CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7? FHIR? Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-example-ach-monthly-subject-ach-pass3"/>
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<profile
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<system value="urn:ietf:rfc:3986"/>
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<timestamp value="2024-02-05T21:04:29.481+00:00"/>
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<MeasureReport>
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<profile
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<text>
<status value="extensions"/>
<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?(use:?usual,?); 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?(use:?usual,?); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --> 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?(use:?usual,?); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --> 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?(use:?usual,?); status = not-done; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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:?1601191903010308?(use:?usual,?))</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:?1601191901010308?(use:?usual,?))</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 --> 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?(use:?usual,?); 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?(use:?usual,?); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --> 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?(use:?usual,?); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --> 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?(use:?usual,?); status = not-done; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->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?(use:?usual,?); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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:?1601191903010308?(use:?usual,?))</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>
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url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="cohort"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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 value="sde-condition"/>
</extension>
<reference
value="Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
</valueReference>
</extension>
<extension
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 value="sde-condition"/>
</extension>
<reference
value="Condition/condition-example-diagnosis-ach-monthly-pass3"/>
</valueReference>
</extension>
<extension
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<valueReference>🔗
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
<valueString value="sde-coverage"/>
</extension>
<reference value="Coverage/coverage-example-ach-monthly-pass3"/>
</valueReference>
</extension>
<extension
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 value="sde-device"/>
</extension>
<reference
value="Device/device-example-ach-monthly-pass3-ivcs-pump"/>
</valueReference>
</extension>
<extension
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 value="sde-encounter"/>
</extension>
<reference
value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
</valueReference>
</extension>
<extension
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 value="sde-encounter"/>
</extension>
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-administration"/>
</extension>
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-administration"/>
</extension>
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-administration"/>
</extension>
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-administration"/>
</extension>
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-request"/>
</extension>
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-request"/>
</extension>
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
</valueReference>
</extension>
<extension
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 value="sde-medication-request"/>
</extension>
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
</valueReference>
</extension>
<extension
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 value="sde-observation-lab-category"/>
</extension>
<reference
value="Observation/observation-example-ach-monthly-pass3-cdiff"/>
</valueReference>
</extension>
<extension
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 value="sde-observation-vital-signs"/>
</extension>
<reference
value="Observation/observation-example-ach-monthly-pass3-vitals-height"/>
</valueReference>
</extension>
<extension
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 value="sde-observation-vital-signs"/>
</extension>
<reference
value="Observation/observation-example-ach-monthly-pass3-vitals-weight"/>
</valueReference>
</extension>
<extension
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 value="sde-minimal-patient"/>
</extension>
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</valueReference>
</extension>
<extension
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 value="sde-procedure"/>
</extension>
<reference
value="Procedure/procedure-example-ach-monthly-pass3-transfusion"/>
</valueReference>
</extension>
<extension
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 value="sde-servicerequest"/>
</extension>
<reference
value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
</valueReference>
</extension>
<extension
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 value="sde-specimen"/>
</extension>
<reference
value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
</valueReference>
</extension>
<identifier>
<system value="http://example.org/fhir/measurereport/id"/>
<value value="123456789-pass3"/>
</identifier>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild"/>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass1"/>
</subject>
<date value="2024-02-05T21:04:29.481+00:00"/>
<reporter>🔗
<reference
value="Organization/organization-example-submitting-organization"/>
</reporter>
<period>
<start value="2024-01-05T00:00:00.000+00:00"/>
<end value="2024-02-04T00:00:00.000+00:00"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
</group>
<evaluatedResource>🔗
<reference
