{ "resourceType" : "Bundle", "id" : "bundle-example-ach-monthly-subject-ach-pass2", "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-9586d7a777e1" }, "type" : "collection", "timestamp" : "2024-02-05T21:04:29.481+00:00", "entry" : [{ "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass2", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-individual-ach-monthly-pass2", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass2

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\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#10005104252a\u00a0(use:\u00a0usual,\u00a0); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Diabetes mellitus type 2 (disorder)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Thrombophlebitis of deep femoral vein (disorder)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034\u00a0(use:\u00a0usual,\u00a0); type = Graduated compression elastic hosiery (physical object)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH'

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation aPTT in Blood by Coagulation assay

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Glucose [Mass/volume] in Capillary blood by Glucometer

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Glucose [Mass/volume] in Capillary blood by Glucometer

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Hemoglobin A1c/Hemoglobin.total in Blood

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Bacteria identified in Blood by Culture

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Body weight

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Percutaneous insertion of inferior vena cava filter (procedure)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest aPTT in Blood by Coagulation assay

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Hemoglobin A1c [Mass/volume] in Blood

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Hemoglobin [Mass/volume] in Venous blood

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500

identifier: http://example.org/fhir/measurereport/id/123456789-pass2

status: Complete

type: Individual

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

subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\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 --> 2024-02-04 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-monthly-pass2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-coverage" }], "reference" : "Coverage/coverage-example-ach-monthly-pass2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2-problem" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-device" }], "reference" : "Device/device-example-ach-monthly-pass2-compress-hose" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-diagnosticreport-lab" }], "reference" : "DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/observation-example-ach-monthly-pass2-aptt" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/observation-example-ach-monthly-pass2-poc-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/observation-example-ach-monthly-pass2-poc-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/observation-example-ach-monthly-pass2-hemo-a1c" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/observation-example-ach-monthly-pass2-hemo" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-vital-signs" }], "reference" : "Observation/observation-example-ach-monthly-pass2-vitals-weight" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-procedure" }], "reference" : "Procedure/procedure-example-ach-monthly-pass2-ivcf" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-specimen" }], "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-specimen" }], "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass2" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass1" }, "date" : "2024-02-05T21:04:29.481+00:00", "reporter" : { "reference" : "Organization/organization-example-submitting-organization" }, "period" : { "start" : "2024-01-05T00:00:00.000+00:00", "end" : "2024-02-04T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-monthly-pass2" }, { "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency" }, { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient" }, { "reference" : "Coverage/coverage-example-ach-monthly-pass2" }, { "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2-problem" }, { "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2" }, { "reference" : "Device/device-example-ach-monthly-pass2-compress-hose" }, { "reference" : "DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3" }, { "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-aptt" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-poc-1" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-poc-2" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-hemo-a1c" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-hemo" }, { "reference" : "Observation/observation-example-ach-monthly-pass2-vitals-weight" }, { "reference" : "Procedure/procedure-example-ach-monthly-pass2-ivcf" }, { "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt" }, { "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose" }, { "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c" }, { "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo" }, { "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" }, { "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass2", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-monthly-pass2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-monthly-pass2

Profile: Cross-Measure Patient Profile

Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))


Active:trueDeceased:2024-02-02 16:22:00-0500
Contact Detail
  • ph: 999-999-9999(Home)
  • 123 Sesame Street Lansing Lansing MI 48864 US
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" : "2106-3", "display" : "White" } }, { "url" : "text", "valueString" : "White" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Non Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }], "text" : "MRN" }, "system" : "urn:oid:1.2.5.8.2.7", "value" : "1601191902010308" }], "active" : true, "name" : [{ "use" : "official", "text" : "Pass2 ACH", "family" : "ACH", "given" : ["Pass2"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "female", "birthDate" : "1965-12-22", "deceasedDateTime" : "2024-02-02T16:22:00-05:00", "address" : [{ "line" : ["123 Sesame Street Lansing"], "city" : "Lansing", "district" : "Ingham County", "state" : "MI", "postalCode" : "48864", "country" : "US" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-emergency", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-monthly-pass2-emergency", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-monthly-pass2-emergency

