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
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "bundle-example-ach-daily-subject-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a70099"
},
"type" : "collection",
"timestamp" : "2024-02-05T21:04:29.481+00:00",
"entry" : [
{
"fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "measurereport-example-ach-daily-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ach-daily-influenzatherapeutic</b></p><a name=\"measurereport-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcmeasurereport-example-ach-daily-influenzatherapeutic\"> </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=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-daily-influenzatherapeutic.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-daily-influenzatherapeutic.html\">Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-daily-influenzatherapeutic.html\">Condition Influenza due to identified novel influenza A virus</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-daily-influenzatherapeutic.html\">MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-influenzatherapeutic.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Immunization-immunization-example-ach-daily-influenzatherapeutic.html\">Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass1</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html\">NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2024-01-06 00:04:29+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 --> 2024-01-06 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=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</a></li><li><a href=\"Encounter-encounter-example-ach-daily-influenzatherapeutic.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills</a></li><li><a href=\"Coverage-coverage-example-ach-daily-influenzatherapeutic.html\">Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-daily-influenzatherapeutic.html\">Condition Influenza due to identified novel influenza A virus</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-daily-influenzatherapeutic.html\">MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-daily-influenzatherapeutic.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</a></li><li><a href=\"Immunization-immunization-example-ach-daily-influenzatherapeutic.html\">Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true</a></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "cohort"
}
]
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-minimal-patient"
}
],
"reference" : "Patient/patient-example-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-encounter"
}
],
"reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-coverage"
}
],
"reference" : "Coverage/coverage-example-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-condition"
}
],
"reference" : "Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-medication-administration"
}
],
"reference" : "MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-medication-request"
}
],
"reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic"
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
"valueReference" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "sde-immunization"
}
],
"reference" : "Immunization/immunization-example-ach-daily-influenzatherapeutic"
}
}
],
"identifier" : [
{
"system" : "http://example.org/fhir/measurereport/id",
"value" : "123456789-pass1"
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild",
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic"
},
"date" : "2024-01-06T00:04:29.481+00:00",
"reporter" : {
🔗 "reference" : "Organization/organization-example-submitting-organization"
},
"period" : {
"start" : "2024-01-05T00:00:00.000+00:00",
"end" : "2024-01-06T00:00:00.000+00:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
}
]
}
],
"evaluatedResource" : [
{
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "Coverage/coverage-example-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic"
},
{
🔗 "reference" : "Immunization/immunization-example-ach-daily-influenzatherapeutic"
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-example-ach-daily-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-daily-influenzatherapeutic</b></p><a name=\"patient-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcpatient-example-ach-daily-influenzatherapeutic\"> </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></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 999-999-9999(Home)</li><li>789 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: mother\">mother:</td><td colspan=\"3\"><ul><li>Mama Bear</li><li>789 Alphabet Street Lansing MI 48864 US (home)</li></ul></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.cdc.gov/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-2135-2\">Race & Ethnicity - CDC 2135-2</a>: Hispanic or Latino</li><li>text: 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). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/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.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2054-5\">Race & Ethnicity - CDC 2054-5</a>: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2054-5",
"display" : "Black or African American"
}
},
{
"url" : "text",
"valueString" : "Black or African American"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
],
"text" : "MRN"
},
"system" : "urn:oid:1.2.5.8.2.7",
"value" : "1000009001"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"text" : "ACHDaily InfluenzaTherapeutic",
"family" : "InfluenzaTherapeutic",
"given" : [
"ACHDaily"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "999-999-9999",
"use" : "home"
}
],
"gender" : "male",
"birthDate" : "2020-02-29",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"789 Alphabet Street"
],
"city" : "Lansing",
"state" : "MI",
