopulationpass" }, { "reference" : "Condition/condition-example-diagnosis-ach-daily-initialpopulationpass" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2" }, { "reference" : "Observation/lab-observation-example-ach-daily-initialpopulationpass" }, { "reference" : "ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid" }, { "reference" : "Specimen/specimen-example-ach-daily-initialpopulationpass" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-daily-initialpopulationpass", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-daily-initialpopulationpass

Profile: Cross-Measure Patient Profile

ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))


Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 123 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "1002-5", "display" : "American Indian or Alaska Native" } }, { "url" : "text", "valueString" : "Asian" }], "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" : "1000009001" }], "active" : true, "name" : [{ "use" : "official", "text" : "ACHDaily, InitialPopulationPass", "family" : "InitialPopulationPass", "given" : ["ACHDaily"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "female", "birthDate" : "2005-01-15", "deceasedBoolean" : false, "address" : [{ "use" : "home", "line" : ["123 Alphabet Street"], "city" : "Lansing", "state" : "MI", "postalCode" : "48864", "country" : "US" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-1", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-initialpopulationpass-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-initialpopulationpass-1

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode EMER: emergency (version = 9.0.0 )

type: Emergency hospital admission

subject: ACHDaily, InitialPopulationPass

period: 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000

reasonCode: Shortness of breath

Hospitalizations

-AdmitSourceDischargeDisposition
*Emergency DepartmentHome

location

location: EMERGENCY - PAVILION

period: 2022-08-17 16:25:00+0000 --> 2022-08-17 17:01:00+0000

location

location: Health Hospital Location

period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789987" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "EMER", "display" : "emergency" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "183452005", "display" : "Emergency hospital admission (procedure)" }], "text" : "Emergency hospital admission" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "period" : { "start" : "2024-01-01T08:00:00Z", "end" : "2024-01-01T12:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "267036007", "display" : "shortness of breath" }], "text" : "Shortness of breath" }], "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" : "home", "display" : "Home" }], "text" : "Home" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2022-08-17T16:25:00Z", "end" : "2022-08-17T17:01:00Z" } }, { "location" : { "reference" : "Location/location-example-ach-daily-hospital", "display" : "Health Hospital Location" }, "period" : { "start" : "2022-08-11T18:52:00Z", "end" : "2022-08-17T16:09:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-2", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-initialpopulationpass-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-initialpopulationpass-2

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode IMP: inpatient encounter (version = 9.0.0 )

type: Medical consultation on hospital inpatient

subject: ACHDaily, InitialPopulationPass

period: 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

reasonCode: Difficulty breathing

Hospitalizations

-AdmitSourceDischargeDisposition
*Direct admitTo skilled nursing unit

Locations

-LocationPeriod
*Inpatient Hospital Ward2024-01-14 09:00:00+0000 --> 2024-01-22 12:00:00+0000
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789987" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "24882007", "display" : "Medical consultation on hospital inpatient" }], "text" : "Medical consultation on hospital inpatient" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "period" : { "start" : "2024-01-14T08:00:00Z", "end" : "2024-01-22T12:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "230145002", "display" : "Difficulty breathing" }], "text" : "Difficulty breathing" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "other", "display" : "Other" }], "text" : "Direct admit" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "snf", "display" : "Skilled nursing facility" }], "text" : "To skilled nursing unit" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-inpatient", "display" : "Inpatient Hospital Ward" }, "period" : { "start" : "2024-01-14T09:00:00Z", "end" : "2024-01-22T12:00:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-daily-initialpopulationpass", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-daily-initialpopulationpass

identifier: Member Number/88800933501

status: Active

type: MEDICARE

subscriberId: 123456789

beneficiary: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

period: 2008-07-01 --> (ongoing)

payor: Medicare Coverage

Classes

-TypeValueName
*MedicareMedicareMedicare
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB", "display" : "Member Number" }] }, "system" : "http://example.org/fhir/memberidentifier", "value" : "88800933501" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "SUBSIDIZ", "display" : "subsidized health program" }], "text" : "MEDICARE" }, "subscriberId" : "123456789", "beneficiary" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }], "text" : "Self" }, "period" : { "start" : "2008-07-01" }, "payor" : [{ "display" : "Medicare Coverage" }], "class" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "group", "display" : "Group" }], "text" : "Medicare" }, "value" : "Medicare", "name" : "Medicare" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-daily-initialpopulationpass", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-daily-initialpopulationpass