Profile: ACH Monthly Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252a\u00a0(use:\u00a0usual,\u00a0)

status: Triaged

class: ActCode EMER: emergency (version = 9.0.0 )

type: Emergency department patient visit

subject: Pass2 ACH

period: 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500

reasonCode: Leg pain, lower right

Diagnoses

-Condition
*Thrombophlebitis

Hospitalizations

-AdmitSource
*Walk-in

Locations

-LocationPhysicalTypePeriod
*ACH Monthly Emergency DepartmentWard2024-01-31 02:35:00-0500 --> 2024-02-01 01:02:00-0500
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "10005104252a" }], "status" : "triaged", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "EMER", "display" : "emergency" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "4525004", "display" : "Emergency department patient visit" }], "text" : "Emergency department patient visit" }], "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "period" : { "start" : "2024-01-31T02:35:00-05:00", "end" : "2024-01-31T22:02:00-05:00" }, "reasonCode" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "M79.661", "display" : "Pain in right lower leg" }], "text" : "Leg pain, lower right" }], "diagnosis" : [{ "condition" : { "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2", "display" : "Thrombophlebitis" } }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "other", "display" : "Other" }], "text" : "Walk-in" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-monthly-emergency", "display" : "ACH Monthly Emergency Department" }, "physicalType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "wa", "display" : "Ward" }] }, "period" : { "start" : "2024-01-31T02:35:00-05:00", "end" : "2024-02-01T01:02:00-05:00" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-inpatient", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-monthly-pass2-inpatient", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Encounter encounter-example-ach-monthly-pass2-inpatient

Profile: ACH Monthly Event Encounter

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252b\u00a0(use:\u00a0usual,\u00a0)

status: Finished

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

type: Hospital Admission

subject: Pass2 ACH

period: 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500

Hospitalizations

-AdmitSourceDischargeDisposition
*Emergency DepartmentExpired

Locations

-LocationPhysicalTypePeriod
*ACH Monthly Inpatient Hospital WardWard2024-02-01 01:02:00-0500 --> 2024-02-02 16:22:00-0500
" }, "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "10005104252b" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "COMPLETED" }] }, "class" : { "extension" : [{ "url" : "http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-mapped-concept-extension", "valueCodeableConcept" : { "coding" : [{ "system" : "http://www.example.com/prorpietary", "code" : "I", "display" : "Inpatient" }] } }], "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "32485007", "display" : "Hospital admission (procedure)" }], "text" : "Hospital Admission" }], "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "period" : { "start" : "2024-01-31T22:02:00-05:00", "end" : "2024-02-02T16:22:00-05:00" }, "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "emd", "display" : "From accident/emergency department" }], "text" : "Emergency Department" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "exp", "display" : "expired" }], "text" : "Expired" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-monthly-inpatient", "display" : "ACH Monthly Inpatient Hospital Ward" }, "physicalType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type", "code" : "wa", "display" : "Ward" }] }, "period" : { "start" : "2024-02-01T01:02:00-05:00", "end" : "2024-02-02T16:22:00-05:00" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass2", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-monthly-pass2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-monthly-pass2

Profile: ACH Monthly Event Coverage

identifier: Member Number/93565936

status: Active

type: health maintenance organization policy

subscriberId: 89345743

beneficiary: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

payor: PayerComm

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB", "display" : "Member Number" }] }, "system" : "http://example.org/fhir/memberidentifier", "value" : "93565936" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "HMO", "display" : "health maintenance organization policy" }] }, "subscriberId" : "89345743", "beneficiary" : { "reference" : "Patient/patient-example-ach-monthly-pass2" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self", "display" : "Self" }] }, "payor" : [{ "reference" : "http://example.org/fhir/Organization/PayerComm", "display" : "PayerComm" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2-problem", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-monthly-pass2-problem", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2-problem

Profile: ACH Monthly Event Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus without complication

subject: Pass2 ACH

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }], "text" : "Problem List Item" }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "44054006", "display" : "Diabetes mellitus type 2 (disorder)" }, { "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "E11.9", "display" : "Type 2 diabetes mellitus without complications" }], "text" : "Diabetes mellitus without complication" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-monthly-pass2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2