"postalCode" : "48864",
"country" : "US"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "mother"
}
]
}
],
"name" : {
"text" : "Mama Bear",
"family" : "Bear",
"given" : [
"Mama"
]
},
"address" : {
"use" : "home",
"line" : [
"789 Alphabet Street"
],
"city" : "Lansing",
"state" : "MI",
"postalCode" : "48864",
"country" : "US"
}
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-example-ach-daily-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-daily-influenzatherapeutic</b></p><a name=\"encounter-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcencounter-example-ach-daily-influenzatherapeutic\"> </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-daily-encounter.html\">ACH Daily Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/123456789987\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: Inpatient Acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 183452005}\">Emergency hospital admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily, InfluenzaTherapeutic</a></p><p><b>period</b>: 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 274640006}\">Fever with chills</span></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 gp}\">Direct admission from doctor's office (in same system)</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>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-daily-emergency.html\">EMERGENCY - PAVILION</a></td><td>2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000</td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value" : "123456789987"
}
],
"status" : "finished",
"_status" : {
"extension" : [
{
"url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension",
"valueString" : "TRIAGED"
}
]
},
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "9.0.0",
"code" : "ACUTE",
"display" : "Inpatient Acute"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "183452005",
"display" : "Emergency hospital admission (procedure)"
}
],
"text" : "Emergency hospital admission"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic",
"display" : "ACHDaily, InfluenzaTherapeutic"
},
"period" : {
"start" : "2024-01-01T08:00:00Z",
"end" : "2024-01-04T12:00:00Z"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "274640006",
"display" : "Fever with chills"
}
],
"text" : "Fever with chills"
}
],
"hospitalization" : {
"admitSource" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/admit-source",
"code" : "gp",
"display" : "General Practitioner referral"
}
],
"text" : "Direct admission from doctor's office (in same system)"
},
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
],
"text" : "Home"
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/location-example-ach-daily-emergency",
"display" : "EMERGENCY - PAVILION"
},
"period" : {
"start" : "2024-01-14T08:00:00Z",
"end" : "2024-01-22T12:00:00Z"
}
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage-example-ach-daily-influenzatherapeutic",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-daily-influenzatherapeutic</b></p><a name=\"coverage-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hccoverage-example-ach-daily-influenzatherapeutic\"> </a><p><b>identifier</b>: Member Number/88800933501</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">PPO</span></p><p><b>subscriberId</b>: 123456789</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2023-01-01 --> (ongoing)</p><p><b>payor</b>: United Healthcare</p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">PPO</span></td><td>United Healthcare</td><td>United Healthcare</td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
]
},
"system" : "http://example.org/fhir/memberidentifier",
"value" : "88800933501"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "9.0.0",
"code" : "PPO",
"display" : "preferred provider organization policy"
}
],
"text" : "PPO"
},
"subscriberId" : "123456789",
"beneficiary" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self"
}
],
"text" : "Self"
},
"period" : {
"start" : "2023-01-01"
},
"payor" : [
{
"display" : "United Healthcare"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "group",
"display" : "Group"
}
],
"text" : "PPO"
},
"value" : "United Healthcare",
"name" : "United Healthcare"
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-example-diagnosis-ach-daily-influenzatherapeutic",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-daily-influenzatherapeutic</b></p><a name=\"condition-example-diagnosis-ach-daily-influenzatherapeutic\"> </a><a name=\"hccondition-example-diagnosis-ach-daily-influenzatherapeutic\"> </a><p><b>Original Resource ID</b>: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3</p><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 J09.X}\">Influenza Type A</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily, InfluenzaTherapeutic</a></p><p><b>encounter</b>: Inpatient</p></div>"
},
"extension" : [
{
"url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
"valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"version" : "4.0.0",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Encounter Diagnosis"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "J09.X",
"display" : "Influenza due to identified novel influenza A virus"
}
],
"text" : "Influenza Type A"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic",
"display" : "ACHDaily, InfluenzaTherapeutic"
},
"encounter" : {
"display" : "Inpatient"
}
