CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

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

: Example ACH Monthly Submission Subject Bundle 3 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-example-ach-monthly-subject-ach-pass3",
  "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-9586d7a777e2"
  },
  "type" : "collection",
  "timestamp" : "2024-02-05T21:04:29.481+00:00",
  "entry" : [
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "measurereport-example-individual-ach-monthly-pass3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-individual-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass3</b></p><a name=\"measurereport-example-individual-ach-monthly-pass3\"> </a><a name=\"hcmeasurereport-example-individual-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass3</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html\">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html\">Condition Acute sinusitis (disorder)</a></li><li><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Condition Enterocolitis due to Clostridium difficile</a></li><li><a href=\"Coverage-coverage-example-ach-monthly-pass3.html\">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></li><li><a href=\"Device-device-example-ach-monthly-pass3-ivcs-pump.html\">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object)</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></li><li><a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></li><li><a href=\"MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html\">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></li><li><a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-cdiff.html\">Observation Clostridioides difficile (organism)</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-height.html\">Observation Body height</a></li><li><a href=\"Observation-observation-example-ach-monthly-pass3-vitals-weight.html\">Observation Body weight</a></li><li><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></li><li><a href=\"Procedure-procedure-example-ach-monthly-pass3-transfusion.html\">Procedure Transfusion of red blood cells (procedure)</a></li><li><a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></li><li><a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></li></ul></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code" : "cohort"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-condition"
                }
              ],
              "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-condition"
                }
              ],
              "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-coverage"
                }
              ],
              "reference" : "Coverage/coverage-example-ach-monthly-pass3"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-device"
                }
              ],
              "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-encounter"
                }
              ],
              "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-encounter"
                }
              ],
              "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-administration"
                }
              ],
              "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-administration"
                }
              ],
              "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-administration"
                }
              ],
              "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-administration"
                }
              ],
              "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-request"
                }
              ],
              "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-request"
                }
              ],
              "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-medication-request"
                }
              ],
              "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-observation-lab-category"
                }
              ],
              "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-observation-vital-signs"
                }
              ],
              "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-observation-vital-signs"
                }
              ],
              "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-minimal-patient"
                }
              ],
              "reference" : "Patient/patient-example-ach-monthly-pass3"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-procedure"
                }
              ],
              "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-servicerequest"
                }
              ],
              "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference",
            "valueReference" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                  "valueString" : "sde-specimen"
                }
              ],
              "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "http://example.org/fhir/measurereport/id",
            "value" : "123456789-pass3"
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
        },
        "date" : "2024-02-05T21:04:29.481+00:00",
        "reporter" : {
          🔗 "reference" : "Organization/organization-example-submitting-organization"
        },
        "period" : {
          "start" : "2024-01-05T00:00:00.000+00:00",
          "end" : "2024-02-04T00:00:00.000+00:00"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }
          ]
        },
        "group" : [
          {
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              }
            ]
          }
        ],
        "evaluatedResource" : [
          {
            🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
          },
          {
            🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
          },
          {
            🔗 "reference" : "Coverage/coverage-example-ach-monthly-pass3"
          },
          {
            🔗 "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
          },
          {
            🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
          },
          {
            🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
          },
          {
            🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
          },
          {
            🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
          },
          {
            🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
          },
          {
            🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
          },
          {
            🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
          },
          {
            🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
          },
          {
            🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
          },
          {
            🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
          },
          {
            🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
          },
          {
            🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
          },
          {
            🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