Profile: ACH Monthly Event Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Thrombophlebitis

subject: Pass2 ACH

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1748006", "display" : "Thrombophlebitis of deep femoral vein (disorder)" }], "text" : "Thrombophlebitis" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass2-compress-hose", "resource" : { "resourceType" : "Device", "id" : "device-example-ach-monthly-pass2-compress-hose", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Device device-example-ach-monthly-pass2-compress-hose

Profile: ACH Monthly Event Device

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/100051034\u00a0(use:\u00a0usual,\u00a0)

type: Graduated compression elastic hosiery

patient: Pass2 ACH

" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "100051034" }], "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "348681001", "display" : "Graduated compression elastic hosiery (physical object)" }], "text" : "Graduated compression elastic hosiery" }, "patient" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology", "resource" : { "resourceType" : "DiagnosticReport", "id" : "diagnosticreport-example-ach-monthly-pass2-radiology", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: DiagnosticReport diagnosticreport-example-ach-monthly-pass2-radiology

Profile: ACH Monthly Event Diagnostic Report - Report and Note

ultrasonography of right lower limb (Radiology)

SubjectPass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))
When For2024-02-01 23:14:00-0500
Reported2024-02-02 08:52:00-0500

Report Details

Coded Conclusions:

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "LP29684-5", "display" : "Radiology" }], "text" : "Radiology" }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "14331000087103", "display" : "Doppler ultrasonography of vascular structure of right lower limb (procedure)" }], "text" : "ultrasonography of right lower limb" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-01T23:14:00-05:00", "issued" : "2024-02-02T08:52:00-05:00", "conclusionCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "128053003", "display" : "Deep venous thrombosis (disorder)" }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-dex4", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-dex4

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888893\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Outpatient

medication: Dex4 4 gm chewable tablet X1

subject: Pass2 ACH

context: Emergency Encounter

effective: 2024-01-31 04:54:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500

Dosages

-TextRouteDose
*4 gm chewable tablet X1Oral4 g (Details: UCUM codeg = 'g')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888893" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "outpatient", "display" : "Outpatient" }], "text" : "Outpatient" }, "medicationReference" : { "reference" : "Medication/medication-example-dex4-tablet", "display" : "Dex4 4 gm chewable tablet X1" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency", "display" : "Emergency Encounter" }, "effectiveDateTime" : "2024-01-31T04:54:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet" }, "dosage" : { "text" : "4 gm chewable tablet X1", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral Use" }], "text" : "Oral" }, "dose" : { "value" : 4, "unit" : "g", "system" : "http://unitsofmeasure.org", "code" : "g" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-heparin-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-1

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: 0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-01 12:22:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*0.5 mLStructure of blood vessel of left upper arm (body structure)IV5000 uL (Details: UCUM codeuL = 'uL')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888895" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-heparin", "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-01T12:22:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin" }, "dosage" : { "text" : "0.5 mL", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 5000, "unit" : "uL", "system" : "http://unitsofmeasure.org", "code" : "uL" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-heparin-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-2

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: 0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-02 13:26:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*0.5 mLStructure of blood vessel of left upper arm (body structure)IV5000 uL (Details: UCUM codeuL = 'uL')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888895" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-heparin", "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T13:26:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin" }, "dosage" : { "text" : "0.5 mL", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 5000, "unit" : "uL", "system" : "http://unitsofmeasure.org", "code" : "uL" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-1

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888942\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: Insulin Lispro

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-01 12:00:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*Give 5 units before breakfastStructure of blood vessel of left upper arm (body structure)IV5
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1018888942" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-insulin-lispro", "display" : "Insulin Lispro" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-01T12:00:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" }, "dosage" : { "text" : "Give 5 units before breakfast", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 5 } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-2

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888943\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: Insulin Lispro

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-01 19:00:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*Give 5 units before dinnerStructure of blood vessel of left upper arm (body structure)IV4
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1018888943" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-insulin-lispro", "display" : "Insulin Lispro" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-01T19:00:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" }, "dosage" : { "text" : "Give 5 units before dinner", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 4 } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-3", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-3