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "medadmin-example-ach-daily-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-daily-influenzatherapeutic</b></p><a name=\"medadmin-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcmedadmin-example-ach-daily-influenzatherapeutic\"> </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-daily-medicationadministration.html\">ACH Daily Event Medication Administration</a></p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-influenzatherapeutic.html\">Oseltamivir 60 mg PO</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily, InfluenzaTherapeutic</a></p><p><b>effective</b>: 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-daily-influenzatherapeutic.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy</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>Oseltamivir 60 mg PO twice daily x 5 days</td><td><span title=\"Codes:{http://snomed.info/sct 385049006}\">Capsule</span></td><td>60 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table></div>"
},
"status" : "completed",
"medicationReference" : {
🔗 "extension" : [
{
"url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
"valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3"
}
],
"reference" : "Medication/medication-example-ach-daily-influenzatherapeutic",
"display" : "Oseltamivir 60 mg PO"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic",
"display" : "ACHDaily, InfluenzaTherapeutic"
},
"effectivePeriod" : {
"start" : "2024-01-01T20:00:00Z",
"end" : "2024-01-04T20:00:09Z"
},
"request" : {
🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic"
},
"dosage" : {
"text" : "Oseltamivir 60 mg PO twice daily x 5 days",
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385049006",
"display" : "Capsule"
}
]
},
"dose" : {
"value" : 60,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medicationrequest-example-ach-daily-influenzatherapeutic",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-influenzatherapeutic</b></p><a name=\"medicationrequest-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcmedicationrequest-example-ach-daily-influenzatherapeutic\"> </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-daily-medicationrequest.html\">ACH Daily Event Medication Request</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101903002\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-ach-daily-influenzatherapeutic.html\">Oseltamivir 60 mg</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily, InfluenzaTherapeutic</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-influenzatherapeutic.html\">Hospital Encounter</a></p><p><b>authoredOn</b>: 2024-01-01 11:45:15+0000</p><p><b>requester</b>: Faculty Physician Um_Cln, MD</p><p><b>recorder</b>: Faculty Physician Um_Cln, MD</p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td>Oseltamivir 60 mg PO twice daily x 5 days</td><td>Code , 2 per 5 days</td><td>false</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral use</span></td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
"value" : "101903002"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
}
],
"medicationReference" : {
🔗 "reference" : "Medication/medication-example-ach-daily-influenzatherapeutic",
"display" : "Oseltamivir 60 mg"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic",
"display" : "ACHDaily, InfluenzaTherapeutic"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic",
"display" : "Hospital Encounter"
},
"authoredOn" : "2024-01-01T11:45:15Z",
"requester" : {
"type" : "Practitioner",
"display" : "Faculty Physician Um_Cln, MD"
},
"recorder" : {
"type" : "Practitioner",
"display" : "Faculty Physician Um_Cln, MD"
},
"courseOfTherapyType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code" : "acute",
"display" : "Short course (acute) therapy"
}
],
"text" : "Short course (acute) therapy"
},
"dosageInstruction" : [
{
"text" : "Oseltamivir 60 mg PO twice daily x 5 days",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2024-01-01T12:30:15Z",
"end" : "2024-01-06T12:30:15Z"
},
"frequency" : 2,
"period" : 5,
"periodUnit" : "d"
},
"code" : {
"text" : "Oseltamivir 60 mg PO twice daily x 5 days"
}
},
"asNeededBoolean" : false,
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral use"
}
],
"text" : "Oral use"
}
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Immunization/immunization-example-ach-daily-influenzatherapeutic",
"resource" : {
"resourceType" : "Immunization",
"id" : "immunization-example-ach-daily-influenzatherapeutic",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_immunization-example-ach-daily-influenzatherapeutic\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization immunization-example-ach-daily-influenzatherapeutic</b></p><a name=\"immunization-example-ach-daily-influenzatherapeutic\"> </a><a name=\"hcimmunization-example-ach-daily-influenzatherapeutic\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{urn:oid:1.2.36.1.2001.1005.17 FLUVAX}\">Fluvax</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-daily-influenzatherapeutic.html\">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN:\u00a01000009001\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-daily-influenzatherapeutic.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills</a></p><p><b>occurrence</b>: 2024-01-02</p><p><b>primarySource</b>: true</p><p><b>lotNumber</b>: AAJN11K</p><p><b>expirationDate</b>: 2025-02-15</p><p><b>doseQuantity</b>: 5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></p><p><b>note</b>: </p><blockquote><div><p>Notes on administration of vaccine</p>\n</div></blockquote><p><b>isSubpotent</b>: true</p></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
}
],
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "urn:oid:1.2.36.1.2001.1005.17",
"code" : "FLUVAX"
}
],
"text" : "Fluvax"
},
"patient" : {
🔗 "reference" : "Patient/patient-example-ach-daily-influenzatherapeutic"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-daily-influenzatherapeutic"
},
"occurrenceDateTime" : "2024-01-02",
"primarySource" : true,
"lotNumber" : "AAJN11K",
"expirationDate" : "2025-02-15",
"doseQuantity" : {
"value" : 5,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"note" : [
{
"text" : "Notes on administration of vaccine"
}
],
"isSubpotent" : true
}
}
]
}