{
  "resourceType" : "Bundle",
  "id" : "bundle-example-ach-monthly-subject-ach-pass3",
  "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-9586d7a777e2"
  },
  "type" : "collection",
  "timestamp" : "2024-02-05T21:04:29.481+00:00",
  "entry" : [{
    "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3",
    "resource" : {
      "resourceType" : "MeasureReport",
      "id" : "measurereport-example-individual-ach-monthly-pass3",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-individual-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass3</b></p><a name=\"measurereport-example-individual-ach-monthly-pass3\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass3</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html\">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></li><li><a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object)</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></li></ul></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
            "code" : "cohort"
          }]
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-condition"
          }],
          "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-condition"
          }],
          "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-coverage"
          }],
          "reference" : "Coverage/coverage-example-ach-monthly-pass3"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-device"
          }],
          "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-encounter"
          }],
          "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-encounter"
          }],
          "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-administration"
          }],
          "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-administration"
          }],
          "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-administration"
          }],
          "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-administration"
          }],
          "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-request"
          }],
          "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-request"
          }],
          "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-medication-request"
          }],
          "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-observation-lab-category"
          }],
          "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-observation-vital-signs"
          }],
          "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-observation-vital-signs"
          }],
          "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-minimal-patient"
          }],
          "reference" : "Patient/patient-example-ach-monthly-pass3"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-procedure"
          }],
          "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-servicerequest"
          }],
          "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
        }
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
        "valueReference" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
            "valueString" : "sde-specimen"
          }],
          "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
        }
      }],
      "identifier" : [{
        "system" : "http://example.org/fhir/measurereport/id",
        "value" : "123456789-pass3"
      }],
      "status" : "complete",
      "type" : "individual",
      "measure" : "http://www.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" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
      },
      {
        "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
      },
      {
        "reference" : "Coverage/coverage-example-ach-monthly-pass3"
      },
      {
        "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
      },
      {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
      },
      {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
      },
      {
        "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
      },
      {
        "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
      },
      {
        "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
      },
      {
        "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
      },
      {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
      },
      {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
      },
      {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
      },
      {
        "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
      },
      {
        "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
      },
      {
        "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
      },
      {
        "reference" : "Patient/patient-example-ach-monthly-pass3"
      },
      {
        "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
      },
      {
        "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
      },
      {
        "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "patient-example-ach-monthly-pass3",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"],
        "security" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code" : "R",
          "display" : "Restricted"
        }]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass3</b></p><a name=\"patient-example-ach-monthly-pass3\"> </a><a name=\"hcpatient-example-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cross-measure-patient.html\">Cross-Measure Patient Profile</a></p><p style=\"margin-bottom: 0px\">Security Label: Restricted (Details: Confidentiality code R = 'Restricted')</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"mailto:ACHtestcase@testcase.com\">ACHtestcase@testcase.com</a></li><li>5678 Sesame Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 zh}\">Chinese</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cy118119.com/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cy118119.com/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2028-9\">Race &amp; Ethnicity - CDC 2028-9</a>: Asian</li><li>text: White</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2028-9",
            "display" : "Asian"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Non Hispanic or Latino"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      },
      {
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "M"
      }],
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical record number"
          }],
          "text" : "MRN"
        },
        "system" : "urn:oid:1.2.5.8.2.7",
        "value" : "1601191903010308"
      }],
      "active" : true,
      "name" : [{
        "use" : "official",
        "text" : "Pass3 ACH",
        "family" : "ACH",