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Hyperglycemia

subject: ACHDaily, InitialPopulationPass

encounter: Emergency

" }, "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "R06.02", "display" : "Shortness of breath" }], "text" : "Hyperglycemia" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "encounter" : { "display" : "Emergency" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-initialpopulationpass-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-initialpopulationpass-1

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Remdesivir 200 mg IV

subject: ACHDaily, InitialPopulationPass

effective: 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Intravenous use200 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-initialpopulationpass", "display" : "Remdesivir 200 mg IV" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "effectivePeriod" : { "start" : "2024-01-01T22:00:00Z", "end" : "2024-01-02T22:00:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass" }, "dosage" : { "text" : "Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous use" }] }, "dose" : { "value" : 200, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-initialpopulationpass", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-initialpopulationpass

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: remdesivir 100 mg

subject: ACHDaily, InitialPopulationPass

encounter: Hospital Encounter

authoredOn: 2024-01-14 21:30:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Code , 4 per 1 dayfalseIntravenous
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-initialpopulationpass", "display" : "remdesivir 100 mg" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-2", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-14T21:30:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "text" : "Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-15T21:30:15Z", "end" : "2024-01-19T21:30:15Z" }, "frequency" : 4, "period" : 1, "periodUnit" : "d" }, "code" : { "text" : "100 Remdesivir mg IV once a day on days 2-5" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous use" }], "text" : "Intravenous" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-initialpopulationpass-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-initialpopulationpass-2

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Remdesivir 100 mg IV

subject: ACHDaily, InitialPopulationPass

effective: 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Intravenous use100 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-initialpopulationpass", "display" : "Remdesivir 100 mg IV" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "effectivePeriod" : { "start" : "2024-01-02T22:00:00Z", "end" : "2024-01-05T22:00:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass" }, "dosage" : { "text" : "Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous use" }] }, "dose" : { "value" : 100, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "Observation", "id" : "lab-observation-example-ach-daily-initialpopulationpass", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation lab-observation-example-ach-daily-initialpopulationpass

Profile: ACH Daily Event Lab Result Observation

status: Final

category: Laboratory

code: SARS-CoV-2 RNA Resp Ql NAA+probe

subject: ACHDaily, InitialPopulationPass

encounter: Hospital Encounter

effective: 2023-01-01 15:04:25+0000

issued: 2023-01-01 15:04:25+0000

value: Positive

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

" }, "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" : "94500-6", "display" : "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection" }], "text" : "SARS-CoV-2 RNA Resp Ql NAA+probe" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-1", "display" : "Hospital Encounter" }, "effectiveDateTime" : "2023-01-01T15:04:25Z", "issued" : "2023-01-01T15:04:25Z", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "10828004", "display" : "Positive" }], "text" : "Positive" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-daily-initialpopulationpass" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-daily-initialpopulationpass-covid", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-daily-initialpopulationpass-covid

Profile: ACH Daily Event ServiceRequest

identifier: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

quantity: 1

subject: ACHDaily InitialPopulationPass

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-01-01 17:22:00-0500

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

" }, "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" : "94500-6", "display" : "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection" }], "text" : "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily InitialPopulationPass" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-initialpopulationpass-1", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T17:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-01T17:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-daily-initialpopulationpass" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-initialpopulationpass", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-daily-initialpopulationpass", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-daily-initialpopulationpass

Profile: ACH Daily Event Specimen

type: Nasal fluid specimen (specimen)

subject: ACHDaily, InitialPopulationPass

receivedTime: 2024-01-01 08:30:00+0000

Collections

-Collected[x]BodySite
*2024-01-01 09:00:00+0000Entire root of nose (body structure)
" }, "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "168141000", "display" : "Nasal fluid specimen (specimen)" }], "text" : "Nasal fluid specimen (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-initialpopulationpass", "display" : "ACHDaily, InitialPopulationPass" }, "receivedTime" : "2024-01-01T08:30:00Z", "collection" : { "collectedDateTime" : "2024-01-01T09:00:00Z", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1825009", "display" : "Entire root of nose (body structure)" }] } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-negativepcr", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-negativepcr", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-negativepcr