value="Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Condition/condition-example-diagnosis-ach-monthly-pass3"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference value="Coverage/coverage-example-ach-monthly-pass3"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Device/device-example-ach-monthly-pass3-ivcs-pump"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Observation/observation-example-ach-monthly-pass3-cdiff"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Observation/observation-example-ach-monthly-pass3-vitals-height"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Observation/observation-example-ach-monthly-pass3-vitals-weight"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Procedure/procedure-example-ach-monthly-pass3-transfusion"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference
value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3"/>
<resource>
<Patient>
<id value="patient-example-ach-monthly-pass3"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="R"/>
<display value="Restricted"/>
</security>
</meta>
<text>
<status value="generated"/>
<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:?1601191903010308?(use:?usual,?))</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 & 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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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 & Ethnicity - CDC 2028-9</a>: Asian</li><li>text: White</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Non Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="M"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
<text value="MRN"/>
</type>
<system value="urn:oid:1.2.5.8.2.7"/>
<value value="1601191903010308"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="Pass3 ACH"/>
<family value="ACH"/>
<given value="Pass3"/>
</name>
<telecom>
<system value="email"/>
<value value="ACHtestcase@testcase.com"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="2007-10-08"/>
<address>
<line value="5678 Sesame Lansing"/>
<city value="Lansing"/>
<state value="MI"/>
<postalCode value="48864"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="zh"/>
<display value="Chinese"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute"/>
<resource>
<Encounter>
<id value="encounter-example-ach-monthly-pass3-acute"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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 --> 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 --> 2024-03-02 19:58:00-0500</td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
<value value="10005104253a"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="9.0.0"/>
<code value="ACUTE"/>
<display value="inpatient acute"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="453701000124103"/>
<display value="In-person encounter"/>
</coding>
<text value="Critical care visit"/>
</type>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<period>
<start value="2024-02-02T16:43:00-05:00"/>
<end value="2024-02-03T19:58:00-05:00"/>
</period>
<hospitalization>
<admitSource>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/admit-source"/>
<code value="other"/>
<display value="Other"/>
</coding>
<text value="From Short Stay"/>
</admitSource>
<dischargeDisposition>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="home"/>
<display value="Home"/>
</coding>
<text value="Home"/>
</dischargeDisposition>
</hospitalization>
<location>
<location>🔗
<reference
value="Location/location-example-ach-monthly-crit-part"/>
<display value="ACH Monthly Medical Critical Care"/>
</location>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<code value="wa"/>
<display value="Ward"/>
</coding>
</physicalType>
<period>
<start value="2024-02-02T16:43:00-05:00"/>
<end value="2024-03-02T19:58:00-05:00"/>
</period>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<resource>
<Encounter>
<id value="encounter-example-ach-monthly-pass3-short-stay"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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 --> 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 --> 2024-02-02 16:43:00-0500</td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
<value value="10005104253a"/>
</identifier>
<status value="in-progress"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="9.0.0"/>
<code value="SS"/>
<display value="short stay"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="8715000"/>
<display value="Hospital admission, elective (procedure)"/>
</coding>
<text value="Hospital Admission, Elective Procedure"/>
</type>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<period>
<start value="2024-02-01T14:12:00-05:00"/>
<end value="2024-02-02T16:43:00-05:00"/>
</period>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="R19.7"/>
<display value="Diarrhea, unspecified"/>
</coding>
<text value="Diarrhea"/>
</reasonCode>
<diagnosis>
<condition>🔗
<reference
value="Condition/condition-example-diagnosis-ach-monthly-pass3"/>
<display value="Enterocolitis due to Clostridium difficile"/>
</condition>
</diagnosis>
<hospitalization>
<admitSource>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/admit-source"/>
<code value="outp"/>
<display value="From outpatient department"/>
</coding>
<text value="Outpatient"/>
</admitSource>
</hospitalization>
<location>
<location>🔗
<reference value="Location/location-example-ach-monthly-medsurg"/>
<display value="ACH Monthly Medical-Surgical Ward"/>
</location>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<code value="wa"/>
<display value="Ward"/>
</coding>
</physicalType>
<period>
<start value="2024-02-01T14:12:00-05:00"/>
<end value="2024-02-02T16:43:00-05:00"/>
</period>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3"/>
<resource>
<Coverage>
<id value="coverage-example-ach-monthly-pass3"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"/>
</meta>
<text>
<status value="generated"/>
<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:?1601191903010308?(use:?usual,?))</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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
</type>
<system value="http://example.org/fhir/memberidentifier"/>
<value value="0945345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="9.0.0"/>
<code value="PPO"/>
<display value="preferred provider organization policy"/>
</coding>
</type>
<subscriberId value="7843574536"/>
<beneficiary>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
<display value="Self"/>
</coding>
</relationship>
<payor>
<reference
value="http://example.org/fhir/Organization/NationFirst"/>
<display value="Nation First Health Care"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
<resource>
<Condition>
<id value="condition-example-diagnosis-ach-monthly-pass3-problem"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
<display value="Resolved"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<version value="4.0.0"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