        "given" : ["Pass3"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "ACHtestcase@testcase.com",
        "use" : "home"
      }],
      "gender" : "female",
      "birthDate" : "2007-10-08",
      "address" : [{
        "line" : ["5678 Sesame Lansing"],
        "city" : "Lansing",
        "state" : "MI",
        "postalCode" : "48864",
        "country" : "US"
      }],
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "zh",
            "display" : "Chinese"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "encounter-example-ach-monthly-pass3-acute",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass3-acute\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-acute</b></p><a name=\"encounter-example-ach-monthly-pass3-acute\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-acute\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 453701000124103}\">Critical care visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source other}\">From Short Stay</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-crit-part.html\">ACH Monthly Medical Critical Care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-02 16:43:00-0500 --&gt; 2024-03-02 19:58:00-0500</td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
        "value" : "10005104253a"
      }],
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "9.0.0",
        "code" : "ACUTE",
        "display" : "inpatient acute"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "453701000124103",
          "display" : "In-person encounter"
        }],
        "text" : "Critical care visit"
      }],
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "period" : {
        "start" : "2024-02-02T16:43:00-05:00",
        "end" : "2024-02-03T19:58:00-05:00"
      },
      "hospitalization" : {
        "admitSource" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
            "code" : "other",
            "display" : "Other"
          }],
          "text" : "From Short Stay"
        },
        "dischargeDisposition" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
            "code" : "home",
            "display" : "Home"
          }],
          "text" : "Home"
        }
      },
      "location" : [{
        "location" : {
          "reference" : "Location/location-example-ach-monthly-crit-part",
          "display" : "ACH Monthly Medical Critical Care"
        },
        "physicalType" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
            "code" : "wa",
            "display" : "Ward"
          }]
        },
        "period" : {
          "start" : "2024-02-02T16:43:00-05:00",
          "end" : "2024-03-02T19:58:00-05:00"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "encounter-example-ach-monthly-pass3-short-stay",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass3-short-stay\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-short-stay</b></p><a name=\"encounter-example-ach-monthly-pass3-short-stay\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-short-stay\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS\">ActCode SS</a>: short stay (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 8715000}\">Hospital Admission, Elective Procedure</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R19.7}\">Diarrhea</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Enterocolitis due to Clostridium difficile</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source outp}\">Outpatient</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-medsurg.html\">ACH Monthly Medical-Surgical Ward</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
        "value" : "10005104253a"
      }],
      "status" : "in-progress",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "9.0.0",
        "code" : "SS",
        "display" : "short stay"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "8715000",
          "display" : "Hospital admission, elective (procedure)"
        }],
        "text" : "Hospital Admission, Elective Procedure"
      }],
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "period" : {
        "start" : "2024-02-01T14:12:00-05:00",
        "end" : "2024-02-02T16:43:00-05:00"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "R19.7",
          "display" : "Diarrhea, unspecified"
        }],
        "text" : "Diarrhea"
      }],
      "diagnosis" : [{
        "condition" : {
          "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3",
          "display" : "Enterocolitis due to Clostridium difficile"
        }
      }],
      "hospitalization" : {
        "admitSource" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
            "code" : "outp",
            "display" : "From outpatient department"
          }],
          "text" : "Outpatient"
        }
      },
      "location" : [{
        "location" : {
          "reference" : "Location/location-example-ach-monthly-medsurg",
          "display" : "ACH Monthly Medical-Surgical Ward"
        },
        "physicalType" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
            "code" : "wa",
            "display" : "Ward"
          }]
        },
        "period" : {
          "start" : "2024-02-01T14:12:00-05:00",
          "end" : "2024-02-02T16:43:00-05:00"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "coverage-example-ach-monthly-pass3",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass3</b></p><a name=\"coverage-example-ach-monthly-pass3\"> </a><a name=\"hccoverage-example-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-coverage.html\">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/0945345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">preferred provider organization policy</span></p><p><b>subscriberId</b>: 7843574536</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"http://example.org/fhir/Organization/NationFirst\">Nation First Health Care</a></p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }]
        },
        "system" : "http://example.org/fhir/memberidentifier",
        "value" : "0945345"
      }],
      "status" : "active",
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "version" : "9.0.0",
          "code" : "PPO",
          "display" : "preferred provider organization policy"
        }]
      },
      "subscriberId" : "7843574536",
      "beneficiary" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
          "code" : "self",
          "display" : "Self"
        }]
      },
      "payor" : [{
        "reference" : "http://example.org/fhir/Organization/NationFirst",
        "display" : "Nation First Health Care"