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition COVID-19

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Intubation of respiratory tract (procedure)

identifier: http://example.org/fhir/measurereport/id/123456789-pass1

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

subject: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

date: 2024-01-06 21:04:29+0000

reporter: Organization Example NHSN Submitter

period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "cohort" }] } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-minimal-patient" }], "reference" : "Patient/patient-example-ach-daily-negativepcr" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-negativepcr-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-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-negativepcr-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-coverage" }], "reference" : "Coverage/coverage-example-ach-daily-negativepcr" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-daily-negativepcr" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-negativepcr" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-negativepcr" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/lab-observation-example-ach-daily-negativepcr-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/lab-observation-example-ach-daily-negativepcr-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-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-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-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-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-specimen" }], "reference" : "Specimen/specimen-example-ach-daily-negativepcr-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-daily-negativepcr-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-procedure" }], "reference" : "Procedure/procedure-example-ach-daily-negativepcr-intubation" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass1" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr" }, "date" : "2024-01-06T21:04:29.481+00:00", "reporter" : { "reference" : "Organization/organization-example-submitting-organization" }, "period" : { "start" : "2024-01-05T00:00:00.000+00:00", "end" : "2024-01-06T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-daily-negativepcr" }, { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1" }, { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-2" }, { "reference" : "Coverage/coverage-example-ach-daily-negativepcr" }, { "reference" : "Condition/condition-example-diagnosis-ach-daily-negativepcr" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-negativepcr" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-negativepcr" }, { "reference" : "Observation/lab-observation-example-ach-daily-negativepcr-1" }, { "reference" : "Observation/lab-observation-example-ach-daily-negativepcr-2" }, { "reference" : "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1" }, { "reference" : "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2" }, { "reference" : "Specimen/specimen-example-ach-daily-negativepcr-1" }, { "reference" : "Specimen/specimen-example-ach-daily-negativepcr-2" }, { "reference" : "Procedure/procedure-example-ach-daily-negativepcr-intubation" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-negativepcr", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-daily-negativepcr", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-daily-negativepcr

Profile: Cross-Measure Patient Profile

ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))


Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 456 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2028-9", "display" : "Asian" } }, { "url" : "text", "valueString" : "Asian" }], "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" : "1000009001" }], "active" : true, "name" : [{ "use" : "official", "text" : "ACHDaily NegativePCR", "family" : "NegativePCR", "given" : ["ACHDaily"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "other", "birthDate" : "2005-02-01", "deceasedBoolean" : false, "address" : [{ "use" : "home", "line" : ["456 Alphabet Street"], "city" : "Lansing", "state" : "MI", "postalCode" : "48864", "country" : "US" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-1", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-negativepcr-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-negativepcr-1

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789986\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode OBSENC: Observation Encounter (version = 9.0.0 )

type: Hospital admission (procedure)

subject: ACHDaily, NegativePCR

period: 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000

reasonCode: Shortness of breath

Hospitalizations

-AdmitSource
*observation unit

location

location: EMERGENCY - PAVILION

period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

location

location: Health Hospital Location

period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789986" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "OBSENC", "display" : "Observation Encounter" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "32485007", "display" : "Hospital admission (procedure)" }], "text" : "Hospital admission (procedure)" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "period" : { "start" : "2024-01-01T08:00:00Z", "end" : "2024-01-02T06:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "267036007", "display" : "shortness of breath" }], "text" : "Shortness of breath" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "outp", "display" : "From outpatient department" }], "text" : "observation unit" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2022-08-11T18:52:00Z", "end" : "2022-08-17T16:09:00Z" } }, { "location" : { "reference" : "Location/location-example-ach-daily-hospital", "display" : "Health Hospital Location" }, "period" : { "start" : "2022-08-17T16:09:00Z", "end" : "2022-08-22T19:01:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-2", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-negativepcr-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-negativepcr-2

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789986\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode IMP: Inpatient Encounter (version = 9.0.0 )

type: Hospital admission (procedure)

subject: ACHDaily, NegativePCR

period: 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000

reasonCode: Shortness of breath

Hospitalizations

-AdmitSourceDischargeDisposition
*observation unitDeceased (expired)

location

location: EMERGENCY - PAVILION

period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

location

location: Health Hospital Location

period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789986" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "IMP", "display" : "Inpatient Encounter" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "32485007", "display" : "Hospital admission (procedure)" }], "text" : "Hospital admission (procedure)" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "period" : { "start" : "2024-01-02T06:01:00Z", "end" : "2024-01-16T08:30:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "267036007", "display" : "shortness of breath" }], "text" : "Shortness of breath" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "outp", "display" : "From outpatient department" }], "text" : "observation unit" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "exp", "display" : "Expired" }], "text" : "Deceased (expired)" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2022-08-11T18:52:00Z", "end" : "2022-08-17T16:09:00Z" } }, { "location" : { "reference" : "Location/location-example-ach-daily-hospital", "display" : "Health Hospital Location" }, "period" : { "start" : "2022-08-17T16:09:00Z", "end" : "2022-08-22T19:01:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-negativepcr", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-daily-negativepcr", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-daily-negativepcr