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888944\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: Insulin Lispro

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-02 07:00:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*Give 5 units before breakfastStructure of blood vessel of left upper arm (body structure)IV5
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1018888944" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-insulin-lispro", "display" : "Insulin Lispro" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T07:00:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" }, "dosage" : { "text" : "Give 5 units before breakfast", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 5 } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-4", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-4

Profile: ACH Monthly Event MedicationAdministration

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888945\u00a0(use:\u00a0usual,\u00a0)

status: Completed

category: Inpatient Medication

medication: Insulin Lispro

subject: Pass2 ACH

context: Hospital Admission

effective: 2024-02-02 15:00:00-0500

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*Give 5 units before dinnerStructure of blood vessel of left upper arm (body structure)IV4
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1018888945" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }, "medicationReference" : { "reference" : "Medication/medication-example-insulin-lispro", "display" : "Insulin Lispro" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "context" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T15:00:00-05:00", "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro" }, "dosage" : { "text" : "Give 5 units before dinner", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "dose" : { "value" : 4 } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-monthly-pass2-dex4-tablet", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-dex4-tablet

Profile: ACH Monthly Event MedicationRequest

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892\u00a0(use:\u00a0usual,\u00a0)

status: Active

intent: Plan

category: Outpatient

reported: true

medication: Dex4 4 gm chewable tablet X1

subject: Pass2 ACH

encounter: Emergency Encounter

authoredOn: 2024-01-31 04:46:00-0500

requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))

dosageInstruction

text: 4 gm chewable tablet X1

timing: Once per 1 day

asNeeded: false

route: Oral

DoseAndRates

-TypeDose[x]
*calculated4 g (Details: UCUM codeg = 'g')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888892" }], "status" : "active", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "outpatient", "display" : "Outpatient" }], "text" : "Outpatient" }], "reportedBoolean" : true, "medicationReference" : { "reference" : "Medication/medication-example-dex4-tablet", "display" : "Dex4 4 gm chewable tablet X1" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency", "display" : "Emergency Encounter" }, "authoredOn" : "2024-01-31T04:46:00-05:00", "requester" : { "reference" : "Patient/patient-example-ach-monthly-pass2" }, "dosageInstruction" : [{ "text" : "4 gm chewable tablet X1", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral Use" }], "text" : "Oral" }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }], "text" : "calculated" }, "doseQuantity" : { "value" : 4, "unit" : "g", "system" : "http://unitsofmeasure.org", "code" : "g" } }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-monthly-pass2-heparin", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-heparin

Profile: ACH Monthly Event MedicationRequest

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient Medication

reported: false

medication: 0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe

subject: Pass2 ACH

encounter: Hospital Admission

authoredOn: 2024-02-01 12:00:00-0500

requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))

dosageInstruction

text: 0.5 mL

timing: 2 per 1 day

asNeeded: false

site: Structure of blood vessel of left upper arm (body structure)

route: IV

DoseAndRates

-Dose[x]
*5000 uL (Details: UCUM codeuL = 'uL')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888895" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }], "reportedBoolean" : false, "medicationReference" : { "reference" : "Medication/medication-example-heparin", "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "authoredOn" : "2024-02-01T12:00:00-05:00", "requester" : { "reference" : "Patient/patient-example-ach-monthly-pass2" }, "dosageInstruction" : [{ "text" : "0.5 mL", "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "asNeededBoolean" : false, "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 5000, "unit" : "uL", "system" : "http://unitsofmeasure.org", "code" : "uL" } }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-monthly-pass2-insulin-lispro", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-insulin-lispro