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "condition-example-diagnosis-ach-monthly-pass3-problem",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass3-problem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3-problem</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3-problem\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3-problem\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 15805002}, {http://hl7.org/fhir/sid/icd-10-cm J01.90}\">Acute sinusitis</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>onset</b>: 2024-01-21 07:32:00-0500</p><p><b>abatement</b>: 2024-02-02 16:43:00-0500</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "resolved",
          "display" : "Resolved"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "version" : "4.0.0",
          "code" : "confirmed",
          "display" : "Confirmed"
        }],
        "text" : "Confirmed"
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "problem-list-item",
          "display" : "Problem List Item"
        }],
        "text" : "Problem List Item"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "15805002",
          "display" : "Acute sinusitis (disorder)"
        },
        {
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "J01.90",
          "display" : "Acute sinusitis, unspecified"
        }],
        "text" : "Acute sinusitis"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "onsetDateTime" : "2024-01-21T07:32:00-05:00",
      "abatementDateTime" : "2024-02-02T16:43:00-05:00"
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "condition-example-diagnosis-ach-monthly-pass3",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm A04.7}\">Enterocolitis due to Clostridium difficile</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active",
          "display" : "Active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "version" : "4.0.0",
          "code" : "confirmed",
          "display" : "Confirmed"
        }],
        "text" : "Confirmed"
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }],
        "text" : "Encounter Diagnosis"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "A04.7",
          "display" : "Enterocolitis due to Clostridium difficile"
        }],
        "text" : "Enterocolitis due to Clostridium difficile"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump",
    "resource" : {
      "resourceType" : "Device",
      "id" : "device-example-ach-monthly-pass3-ivcs-pump",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-ach-monthly-pass3-ivcs-pump\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass3-ivcs-pump</b></p><a name=\"device-example-ach-monthly-pass3-ivcs-pump\"> </a><a name=\"hcdevice-example-ach-monthly-pass3-ivcs-pump\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-device.html\">ACH Monthly Event Device</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035\u00a0(use:\u00a0usual,\u00a0)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 469317002}\">Intermittent venous compression system pump</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
        "value" : "100051035"
      }],
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "469317002",
          "display" : "Intermittent venous compression system pump (physical object)"
        }],
        "text" : "Intermittent venous compression system pump"
      },
      "patient" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medadmin-example-ach-monthly-pass3-enoxaparin",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medadmin-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-enoxaparin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Not Done</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>effective</b>: 2024-02-02 21:04:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "101888833"
      }],
      "status" : "not-done",
      "category" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      },
      "medicationReference" : {
        "reference" : "Medication/medication-example-enoxaparin",
        "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "context" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
        "display" : "Critical care visit"
      },
      "effectiveDateTime" : "2024-02-02T21:04:00-05:00",
      "request" : {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
      },
      "dosage" : {
        "text" : "0.4ml subcutaneous once daily in abdomen",
        "site" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "42972002",
            "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
          }]
        },
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "dose" : {
          "value" : 4000,
          "unit" : "uL",
          "system" : "http://unitsofmeasure.org",
          "code" : "uL"
        }
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medadmin-example-ach-monthly-pass3-metronidazole-1",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-1</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888321\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 21:02:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "1018888321"
      }],
      "status" : "completed",
      "category" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      },
      "medicationReference" : {
        "reference" : "Medication/medication-example-metronidazole",
        "display" : "Metronidazole 500 MG"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "context" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "effectiveDateTime" : "2024-02-01T21:02:00-05:00",
      "request" : {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
      },
      "dosage" : {
        "text" : "5mg tablet by mouth twice daily",
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "dose" : {
          "value" : 5,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medadmin-example-ach-monthly-pass3-metronidazole-2",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-2</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888322\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-02 21:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "1018888322"
      }],
      "status" : "completed",
      "category" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      },
      "medicationReference" : {
        "reference" : "Medication/medication-example-metronidazole",
        "display" : "Metronidazole 500 MG"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "context" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "effectiveDateTime" : "2024-02-02T21:09:00-05:00",
      "request" : {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
      },
      "dosage" : {
        "text" : "5mg tablet by mouth twice daily",
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "dose" : {
          "value" : 5,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medadmin-example-ach-monthly-pass3-metronidazole-3",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-3</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888323\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-03 09:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "1018888323"