identifier: Member Number/88800933501

status: Active

type: MEDICAID

subscriberId: 123456789

beneficiary: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

period: 2023-01-01 --> (ongoing)

payor: Medicaid Coverage

Classes

-TypeValueName
*MedicaidMedicaidMedicaid
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB", "display" : "Member Number" }] }, "system" : "http://example.org/fhir/memberidentifier", "value" : "88800933501" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "SUBSIDIZ", "display" : "subsidized health program" }], "text" : "MEDICAID" }, "subscriberId" : "123456789", "beneficiary" : { "reference" : "Patient/patient-example-ach-daily-negativepcr" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }], "text" : "Self" }, "period" : { "start" : "2023-01-01" }, "payor" : [{ "display" : "Medicaid Coverage" }], "class" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "group", "display" : "Group" }], "text" : "Medicaid" }, "value" : "Medicaid", "name" : "Medicaid" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-negativepcr", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-daily-negativepcr", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-daily-negativepcr

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: COVID-19

subject: ACHDaily, NegativePCR

encounter: Inpatient

" }, "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "U07.1", "display" : "COVID-19" }], "text" : "COVID-19" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "encounter" : { "display" : "Inpatient" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-negativepcr", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-negativepcr", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-negativepcr

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Molnupiravir 200 mg PO BID

subject: ACHDaily, NegativePCR

effective: 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Take Molnupiravir 200 mg 4 capsules by mouth twice a day x 5 daysCapsule200 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-negativepcr", "display" : "Molnupiravir 200 mg PO BID" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "effectivePeriod" : { "start" : "2024-01-02T09:00:00Z", "end" : "2024-01-06T08:59:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-negativepcr" }, "dosage" : { "text" : "Take Molnupiravir 200 mg 4 capsules by mouth twice a day x 5 days", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385049006", "display" : "Capsule" }] }, "dose" : { "value" : 200, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-negativepcr", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-negativepcr", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-negativepcr

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Molnupiravir 200 mg

subject: ACHDaily, NegativePCR

encounter: Hospital Encounter

authoredOn: 2024-01-02 21:30:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Molnupiravir 200 mg: Take 4 capsules by mouth twice a day x 5 daysCode , 4 per 5 daysfalseOral use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-negativepcr", "display" : "Molnupiravir 200 mg" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-02T21:30:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "text" : "Molnupiravir 200 mg: Take 4 capsules by mouth twice a day x 5 days", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-02T21:30:15Z", "end" : "2024-01-06T21:30:15Z" }, "frequency" : 4, "period" : 5, "periodUnit" : "d" }, "code" : { "text" : "Take 4 Molnupiravir 200 mg capsules by mouth twice a day x 5 days" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral use" }], "text" : "Oral use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-1", "resource" : { "resourceType" : "Observation", "id" : "lab-observation-example-ach-daily-negativepcr-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation lab-observation-example-ach-daily-negativepcr-1

Profile: ACH Daily Event Lab Result Observation

status: Final

category: Laboratory

code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)

subject: ACHDaily, NegativePCR

encounter: Hospital Encounter

effective: 2023-01-01 08:30:00+0000

issued: 2023-01-01 08:30:00+0000

value: Positive

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

" }, "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" : "94307-6", "display" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }], "text" : "SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1", "display" : "Hospital Encounter" }, "effectiveDateTime" : "2023-01-01T08:30:00Z", "issued" : "2023-01-01T08:30:00Z", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "10828004", "display" : "Positive" }], "text" : "Positive" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-daily-negativepcr-1" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-2", "resource" : { "resourceType" : "Observation", "id" : "lab-observation-example-ach-daily-negativepcr-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation lab-observation-example-ach-daily-negativepcr-2

Profile: ACH Daily Event Lab Result Observation

status: Final

category: Laboratory

code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)

subject: ACHDaily, NegativePCR

encounter: Hospital Encounter

effective: 2023-01-02 15:30:00+0000

issued: 2023-01-02 15:30:00+0000

value: Negative

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

" }, "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" : "94307-6", "display" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }], "text" : "SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-2", "display" : "Hospital Encounter" }, "effectiveDateTime" : "2023-01-02T15:30:00Z", "issued" : "2023-01-02T15:30:00Z", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "260385009", "display" : "Negative" }], "text" : "Negative" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-daily-negativepcr-2" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-daily-negativepcr-covid-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-daily-negativepcr-covid-1

