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-monthly-header",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9"
},
"type" : "collection",
"timestamp" : "2024-02-05T21:04:29.481+00:00",
"entry" : [
{
"fullUrl" : "http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-example-submitting-organization",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-example-submitting-organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name=\"organization-example-submitting-organization\"> </a><a name=\"hcorganization-example-submitting-organization\"> </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-nhsn-submitting-organization.html\">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>"
},
"identifier" : [
{
"system" : "https://www.cdc.gov/nhsn/OrgID",
"value" : "ExampleNHSNSubmitterOrgID"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Example NHSN Submitter",
"telecom" : [
{
"system" : "phone",
"value" : "5555555551",
"rank" : 1
}
],
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-submitting-device",
"resource" : {
"resourceType" : "Device",
"id" : "device-example-submitting-device",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-submitting-device\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name=\"device-example-submitting-device\"> </a><a name=\"hcdevice-example-submitting-device\"> </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-nhsn-submitting-device.html\">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>"
},
"deviceName" : [
{
"name" : "NHSN Link",
"type" : "model-name"
}
],
"version" : [
{
"component" : {
"value" : "api"
},
"value" : "0.9.0"
},
{
"component" : {
"value" : "api"
},
"value" : "20230713.1"
},
{
"component" : {
"value" : "api"
},
"value" : "3f9662a8"
},
{
"component" : {
"value" : "cqf-ruler"
},
"value" : "0.13.0"
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest",
"resource" : {
"resourceType" : "List",
"id" : "list-example-ach-monthly-patients-of-interest",
"meta" : {
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_list-example-ach-monthly-patients-of-interest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List list-example-ach-monthly-patients-of-interest</b></p><a name=\"list-example-ach-monthly-patients-of-interest\"> </a><a name=\"hclist-example-ach-monthly-patients-of-interest\"> </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-poi-list.html\">Patients-Of-Interest List</a></p></div><table class=\"clstu\"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension",
"valuePeriod" : {
"start" : "2021-07-28T00:00:00Z",
"end" : "2021-08-28T00:00:00Z"
}
}
],
"identifier" : [
{
"system" : "https://nhsnlink.org",
"value" : "NHSNdQMAcuteCareHospitalMonthlyInitialPopulation"
}
],
"status" : "current",
"mode" : "changes",
"date" : "2021-07-28T00:00:00Z",
"entry" : [
{
"item" : {
🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
}
},
{
"item" : {
🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
}
},
{
"item" : {
🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
}
}
]
}
},
{
"fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "measurereport-example-ach-monthly-subjectlist1",
"meta" : {
"extension" : [
{
"url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension",
"valueDateTime" : "2023-05-23T06:07:08Z"
}
],
"profile" : [
🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ach-monthly-subjectlist1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ach-monthly-subjectlist1</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1\"> </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-subjectlist-measurereport.html\">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</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>period</b>: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000</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><td><b>SubjectResults</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><td><a href=\"#hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: List #list-example-ach-monthly-individual-measurereport-list</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </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-ip-measurereport-list.html\">NHSN Individual MeasureReport List</a></p></div><table class=\"clstu\"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass1.html\">MeasureReport: extension = Cohort,->Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified,->Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing),->Condition Bacteremia (finding),->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341\u00a0(use:\u00a0usual,\u00a0); type = Central venous catheter, device (physical object),->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500,->Observation Bacteria identified in Blood by Culture,->Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection,->Observation Gestational age--at birth,->Observation Body weight,->Procedure Placement procedure (procedure),->Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic,->ServiceRequest Bacteria identified in Blood by Culture,->ServiceRequest Differential panel - Cerebral spinal fluid,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass2.html\">MeasureReport: extension = Cohort,->Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0)),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a\u00a0(use:\u00a0usual,\u00a0); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg,->Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500,->Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self,->Condition Diabetes mellitus type 2 (disorder),->Condition Thrombophlebitis of deep femoral vein (disorder),->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034\u00a0(use:\u00a0usual,\u00a0); type = Graduated compression elastic hosiery (physical object),->Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH',->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500,->Observation aPTT in Blood by Coagulation assay,->Observation Glucose [Mass/volume] in Capillary blood by Glucometer,->Observation Glucose [Mass/volume] in Capillary blood by Glucometer,->Observation Hemoglobin A1c/Hemoglobin.total in Blood,->Observation Bacteria identified in Blood by Culture,->Observation Body weight,->Procedure Percutaneous insertion of inferior vena cava filter (procedure),->ServiceRequest aPTT in Blood by Coagulation assay,->ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer,->ServiceRequest Hemoglobin A1c [Mass/volume] in Blood,->ServiceRequest Hemoglobin [Mass/volume] in Venous blood,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass3.html\">MeasureReport: extension = Cohort,->Condition Acute sinusitis (disorder),->Condition Enterocolitis due to Clostridium difficile,->Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self,->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --> 2024-02-03 19:58:00-0500,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = not-done; category = Inpatient; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500,->Observation Clostridioides difficile (organism),->Observation Body height,->Observation Body weight,->Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0)),->Procedure Transfusion of red blood cells (procedure),->ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay,->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; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>"
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