      }],
      "status" : "completed",
      "category" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      },
      "medicationReference" : {
        "reference" : "Medication/medication-example-metronidazole",
        "display" : "Metronidazole 500 MG"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "context" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "effectiveDateTime" : "2024-02-03T09:09:00-05:00",
      "request" : {
        "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
      },
      "dosage" : {
        "text" : "5mg tablet by mouth twice daily",
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "dose" : {
          "value" : 5,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro",
    "resource" : {
      "resourceType" : "MedicationRequest",
      "id" : "medicationrequest-example-ach-monthly-pass3-cipro",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-cipro\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-cipro</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-cipro\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-cipro\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Home Medication</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href=\"Medication-medication-example-cipro-500.html\">Ciprofloxacin 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 19:15:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 500mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "101888892"
      }],
      "status" : "active",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "community",
          "display" : "Community"
        }],
        "text" : "Home Medication"
      }],
      "reportedBoolean" : true,
      "medicationReference" : {
        "reference" : "Medication/medication-example-cipro-500",
        "display" : "Ciprofloxacin 500 MG"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "authoredOn" : "2024-02-01T19:15:00-05:00",
      "requester" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3"
      },
      "recorder" : {
        "display" : "Patient Identified"
      },
      "dosageInstruction" : [{
        "text" : "500mg tablet by mouth twice daily",
        "timing" : {
          "repeat" : {
            "frequency" : 2,
            "period" : 1,
            "periodUnit" : "d"
          }
        },
        "asNeededBoolean" : false,
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "calculated",
              "display" : "Calculated"
            }],
            "text" : "calculated"
          },
          "doseQuantity" : {
            "value" : 500,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin",
    "resource" : {
      "resourceType" : "MedicationRequest",
      "id" : "medicationrequest-example-ach-monthly-pass3-enoxaparin",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>authoredOn</b>: 2024-02-02 12:21:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.4ml subcutaneous once daily in abdomen</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></blockquote></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "101888833"
      }],
      "status" : "active",
      "intent" : "order",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      }],
      "reportedBoolean" : false,
      "medicationReference" : {
        "reference" : "Medication/medication-example-enoxaparin",
        "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
        "display" : "Critical care visit"
      },
      "authoredOn" : "2024-02-02T12:21:00-05:00",
      "requester" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3"
      },
      "dosageInstruction" : [{
        "text" : "0.4ml subcutaneous once daily in abdomen",
        "timing" : {
          "repeat" : {
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"
          }
        },
        "asNeededBoolean" : false,
        "site" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "42972002",
            "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
          }]
        },
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "calculated",
              "display" : "Calculated"
            }],
            "text" : "calculated"
          },
          "doseQuantity" : {
            "value" : 4000,
            "unit" : "uL",
            "system" : "http://unitsofmeasure.org",
            "code" : "uL"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole",
    "resource" : {
      "resourceType" : "MedicationRequest",
      "id" : "medicationrequest-example-ach-monthly-pass3-metronidazole",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-metronidazole</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888832\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 20:33:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 5mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "101888832"
      }],
      "status" : "active",
      "intent" : "order",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }],
        "text" : "Inpatient Medication"
      }],
      "reportedBoolean" : false,
      "medicationReference" : {
        "reference" : "Medication/medication-example-metronidazole",
        "display" : "Metronidazole 500 MG"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass2 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "authoredOn" : "2024-02-01T20:33:00-05:00",
      "requester" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3"
      },
      "dosageInstruction" : [{
        "text" : "5mg tablet by mouth twice daily",
        "timing" : {
          "repeat" : {
            "frequency" : 2,
            "period" : 1,
            "periodUnit" : "d"
          }
        },
        "asNeededBoolean" : false,
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral Use"
          }],
          "text" : "Oral"
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "calculated",
              "display" : "Calculated"
            }],
            "text" : "calculated"
          },
          "doseQuantity" : {
            "value" : 5,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-example-ach-monthly-pass3-cdiff",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-cdiff</b></p><a name=\"observation-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-cdiff\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 5933001}\">C. Diff.</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:02:00-0500</p><p><b>issued</b>: 2024-02-02 15:30:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }],
        "text" : "Laboratory"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "5933001",
          "display" : "Clostridioides difficile (organism)"
        }],
        "text" : "C. Diff."