Profile: ACH Daily Event ServiceRequest

identifier: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

quantity: 1

subject: ACHDaily NegativePCR

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-01-01 17:22:00-0500

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

" }, "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" : "94307-6", "display" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }], "text" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T17:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-01T17:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-daily-negativepcr-1" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-daily-negativepcr-covid-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-daily-negativepcr-covid-2

Profile: ACH Daily Event ServiceRequest

identifier: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

quantity: 1

subject: ACHDaily NegativePCR

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-01-02 17:22:00-0500

specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

" }, "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" : "94307-6", "display" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }], "text" : "SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T17:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-02T17:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-daily-negativepcr-2" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-1", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-daily-negativepcr-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-daily-negativepcr-1

Profile: ACH Daily Event Specimen

type: Nasal fluid specimen (specimen)

subject: ACHDaily, NegativePCR

receivedTime: 2024-01-01 08:30:00+0000

Collections

-Collected[x]BodySite
*2024-01-01 09:00:00+0000Entire root of nose (body structure)
" }, "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "168141000", "display" : "Nasal fluid specimen (specimen)" }], "text" : "Nasal fluid specimen (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "receivedTime" : "2024-01-01T08:30:00Z", "collection" : { "collectedDateTime" : "2024-01-01T09:00:00Z", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1825009", "display" : "Entire root of nose (body structure)" }] } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-2", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-daily-negativepcr-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-daily-negativepcr-2

Profile: ACH Daily Event Specimen

type: Nasal fluid specimen (specimen)

subject: ACHDaily, NegativePCR

receivedTime: 2024-01-02 16:30:00+0000

Collections

-Collected[x]BodySite
*2024-01-02 15:45:00+0000Entire root of nose (body structure)
" }, "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "168141000", "display" : "Nasal fluid specimen (specimen)" }], "text" : "Nasal fluid specimen (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily, NegativePCR" }, "receivedTime" : "2024-01-02T16:30:00Z", "collection" : { "collectedDateTime" : "2024-01-02T15:45:00Z", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1825009", "display" : "Entire root of nose (body structure)" }] } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-daily-negativepcr-intubation", "resource" : { "resourceType" : "Procedure", "id" : "procedure-example-ach-daily-negativepcr-intubation", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-procedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure procedure-example-ach-daily-negativepcr-intubation

Profile: ACH Daily Event Procedure

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352\u00a0(use:\u00a0usual,\u00a0)

status: Completed

code: Intubation of respiratory tract (procedure)

subject: ACHDaily NegativePCR

encounter: Hospital Admission

performed: 2023-01-02 15:30:00+0000

" }, "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" : "447996002", "display" : "Intubation of respiratory tract (procedure)" }] }, "subject" : { "reference" : "Patient/patient-example-ach-daily-negativepcr", "display" : "ACHDaily NegativePCR" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-negativepcr-1", "display" : "Hospital Admission" }, "performedDateTime" : "2023-01-02T15:30:00Z" } }, { "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-influenzatherapeutic", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-influenzatherapeutic

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Influenza due to identified novel influenza A virus

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true

identifier: http://example.org/fhir/measurereport/id/123456789-pass1

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

subject: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

date: 2024-01-06 00:04:29+0000

reporter: Organization Example NHSN Submitter

period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "cohort" }] } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-minimal-patient" }], "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-coverage" }], "reference" : "Coverage/coverage-example-ach-daily-influenzatherapeutic" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic" } }, { "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-immunization" }], "reference" : "Immunization/immunization-example-ach-daily-influenzatherapeutic" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass1" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" }, "date" : "2024-01-06T00:04:29.481+00:00", "reporter" : { "reference" : "Organization/organization-example-submitting-organization" }, "period" : { "start" : "2024-01-05T00:00:00.000+00:00", "end" : "2024-01-06T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" }, { "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic" }, { "reference" : "Coverage/coverage-example-ach-daily-influenzatherapeutic" }, { "reference" : "Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic" }, { "reference" : "Immunization/immunization-example-ach-daily-influenzatherapeutic" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-daily-influenzatherapeutic", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-daily-influenzatherapeutic

Profile: Cross-Measure Patient Profile

ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))


Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 789 Alphabet Street Lansing MI 48864 US (home)
mother:
  • Mama Bear
  • 789 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionM
US Core Race Extension:
" }, "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" : "1000009001" }], "active" : true, "name" : [{ "use" : "official", "text" : "ACHDaily InfluenzaTherapeutic", "family" : "InfluenzaTherapeutic", "given" : ["ACHDaily"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "male", "birthDate" : "2020-02-29", "deceasedBoolean" : false, "address" : [{ "use" : "home", "line" : ["789 Alphabet Street"], "city" : "Lansing", "state" : "MI", "postalCode" : "48864", "country" : "US" }], "contact" : [{ "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "MTH", "display" : "mother" }] }], "name" : { "text" : "Mama Bear", "family" : "Bear", "given" : ["Mama"] }, "address" : { "use" : "home", "line" : ["789 Alphabet Street"], "city" : "Lansing", "state" : "MI", "postalCode" : "48864", "country" : "US" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-influenzatherapeutic", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-influenzatherapeutic