Profile: ACH Monthly Event MedicationRequest

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888894\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient Medication

reported: false

medication: Insulin Lispro

subject: Pass2 ACH

encounter: Hospital Admission

authoredOn: 2024-02-01 12:00:00-0500

requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))

dosageInstruction

text: Give 5 units before breakfast

timing: Code , Once per 1 day

asNeeded: false

site: Structure of blood vessel of left upper arm (body structure)

route: IV

DoseAndRates

-Dose[x]
*5

dosageInstruction

text: Give 4 units before dinner

timing: Code , Once per 1 day

asNeeded: false

site: Structure of blood vessel of left upper arm (body structure)

route: IV

DoseAndRates

-Dose[x]
*4
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888894" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient Medication" }], "reportedBoolean" : false, "medicationReference" : { "reference" : "Medication/medication-example-insulin-lispro", "display" : "Insulin Lispro" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "authoredOn" : "2024-02-01T12:00:00-05:00", "requester" : { "reference" : "Patient/patient-example-ach-monthly-pass2" }, "dosageInstruction" : [{ "text" : "Give 5 units before breakfast", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" }, "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation", "code" : "AM" }] } }, "asNeededBoolean" : false, "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 5 } }] }, { "text" : "Give 4 units before dinner", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" }, "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation", "code" : "BED" }] } }, "asNeededBoolean" : false, "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "47625008", "display" : "Intravenous route" }], "text" : "IV" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 4 } }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-monthly-pass2-metformin", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-metformin

Profile: ACH Monthly Event MedicationRequest

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892\u00a0(use:\u00a0usual,\u00a0)

status: Active

intent: Plan

category: Home Medication

reported: true

medication: Metformin hydrochloride 1000 MG

subject: Pass2 ACH

encounter: Emergency Encounter

authoredOn: 2024-01-31 04:22:00-0500

requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))

recorder: Patient Identified

dosageInstruction

text: 1000 mg tablet by mouth twice daily

timing: 2 per 1 day

asNeeded: false

route: Oral

DoseAndRates

-TypeDose[x]
*calculated1000 mg (Details: UCUM codemg = 'mg')
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101888892" }], "status" : "active", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "community", "display" : "Community" }], "text" : "Home Medication" }], "reportedBoolean" : true, "medicationReference" : { "reference" : "Medication/medication-example-metformin-1000", "display" : "Metformin hydrochloride 1000 MG" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency", "display" : "Emergency Encounter" }, "authoredOn" : "2024-01-31T04:22:00-05:00", "requester" : { "reference" : "Patient/patient-example-ach-monthly-pass2" }, "recorder" : { "display" : "Patient Identified" }, "dosageInstruction" : [{ "text" : "1000 mg tablet by mouth twice daily", "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral Use" }], "text" : "Oral" }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "Calculated" }], "text" : "calculated" }, "doseQuantity" : { "value" : 1000, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-aptt", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-aptt", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-aptt

Profile: ACH Monthly Event Lab Result Observation

basedOn: ServiceRequest aPTT in Blood by Coagulation assay

status: Final

category: Laboratory

code: aPTT

subject: Pass2 ACH

encounter: Hospital Admission

effective: 2024-02-02 11:24:00-0500

issued: 2024-02-02 11:29:00-0500

value: 8 s (Details: UCUM codes = 's')

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500

" }, "basedOn" : [{ "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "3173-2", "display" : "aPTT in Blood by Coagulation assay" }], "text" : "aPTT" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T11:24:00-05:00", "issued" : "2024-02-02T11:29:00-05:00", "valueQuantity" : { "value" : 8, "unit" : "s", "system" : "http://unitsofmeasure.org", "code" : "s" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-1", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-poc-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-1

Profile: ACH Monthly Event Lab Result Observation

basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer

status: Final

category: Laboratory

code: Glucose

subject: Pass2 ACH

encounter: Hospital Admission

effective: 2024-01-31 23:01:00-0500

issued: 2024-01-31 23:02:00-0500

value: 53 d/gL (Details: UCUM codeg/dL = 'g/dL')

" }, "basedOn" : [{ "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "41653-7", "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer" }], "text" : "Glucose" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-01-31T23:01:00-05:00", "issued" : "2024-01-31T23:02:00-05:00", "valueQuantity" : { "value" : 53, "unit" : "d/gL", "system" : "http://unitsofmeasure.org", "code" : "g/dL" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-2", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-poc-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-2