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Hospital Admission, Short Stay"
      },
      "effectiveDateTime" : "2024-02-01T19:02:00-05:00",
      "issued" : "2024-02-02T15:30:00-05:00",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "10828004",
          "display" : "Positive (qualifier value)"
        }]
      },
      "specimen" : {
        "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-example-ach-monthly-pass3-vitals-height",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-vitals-height\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-height</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-height\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-vitals-height\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Height</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 176.8 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }],
        "text" : "Vital Signs"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "8302-2",
          "display" : "Body height"
        }],
        "text" : "Height"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
      "issued" : "2024-02-01T19:21:00-05:00",
      "valueQuantity" : {
        "value" : 176.8,
        "unit" : "cm",
        "system" : "http://unitsofmeasure.org",
        "code" : "cm"
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-example-ach-monthly-pass3-vitals-weight",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-vitals-weight\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Weight</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 54.4 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }],
        "text" : "Vital Signs"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "29463-7",
          "display" : "Body weight"
        }],
        "text" : "Weight"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Short Stay"
      },
      "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
      "issued" : "2024-02-01T19:21:00-05:00",
      "valueQuantity" : {
        "value" : 54.4,
        "unit" : "kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "kg"
      }
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "procedure-example-ach-monthly-pass3-transfusion",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass3-transfusion\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass3-transfusion</b></p><a name=\"procedure-example-ach-monthly-pass3-transfusion\"> </a><a name=\"hcprocedure-example-ach-monthly-pass3-transfusion\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035264\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 116863004}\">Transfusion of red blood cells (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>performed</b>: 2024-02-02 20:43:00-0500</p></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
        "value" : "100051035264"
      }],
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "116863004",
          "display" : "Transfusion of red blood cells (procedure)"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
        "display" : "Critical care visit"
      },
      "performedDateTime" : "2024-02-02T20:43:00-05:00"
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "servicerequest-example-ach-monthly-pass3-cdiff",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass3-cdiff</b></p><a name=\"servicerequest-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass3-cdiff\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-servicerequest.html\">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631826\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 13957-6}\">C. Diff. toxin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>occurrence</b>: Code , Events: 2024-02-01 18:12:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-01 18:12:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>"
      },
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC",
            "display" : "Placer Identifier"
          }],
          "text" : "Placer Identifier"
        },
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
        "value" : "1019631826"
      }],
      "status" : "completed",
      "intent" : "original-order",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "108252007",
          "display" : "Laboratory procedure"
        }],
        "text" : "Laboratory procedure"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "13957-6",
          "display" : "Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"
        }],
        "text" : "C. Diff. toxin"
      },
      "quantityQuantity" : {
        "value" : 1
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
        "display" : "Hospital Admission, Short Stay"
      },
      "occurrenceTiming" : {
        "event" : ["2024-02-01T18:12:00-05:00"],
        "repeat" : {
          "count" : 1
        },
        "code" : {
          "text" : "Once"
        }
      },
      "authoredOn" : "2024-02-01T18:12:00-05:00",
      "specimen" : [{
        "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
      }]
    }
  },
  {
    "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "specimen-example-ach-monthly-pass3-stool",
      "meta" : {
        "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass3-stool\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass3-stool</b></p><a name=\"specimen-example-ach-monthly-pass3-stool\"> </a><a name=\"hcspecimen-example-ach-monthly-pass3-stool\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082905, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:45</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 429901000124102}\">Bloody stool specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>receivedTime</b>: 2024-02-01 19:12:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-01 19:02:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 181261002}\">Entire rectum (body structure)</span></td></tr></table></div>"
      },
      "identifier" : [{
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
        "value" : "C104082905",
        "assigner" : {
          "display" : "LIS"
        }
      },
      {
        "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
        "value" : "C10408290:45"
      }],
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "429901000124102",
          "display" : "Bloody stool specimen (specimen)"
        }],
        "text" : "Bloody stool specimen (specimen)"
      },
      "subject" : {
        "reference" : "Patient/patient-example-ach-monthly-pass3",
        "display" : "Pass3 ACH"
      },
      "receivedTime" : "2024-02-01T19:12:00-05:00",
      "collection" : {
        "collectedDateTime" : "2024-02-01T19:02:00-05:00",
        "bodySite" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "181261002",
            "display" : "Entire rectum (body structure)"
          }]
        }
      }
    }
  }]
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