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode ACUTE: Inpatient Acute (version = 9.0.0 )

type: Emergency hospital admission

subject: ACHDaily, InfluenzaTherapeutic

period: 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000

reasonCode: Fever with chills

Hospitalizations

-AdmitSourceDischargeDisposition
*Direct admission from doctor's office (in same system)Home

Locations

-LocationPeriod
*EMERGENCY - PAVILION2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789987" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "ACUTE", "display" : "Inpatient Acute" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "183452005", "display" : "Emergency hospital admission (procedure)" }], "text" : "Emergency hospital admission" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic", "display" : "ACHDaily, InfluenzaTherapeutic" }, "period" : { "start" : "2024-01-01T08:00:00Z", "end" : "2024-01-04T12:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "274640006", "display" : "Fever with chills" }], "text" : "Fever with chills" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "gp", "display" : "General Practitioner referral" }], "text" : "Direct admission from doctor's office (in same system)" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" }], "text" : "Home" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2024-01-14T08:00:00Z", "end" : "2024-01-22T12:00:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-daily-influenzatherapeutic", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-daily-influenzatherapeutic

identifier: Member Number/88800933501

status: Active

type: PPO

subscriberId: 123456789

beneficiary: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

period: 2023-01-01 --> (ongoing)

payor: United Healthcare

Classes

-TypeValueName
*PPOUnited HealthcareUnited Healthcare
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB", "display" : "Member Number" }] }, "system" : "http://example.org/fhir/memberidentifier", "value" : "88800933501" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "PPO", "display" : "preferred provider organization policy" }], "text" : "PPO" }, "subscriberId" : "123456789", "beneficiary" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }], "text" : "Self" }, "period" : { "start" : "2023-01-01" }, "payor" : [{ "display" : "United Healthcare" }], "class" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "group", "display" : "Group" }], "text" : "PPO" }, "value" : "United Healthcare", "name" : "United Healthcare" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-daily-influenzatherapeutic", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-daily-influenzatherapeutic

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Influenza Type A

subject: ACHDaily, InfluenzaTherapeutic

encounter: Inpatient

" }, "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "J09.X", "display" : "Influenza due to identified novel influenza A virus" }], "text" : "Influenza Type A" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic", "display" : "ACHDaily, InfluenzaTherapeutic" }, "encounter" : { "display" : "Inpatient" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-influenzatherapeutic", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-influenzatherapeutic

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Oseltamivir 60 mg PO

subject: ACHDaily, InfluenzaTherapeutic

effective: 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Oseltamivir 60 mg PO twice daily x 5 daysCapsule60 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-influenzatherapeutic", "display" : "Oseltamivir 60 mg PO" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic", "display" : "ACHDaily, InfluenzaTherapeutic" }, "effectivePeriod" : { "start" : "2024-01-01T20:00:00Z", "end" : "2024-01-04T20:00:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic" }, "dosage" : { "text" : "Oseltamivir 60 mg PO twice daily x 5 days", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385049006", "display" : "Capsule" }] }, "dose" : { "value" : 60, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-influenzatherapeutic", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-influenzatherapeutic

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Oseltamivir 60 mg

subject: ACHDaily, InfluenzaTherapeutic

encounter: Hospital Encounter

authoredOn: 2024-01-01 11:45:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Oseltamivir 60 mg PO twice daily x 5 daysCode , 2 per 5 daysfalseOral use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-influenzatherapeutic", "display" : "Oseltamivir 60 mg" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic", "display" : "ACHDaily, InfluenzaTherapeutic" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-01T11:45:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "text" : "Oseltamivir 60 mg PO twice daily x 5 days", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-01T12:30:15Z", "end" : "2024-01-06T12:30:15Z" }, "frequency" : 2, "period" : 5, "periodUnit" : "d" }, "code" : { "text" : "Oseltamivir 60 mg PO twice daily x 5 days" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral use" }], "text" : "Oral use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Immunization/immunization-example-ach-daily-influenzatherapeutic", "resource" : { "resourceType" : "Immunization", "id" : "immunization-example-ach-daily-influenzatherapeutic", "text" : { "status" : "generated", "div" : "