<text value="Problem List Item"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="15805002"/>
<display value="Acute sinusitis (disorder)"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="J01.90"/>
<display value="Acute sinusitis, unspecified"/>
</coding>
<text value="Acute sinusitis"/>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<onsetDateTime value="2024-01-21T07:32:00-05:00"/>
<abatementDateTime value="2024-02-02T16:43:00-05:00"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3"/>
<resource>
<Condition>
<id value="condition-example-diagnosis-ach-monthly-pass3"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<version value="4.0.0"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<text value="Encounter Diagnosis"/>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="A04.7"/>
<display value="Enterocolitis due to Clostridium difficile"/>
</coding>
<text value="Enterocolitis due to Clostridium difficile"/>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump"/>
<resource>
<Device>
<id value="device-example-ach-monthly-pass3-ivcs-pump"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
<value value="100051035"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="469317002"/>
<display
value="Intermittent venous compression system pump (physical object)"/>
</coding>
<text value="Intermittent venous compression system pump"/>
</type>
<patient>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</patient>
</Device>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"/>
<resource>
<MedicationAdministration>
<id value="medadmin-example-ach-monthly-pass3-enoxaparin"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="101888833"/>
</identifier>
<status value="not-done"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<medicationReference>🔗
<reference value="Medication/medication-example-enoxaparin"/>
<display
value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<context>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
<display value="Critical care visit"/>
</context>
<effectiveDateTime value="2024-02-02T21:04:00-05:00"/>
<request>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
</request>
<dosage>
<text value="0.4ml subcutaneous once daily in abdomen"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="42972002"/>
<display
value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<dose>
<value value="4000"/>
<unit value="uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="uL"/>
</dose>
</dosage>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"/>
<resource>
<MedicationAdministration>
<id value="medadmin-example-ach-monthly-pass3-metronidazole-1"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="1018888321"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<medicationReference>🔗
<reference value="Medication/medication-example-metronidazole"/>
<display value="Metronidazole 500 MG"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<context>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</context>
<effectiveDateTime value="2024-02-01T21:02:00-05:00"/>
<request>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
</request>
<dosage>
<text value="5mg tablet by mouth twice daily"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<dose>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</dose>
</dosage>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"/>
<resource>
<MedicationAdministration>
<id value="medadmin-example-ach-monthly-pass3-metronidazole-2"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="1018888322"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<medicationReference>🔗
<reference value="Medication/medication-example-metronidazole"/>
<display value="Metronidazole 500 MG"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<context>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</context>
<effectiveDateTime value="2024-02-02T21:09:00-05:00"/>
<request>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
</request>
<dosage>
<text value="5mg tablet by mouth twice daily"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<dose>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</dose>
</dosage>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"/>
<resource>
<MedicationAdministration>
<id value="medadmin-example-ach-monthly-pass3-metronidazole-3"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="1018888323"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<medicationReference>🔗
<reference value="Medication/medication-example-metronidazole"/>
<display value="Metronidazole 500 MG"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<context>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</context>
<effectiveDateTime value="2024-02-03T09:09:00-05:00"/>
<request>🔗
<reference
value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
</request>
<dosage>
<text value="5mg tablet by mouth twice daily"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<dose>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</dose>
</dosage>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"/>
<resource>
<MedicationRequest>
<id value="medicationrequest-example-ach-monthly-pass3-cipro"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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:?1601191903010308?(use:?usual,?))</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="101888892"/>
</identifier>
<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
<display value="Community"/>
</coding>
<text value="Home Medication"/>
</category>
<reportedBoolean value="true"/>
<medicationReference>🔗
<reference value="Medication/medication-example-cipro-500"/>
<display value="Ciprofloxacin 500 MG"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</encounter>
<authoredOn value="2024-02-01T19:15:00-05:00"/>
<requester>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</requester>
<recorder>
<display value="Patient Identified"/>
</recorder>
<dosageInstruction>
<text value="500mg tablet by mouth twice daily"/>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="false"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="calculated"/>
<display value="Calculated"/>
</coding>
<text value="calculated"/>
</type>
<doseQuantity>
<value value="500"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
<resource>
<MedicationRequest>
<id value="medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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:?1601191903010308?(use:?usual,?))</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="101888833"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<reportedBoolean value="false"/>