Profile: ACH Monthly Event Lab Result Observation

basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer

status: Final

category: Laboratory

code: Glucose

subject: Pass2 ACH

encounter: Hospital Admission

effective: 2024-02-02 10:14:00-0500

issued: 2024-02-02 10:15:00-0500

value: 105 d/gL (Details: UCUM codeg/dL = 'g/dL')

" }, "basedOn" : [{ "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "41653-7", "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer" }], "text" : "Glucose" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T10:14:00-05:00", "issued" : "2024-02-02T10:15:00-05:00", "valueQuantity" : { "value" : 105, "unit" : "d/gL", "system" : "http://unitsofmeasure.org", "code" : "g/dL" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo-a1c", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-hemo-a1c", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo-a1c

Profile: ACH Monthly Event Lab Result Observation

basedOn: ServiceRequest Hemoglobin A1c [Mass/volume] in Blood

status: Final

category: Laboratory

code: Hemoglobin A1c

subject: Pass2 ACH

encounter: Hospital Admission

effective: 2024-01-31 23:01:00-0500

issued: 2024-01-31 23:52:00-0500

value: 7.5 % (Details: UCUM code% = '%')

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500

" }, "basedOn" : [{ "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "4548-4", "display" : "Hemoglobin A1c/Hemoglobin.total in Blood" }], "text" : "Hemoglobin A1c" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-01-31T23:01:00-05:00", "issued" : "2024-01-31T23:52:00-05:00", "valueQuantity" : { "value" : 7.5, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-hemo", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo

Profile: ACH Monthly Event Lab Result Observation

basedOn: ServiceRequest Hemoglobin [Mass/volume] in Venous blood

status: Final

category: Laboratory

code: Bacteria identified in Blood by Culture

subject: Pass2 ACH

encounter: Hospital Admission

effective: 2024-02-02 11:24:00-0500

issued: 2024-02-02 11:29:00-0500

value: 8 d/gL (Details: UCUM codeg/dL = 'g/dL')

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500

" }, "basedOn" : [{ "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "600-7", "display" : "Bacteria identified in Blood by Culture" }], "text" : "Bacteria identified in Blood by Culture" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "effectiveDateTime" : "2024-02-02T11:24:00-05:00", "issued" : "2024-02-02T11:29:00-05:00", "valueQuantity" : { "value" : 8, "unit" : "d/gL", "system" : "http://unitsofmeasure.org", "code" : "g/dL" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-vitals-weight", "resource" : { "resourceType" : "Observation", "id" : "observation-example-ach-monthly-pass2-vitals-weight", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-example-ach-monthly-pass2-vitals-weight

Profile: ACH Monthly Event Observation - Vital Signs

status: Final

category: Vital Signs

code: Weight

subject: Pass2 ACH

encounter: Emergency Encounter

effective: 2024-01-31 01:42:00-0500

issued: 2024-01-31 01:42:00-0500

value: 113.4 kg (Details: UCUM codekg = 'kg')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29463-7", "display" : "Body weight" }], "text" : "Weight" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency", "display" : "Emergency Encounter" }, "effectiveDateTime" : "2024-01-31T01:42:00-05:00", "issued" : "2024-01-31T01:42:00-05:00", "valueQuantity" : { "value" : 113.4, "unit" : "kg", "system" : "http://unitsofmeasure.org", "code" : "kg" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass2-ivcf", "resource" : { "resourceType" : "Procedure", "id" : "procedure-example-ach-monthly-pass2-ivcf", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure procedure-example-ach-monthly-pass2-ivcf

Profile: ACH Monthly Event Procedure

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005103526\u00a0(use:\u00a0usual,\u00a0)

status: Completed

code: Percutaneous insertion of inferior vena cava filter (procedure)

subject: Pass2 ACH

encounter: Hospital Admission

performed: 2024-02-01 05:02:00-0500

" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "10005103526" }], "status" : "completed", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "397913009", "display" : "Percutaneous insertion of inferior vena cava filter (procedure)" }] }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "performedDateTime" : "2024-02-01T05:02:00-05:00" } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-monthly-pass2-aptt", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-aptt