Generated Narrative: Immunization immunization-example-ach-daily-influenzatherapeutic

identifier: URI/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: Completed

vaccineCode: Fluvax

patient: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))

encounter: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills

occurrence: 2024-01-02

primarySource: true

lotNumber: AAJN11K

expirationDate: 2025-02-15

doseQuantity: 5 mg (Details: UCUM codemg = 'mg')

note:

Notes on administration of vaccine

\n

isSubpotent: true

" }, "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" }], "status" : "completed", "vaccineCode" : { "coding" : [{ "system" : "urn:oid:1.2.36.1.2001.1005.17", "code" : "FLUVAX" }], "text" : "Fluvax" }, "patient" : { "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic" }, "occurrenceDateTime" : "2024-01-02", "primarySource" : true, "lotNumber" : "AAJN11K", "expirationDate" : "2025-02-15", "doseQuantity" : { "value" : 5, "system" : "http://unitsofmeasure.org", "code" : "mg" }, "note" : [{ "text" : "Notes on administration of vaccine" }], "isSubpotent" : true } }, { "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-rsvlabbtg

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = Throat pain

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: status = active; relationship = Self

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Respiratory syncytial virus as the cause of diseases classified elsewhere

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Respiratory syncytial virus Ag [Presence] in Throat

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

identifier: http://example.org/fhir/measurereport/id/123456789-pass1

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

subject: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

date: 2024-01-06 21:04:29+0000

reporter: Organization Example NHSN Submitter

period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "cohort" }] } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-minimal-patient" }], "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-coverage" }], "reference" : "Coverage/coverage-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/lab-observation-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-specimen" }], "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass1" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, "date" : "2024-01-06T21:04:29.481+00:00", "reporter" : { "reference" : "Organization/organization-example-submitting-organization" }, "period" : { "start" : "2024-01-05T00:00:00.000+00:00", "end" : "2024-01-06T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg" }, { "reference" : "Coverage/coverage-example-ach-daily-rsvlabbtg" }, { "reference" : "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" }, { "reference" : "Observation/lab-observation-example-ach-daily-rsvlabbtg" }, { "reference" : "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv" }, { "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-daily-rsvlabbtg

Profile: Cross-Measure Patient Profile

ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))


Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 123 Happy Place Charlotte MI 48813 US (home)
mother:
  • Mother Nature
  • 123 Happy Place Charlotte MI 48813 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2076-8", "display" : "Native Hawaiian or Other Pacific Islander" } }, { "url" : "text", "valueString" : "Native Hawaiian or Other Pacific Islander" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Non Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }], "text" : "MRN" }, "system" : "urn:oid:1.2.5.8.2.7", "value" : "1000009002" }], "active" : true, "name" : [{ "use" : "official", "text" : "ACHDaily RSVLabBTG", "family" : "RSVLabBTG", "given" : ["ACHDaily"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "female", "birthDate" : "2015-05-05", "deceasedBoolean" : false, "address" : [{ "use" : "home", "line" : ["123 Happy Place"], "city" : "Charlotte", "state" : "MI", "postalCode" : "48813", "country" : "US" }], "contact" : [{ "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "MTH", "display" : "mother" }] }], "name" : { "text" : "Mother Nature", "family" : "Nature", "given" : ["Mother"] }, "address" : { "use" : "home", "line" : ["123 Happy Place"], "city" : "Charlotte", "state" : "MI", "postalCode" : "48813", "country" : "US" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode SS: Short Stay (version = 9.0.0 )

type: Emergency hospital admission

subject: ACHDaily, rsvlabbtg

period: 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000

reasonCode: Sore throat

Hospitalizations

-AdmitSourceDischargeDisposition
*Pediatrician's officeHome

Locations

-LocationPeriod
*EMERGENCY - PAVILION2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789987" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "SS", "display" : "Short Stay" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "183452005", "display" : "Emergency hospital admission (procedure)" }], "text" : "Emergency hospital admission" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, rsvlabbtg" }, "period" : { "start" : "2024-01-01T08:00:00Z", "end" : "2024-01-02T06:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "162397003", "display" : "Throat pain" }], "text" : "Sore throat" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "gp", "display" : "General Practitioner referral" }], "text" : "Pediatrician's office" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" }], "text" : "Home" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2024-01-14T08:00:00Z", "end" : "2024-01-22T12:00:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-daily-rsvlabbtg", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-daily-rsvlabbtg

status: Active

beneficiary: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

payor: Self Pay

" }, "status" : "active", "beneficiary" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }], "text" : "Self" }, "payor" : [{ "display" : "Self Pay" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-daily-rsvlabbtg", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-daily-rsvlabbtg

