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: 1601191902010308 (use: usual, ))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg

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 (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500

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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500

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

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

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

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

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

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

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

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

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

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 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

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: 1601191901010308 (use: usual, ))

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
- Code Count
* Initial Population 1

evaluatedResource:


  
    
    
      
        
        
          
        
        
           Generated Narrative: Patient patient-example-ach-monthly-pass2
  
Profile: Cross-Measure Patient Profile
Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
Active: true Deceased: 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: ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino
text: Non Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension: ombCategory: Race & Ethnicity - CDC 2106-3: White
text: White
        
        
          
            
              
              
              
            
          
          
            
          
        
        
          
            
              
              
              
            
          
          
            
          
        
        
          
        
        
          
          
            
              
              
              
            
            
          
          
          
        
        
        
          
          
          
          
        
        
          
          
          
        
        
        
        
        
          
          
          
          
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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
- Location PhysicalType Period
* ACH Monthly Emergency Department Ward 2024-01-31 02:35:00-0500 --> 2024-02-01 01:02:00-0500
        
        
          
          
          
        
        
        
          
          
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
            
            
            
          
          
        
        
          
            
            
          
        
        
          
            
              
              
              
            
            
          
        
        
          
            
            
          
          
            
              
              
              
            
          
          
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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
- AdmitSource DischargeDisposition
* Emergency Department Expired
Locations
- Location PhysicalType Period
* ACH Monthly Inpatient Hospital Ward Ward 2024-02-01 01:02:00-0500 --> 2024-02-02 16:22:00-0500
        
        
          
        
        
          
          
          
        
        
          
            
          
        
        
          
            
              
                
                
                
              
            
          
          
          
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
            
              
              
              
            
            
          
          
            
              
              
              
            
            
          
        
        
          
            
            
          
          
            
              
              
              
            
          
          
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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: 1601191902010308 (use: usual, ))
relationship: Self
payor: PayerComm
        
        
          
            
              
              
              
            
          
          
          
        
        
        
          
            
            
            
            
          
        
        
        
          
        
        
          
            
            
            
          
        
        
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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
        
        
          
            
            
            
          
        
        
          
            
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
            
            
            
          
          
        
        
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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
        
        
          
            
            
            
          
        
        
          
            
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
type: Graduated compression elastic hosiery
patient: Pass2 ACH
        
        
          
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: DiagnosticReport diagnosticreport-example-ach-monthly-pass2-radiology
  
Profile: ACH Monthly Event Diagnostic Report - Report and Note
ultrasonography of right lower limb (Radiology) 
Subject Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
When For 2024-02-01 23:14:00-0500
Reported 2024-02-02 08:52:00-0500
Report Details
Coded Conclusions:
Deep venous thrombosis (disorder)
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
            
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500
Dosages
- Text Route Dose
* 4 gm chewable tablet X1 Oral 4 g (Details: UCUM  codeg = 'g')
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
            
          
          
            
            
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM  codeuL = 'uL')
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
            
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM  codeuL = 'uL')
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
            
            
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
        
        
          
          
          
        
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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: 1601191902010308 (use: usual, ))
dosageInstruction
text: 4 gm chewable tablet X1
timing: Once per 1 day
asNeeded: false
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 4 g (Details: UCUM  codeg = 'g')
        
        
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
          
            
              
              
              
            
            
          
          
            
              
                
                
                
              
              
            
            
              
              
              
              
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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: 1601191902010308 (use: usual, ))
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')
        
        
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
          
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
              
              
              
              
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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: 1601191902010308 (use: usual, ))
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
        
        
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
          
            
              
              
              
            
            
              
                
                
              
            
          
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
              
            
          
        
        
          
          
            
              
              
              
            
            
              
                
                
              
            
          
          
          
            
              
              
              
            
          
          
            
              
              
              
            
            
          
          
            
              
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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: 1601191902010308 (use: usual, ))
recorder: Patient Identified
dosageInstruction
text: 1000 mg tablet by mouth twice daily
timing: 2 per 1 day
asNeeded: false
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 1000 mg (Details: UCUM  codemg = 'mg')
        
        
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
          
        
        
          
          
        
        
          
          
        
        
        
          
        
        
          
        
        
          
          
            
              
              
              
            
          
          
          
            
              
              
              
            
            
          
          
            
              
                
                
                
              
              
            
            
              
              
              
              
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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
        
        
          
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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')
        
        
          
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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')
        
        
          
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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
        
        
          
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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
        
        
          
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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')
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
          
          
        
        
        
        
          
          
          
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 (use: usual, )
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
        
        
          
          
          
        
        
        
          
            
            
            
          
        
        
          
          
        
        
          
          
        
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-aptt
  
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824 (use: usual, )
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
        
        
          
          
            
              
              
              
            
            
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
            
            
            
          
          
        
        
          
        
        
          
          
        
        
          
          
        
        
          
          
            
          
          
            
          
        
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-glucose
  
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824 (use: usual, )
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
        
        
          
          
            
              
              
              
            
            
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
        
        
          
          
        
        
          
          
        
        
          
            
            
            
          
          
            
              
              
              
            
          
        
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo-a1c
  
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631823 (use: usual, )
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
        
        
          
          
            
              
              
              
            
            
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
          
            
            
            
          
          
        
        
          
        
        
          
          
        
        
          
          
        
        
          
          
            
          
          
            
          
        
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo
  
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824 (use: usual, )
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
        
        
          
          
            
              
              
              
            
            
          
          
          
        
        
        
        
          
            
            
            
          
          
        
        
        
          
            
            
            
          
          
        
        
          
        
        
          
          
        
        
          
          
        
        
          
          
            
          
          
            
          
        
        
        
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           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 22:42:00-0500 Structure of blood vessel of left upper arm (body structure)
        
        
          
          
          
            
          
        
        
          
          
        
        
          
            
            
            
          
          
        
        
          
          
        
        
        
          
          
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           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 11:24:00-0500 Structure of blood vessel of left upper arm (body structure)