{ "resourceType" : "Bundle", "id" : "bundle-example-ach-daily-subject-initialpopulationpass", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a78d8d" }, "type" : "collection", "timestamp" : "2024-02-05T21:04:29.481+00:00", "entry" : [{ "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)" }] } } } }] }国产精品久久久久久一级毛片