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: RSV

subject: ACHDaily, RSVLabBTG

encounter: Inpatient

" }, "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "B97.4", "display" : "Respiratory syncytial virus as the cause of diseases classified elsewhere" }], "text" : "RSV" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "display" : "Inpatient" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-rsvlabbtg-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-1

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Ribavirin inhalation solution 6g/vial via nebulizer

subject: ACHDaily, RSVLabBTG

effective: 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Oral route6 g (Details: UCUM codeg = 'g')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-1", "display" : "Ribavirin inhalation solution 6g/vial via nebulizer" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "effectivePeriod" : { "start" : "2024-01-01T12:30:00Z", "end" : "2024-01-01T17:30:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" }, "dosage" : { "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "dose" : { "value" : 6, "unit" : "g", "system" : "http://unitsofmeasure.org", "code" : "g" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-rsvlabbtg-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-1

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Ribavirin inhalation solution 6g/vial via nebulizer

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

authoredOn: 2024-01-01 11:45:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Code , Once per 6 hoursfalseOral use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-1", "display" : "Ribavirin inhalation solution 6g/vial via nebulizer" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-01T11:45:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-01T12:30:15Z", "end" : "2024-01-01T17:30:15Z" }, "frequency" : 1, "period" : 6, "periodUnit" : "h" }, "code" : { "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral use" }], "text" : "Oral use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-rsvlabbtg-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-2

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Nasal Saline spray

subject: ACHDaily, RSVLabBTG

effective: 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Nasal Saline spray, one spray each nostril QIDNasal use1 U (Details: UCUM codeU = 'U')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-2", "display" : "Nasal Saline spray" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "effectivePeriod" : { "start" : "2024-01-01T12:30:00Z", "end" : "2024-01-02T17:30:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" }, "dosage" : { "text" : "Nasal Saline spray, one spray each nostril QID", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "46713006", "display" : "Nasal use" }] }, "dose" : { "value" : 1, "unit" : "U", "system" : "http://unitsofmeasure.org", "code" : "U" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-rsvlabbtg-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-2

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Nasal Saline spray

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

authoredOn: 2024-01-01 11:45:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Nasal Saline spray, one spray each nostril QIDCode , OncefalseNasal use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-2", "display" : "Nasal Saline spray" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-01T11:45:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "text" : "Nasal Saline spray, one spray each nostril QID", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-01T12:00:15Z", "end" : "2024-01-02T07:00:15Z" } }, "code" : { "text" : "Nasal Saline spray, one spray each nostril QID" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "46713006", "display" : "Nasal use" }], "text" : "Nasal use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Observation", "id" : "lab-observation-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation lab-observation-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Lab Result Observation

status: Final

category: Laboratory

code: RSV Ag Ql (Throat)

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

effective: 2024-01-01 12:15:00+0000

issued: 2024-01-01 12:15:00+0000

value: Presumptive positive

specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "31949-1", "display" : "Respiratory syncytial virus Ag [Presence] in Throat" }], "text" : "RSV Ag Ql (Throat)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "effectiveDateTime" : "2024-01-01T12:15:00Z", "issued" : "2024-01-01T12:15:00Z", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "720735008", "display" : "Presumptive positive" }], "text" : "Presumptive positive" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-daily-rsvlabbtg-rsv", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-daily-rsvlabbtg-rsv

Profile: ACH Daily Event ServiceRequest

identifier: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: RSV Ag Ql (Throat)

quantity: 1

subject: ACHDaily RSVLabBTG

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-01-02 17:22:00-0500

specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631821" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "31949-1", "display" : "Respiratory syncytial virus Ag [Presence] in Throat" }], "text" : "RSV Ag Ql (Throat)" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T17:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-02T17:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Specimen

type: Nasopharyngeal swab (specimen)

subject: ACHDaily, RSVLabBTG

receivedTime: 2024-01-01 15:00:00+0000

Collections

-Collected[x]BodySite
*2024-01-01 14:00:00+0000Entire root of nose (body structure)
" }, "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "258500001", "display" : "Nasopharyngeal swab (specimen)" }], "text" : "Nasopharyngeal swab (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "receivedTime" : "2024-01-01T15:00:00Z", "collection" : { "collectedDateTime" : "2024-01-01T14:00:00Z", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1825009", "display" : "Entire root of nose (body structure)" }] } } } }] }国产精品久久久久久一级毛片