<medicationReference>🔗
<reference value="Medication/medication-example-enoxaparin"/>
<display
value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
<display value="Critical care visit"/>
</encounter>
<authoredOn value="2024-02-02T12:21:00-05:00"/>
<requester>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</requester>
<dosageInstruction>
<text value="0.4ml subcutaneous once daily in abdomen"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="false"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="42972002"/>
<display
value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="calculated"/>
<display value="Calculated"/>
</coding>
<text value="calculated"/>
</type>
<doseQuantity>
<value value="4000"/>
<unit value="uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="uL"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
<resource>
<MedicationRequest>
<id
value="medicationrequest-example-ach-monthly-pass3-metronidazole"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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:?1601191903010308?(use:?usual,?))</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="101888832"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient Medication"/>
</category>
<reportedBoolean value="false"/>
<medicationReference>🔗
<reference value="Medication/medication-example-metronidazole"/>
<display value="Metronidazole 500 MG"/>
</medicationReference>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass2 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</encounter>
<authoredOn value="2024-02-01T20:33:00-05:00"/>
<requester>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
</requester>
<dosageInstruction>
<text value="5mg tablet by mouth twice daily"/>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="false"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Use"/>
</coding>
<text value="Oral"/>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="calculated"/>
<display value="Calculated"/>
</coding>
<text value="calculated"/>
</type>
<doseQuantity>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff"/>
<resource>
<Observation>
<id value="observation-example-ach-monthly-pass3-cdiff"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference
value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="5933001"/>
<display value="Clostridioides difficile (organism)"/>
</coding>
<text value="C. Diff."/>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Hospital Admission, Short Stay"/>
</encounter>
<effectiveDateTime value="2024-02-01T19:02:00-05:00"/>
<issued value="2024-02-02T15:30:00-05:00"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive (qualifier value)"/>
</coding>
</valueCodeableConcept>
<specimen>🔗
<reference
value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height"/>
<resource>
<Observation>
<id value="observation-example-ach-monthly-pass3-vitals-height"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
<text value="Height"/>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</encounter>
<effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
<issued value="2024-02-01T19:21:00-05:00"/>
<valueQuantity>
<value value="176.8"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight"/>
<resource>
<Observation>
<id value="observation-example-ach-monthly-pass3-vitals-weight"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
<text value="Weight"/>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Short Stay"/>
</encounter>
<effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
<issued value="2024-02-01T19:21:00-05:00"/>
<valueQuantity>
<value value="54.4"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion"/>
<resource>
<Procedure>
<id value="procedure-example-ach-monthly-pass3-transfusion"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
<value value="100051035264"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116863004"/>
<display value="Transfusion of red blood cells (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
<display value="Critical care visit"/>
</encounter>
<performedDateTime value="2024-02-02T20:43:00-05:00"/>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
<resource>
<ServiceRequest>
<id value="servicerequest-example-ach-monthly-pass3-cdiff"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"/>
</meta>
<text>
<status value="generated"/>
<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?(use:?usual,?)</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>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
<text value="Placer Identifier"/>
</type>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
<value value="1019631826"/>
</identifier>
<status value="completed"/>
<intent value="original-order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108252007"/>
<display value="Laboratory procedure"/>
</coding>
<text value="Laboratory procedure"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="13957-6"/>
<display
value="Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"/>
</coding>
<text value="C. Diff. toxin"/>
</code>
<quantityQuantity>
<value value="1"/>
</quantityQuantity>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<encounter>🔗
<reference
value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
<display value="Hospital Admission, Short Stay"/>
</encounter>
<occurrenceTiming>
<event value="2024-02-01T18:12:00-05:00"/>
<repeat>
<count value="1"/>
</repeat>
<code>
<text value="Once"/>
</code>
</occurrenceTiming>
<authoredOn value="2024-02-01T18:12:00-05:00"/>
<specimen>🔗
<reference
value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool"/>
<resource>
<Specimen>
<id value="specimen-example-ach-monthly-pass3-stool"/>
<meta>
<profile
value="http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
<value value="C104082905"/>
<assigner>
<display value="LIS"/>
</assigner>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
<value value="C10408290:45"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429901000124102"/>
<display value="Bloody stool specimen (specimen)"/>
</coding>
<text value="Bloody stool specimen (specimen)"/>
</type>
<subject>🔗
<reference value="Patient/patient-example-ach-monthly-pass3"/>
<display value="Pass3 ACH"/>
</subject>
<receivedTime value="2024-02-01T19:12:00-05:00"/>
<collection>
<collectedDateTime value="2024-02-01T19:02:00-05:00"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="181261002"/>
<display value="Entire rectum (body structure)"/>
</coding>
</bodySite>
</collection>
</Specimen>
</resource>
</entry>
</Bundle>