Profile: ACH Monthly Event ServiceRequest

identifier: Placer Identifier/1019631824\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

priority: STAT

code: aPTT

quantity: 1

subject: Pass2 ACH

encounter: Hospital Admission

occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once

authoredOn: 2024-01-31 22:21:00-0500

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631824" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "priority" : "stat", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "3173-2", "display" : "aPTT in Blood by Coagulation assay" }], "text" : "aPTT" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-01-31T22:21:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-31T22:21:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-monthly-pass2-glucose", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-glucose

Profile: ACH Monthly Event ServiceRequest

identifier: Placer Identifier/1019631824\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: Glucose

quantity: 2

subject: Pass2 ACH

encounter: Hospital Admission

occurrence: Code , Count 2 times, Once per 1 day

authoredOn: 2024-01-31 22:21:00-0500

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631824" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "41653-7", "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer" }], "text" : "Glucose" }, "quantityQuantity" : { "value" : 2 }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "occurrenceTiming" : { "repeat" : { "count" : 2, "period" : 1, "periodUnit" : "d" }, "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation", "code" : "BID", "display" : "BID" }] } }, "authoredOn" : "2024-01-31T22:21:00-05:00" } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-monthly-pass2-hemo-a1c", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo-a1c

Profile: ACH Monthly Event ServiceRequest

identifier: Placer Identifier/1019631823\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: Hemoglobin A1c

quantity: 1

subject: Pass2 ACH

encounter: Hospital Admission

occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once

authoredOn: 2024-01-31 22:21:00-0500

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631823" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "41995-2", "display" : "Hemoglobin A1c [Mass/volume] in Blood" }], "text" : "Hemoglobin A1c" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-01-31T22:21:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-31T22:21:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-monthly-pass2-hemo", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo

Profile: ACH Monthly Event ServiceRequest

identifier: Placer Identifier/1019631824\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

priority: STAT

code: Hemoglobin

quantity: 1

subject: Pass2 ACH

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 11:22:00-0500 , Count 1 times, Once

authoredOn: 2024-02-02 11:22:00-0500

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631824" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "priority" : "stat", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30350-3", "display" : "Hemoglobin [Mass/volume] in Venous blood" }], "text" : "Hemoglobin" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass2 ACH" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T11:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-02-02T11:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-1", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-monthly-pass2-blood-1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-1

Profile: ACH Monthly Event Specimen

identifier: urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082902, urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:42

type: Venous blood specimen (specimen)

subject: Pass1 ACH

receivedTime: 2024-01-31 22:50:00-0500

Collections

-Collected[x]BodySite
*2024-01-31 22:42:00-0500Structure of blood vessel of left upper arm (body structure)
" }, "identifier" : [{ "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32", "value" : "C104082902", "assigner" : { "display" : "LIS" } }, { "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800", "value" : "C10408290:42" }], "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "122555007", "display" : "Venous blood specimen (specimen)" }], "text" : "Venous blood specimen (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass1 ACH" }, "receivedTime" : "2024-01-31T22:50:00-05:00", "collection" : { "collectedDateTime" : "2024-01-31T22:42:00-05:00", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-2", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-monthly-pass2-blood-2", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-2

Profile: ACH Monthly Event Specimen

identifier: urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082902, urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:42

type: Venous blood specimen (specimen)

subject: Pass1 ACH

receivedTime: 2024-02-02 11:26:00-0500

Collections

-Collected[x]BodySite
*2024-02-02 11:24:00-0500Structure of blood vessel of left upper arm (body structure)
" }, "identifier" : [{ "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32", "value" : "C104082902", "assigner" : { "display" : "LIS" } }, { "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800", "value" : "C10408290:42" }], "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "122555007", "display" : "Venous blood specimen (specimen)" }], "text" : "Venous blood specimen (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-monthly-pass2", "display" : "Pass1 ACH" }, "receivedTime" : "2024-02-02T11:26:00-05:00", "collection" : { "collectedDateTime" : "2024-02-02T11:24:00-05:00", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255295007", "display" : "Structure of blood vessel of left upper arm (body structure)" }] } } } }] }国产精品久久久久久一级毛片