          },
          {
            🔗 "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
          },
          {
            🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
          },
          {
            🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-example-ach-monthly-pass3",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "R",
              "display" : "Restricted"
            }
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-monthly-pass3</b></p><a name=\"patient-example-ach-monthly-pass3\"> </a><a name=\"hcpatient-example-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cross-measure-patient.html\">Cross-Measure Patient Profile</a></p><p style=\"margin-bottom: 0px\">Security Label: Restricted (Details: Confidentiality code R = 'Restricted')</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"mailto:ACHtestcase@testcase.com\">ACHtestcase@testcase.com</a></li><li>5678 Sesame Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 zh}\">Chinese</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.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-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). 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-2028-9\">Race &amp; Ethnicity - CDC 2028-9</a>: Asian</li><li>text: White</li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "text",
                "valueString" : "White"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2186-5",
                  "display" : "Not Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Non Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "M"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ],
              "text" : "MRN"
            },
            "system" : "urn:oid:1.2.5.8.2.7",
            "value" : "1601191903010308"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "text" : "Pass3 ACH",
            "family" : "ACH",
            "given" : [
              "Pass3"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "ACHtestcase@testcase.com",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "2007-10-08",
        "address" : [
          {
            "line" : [
              "5678 Sesame Lansing"
            ],
            "city" : "Lansing",
            "state" : "MI",
            "postalCode" : "48864",
            "country" : "US"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "zh",
                  "display" : "Chinese"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter-example-ach-monthly-pass3-acute",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass3-acute\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-acute</b></p><a name=\"encounter-example-ach-monthly-pass3-acute\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-acute\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 453701000124103}\">Critical care visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source other}\">From Short Stay</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-crit-part.html\">ACH Monthly Medical Critical Care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-02 16:43:00-0500 --&gt; 2024-03-02 19:58:00-0500</td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value" : "10005104253a"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "version" : "9.0.0",
          "code" : "ACUTE",
          "display" : "inpatient acute"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "453701000124103",
                "display" : "In-person encounter"
              }
            ],
            "text" : "Critical care visit"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "period" : {
          "start" : "2024-02-02T16:43:00-05:00",
          "end" : "2024-02-03T19:58:00-05:00"
        },
        "hospitalization" : {
          "admitSource" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                "code" : "other",
                "display" : "Other"
              }
            ],
            "text" : "From Short Stay"
          },
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "Home"
              }
            ],
            "text" : "Home"
          }
        },
        "location" : [
          {
            "location" : {
              🔗 "reference" : "Location/location-example-ach-monthly-crit-part",
              "display" : "ACH Monthly Medical Critical Care"
            },
            "physicalType" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code" : "wa",
                  "display" : "Ward"
                }
              ]
            },
            "period" : {
              "start" : "2024-02-02T16:43:00-05:00",
              "end" : "2024-03-02T19:58:00-05:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter-example-ach-monthly-pass3-short-stay",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-monthly-pass3-short-stay\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-short-stay</b></p><a name=\"encounter-example-ach-monthly-pass3-short-stay\"> </a><a name=\"hcencounter-example-ach-monthly-pass3-short-stay\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-encounter.html\">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS\">ActCode SS</a>: short stay (version = 9.0.0 )</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 8715000}\">Hospital Admission, Elective Procedure</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>period</b>: 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R19.7}\">Diarrhea</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-monthly-pass3.html\">Enterocolitis due to Clostridium difficile</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source outp}\">Outpatient</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-monthly-medsurg.html\">ACH Monthly Medical-Surgical Ward</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value" : "10005104253a"
          }
        ],
        "status" : "in-progress",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "version" : "9.0.0",
          "code" : "SS",
          "display" : "short stay"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "8715000",
                "display" : "Hospital admission, elective (procedure)"
              }
            ],
            "text" : "Hospital Admission, Elective Procedure"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "period" : {
          "start" : "2024-02-01T14:12:00-05:00",
          "end" : "2024-02-02T16:43:00-05:00"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                "code" : "R19.7",
                "display" : "Diarrhea, unspecified"
              }
            ],
            "text" : "Diarrhea"
          }
        ],
        "diagnosis" : [
          {
            "condition" : {
              🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3",
              "display" : "Enterocolitis due to Clostridium difficile"
            }
          }
        ],
        "hospitalization" : {
          "admitSource" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                "code" : "outp",
                "display" : "From outpatient department"
              }
            ],
            "text" : "Outpatient"
          }
        },
        "location" : [
          {
            "location" : {
              🔗 "reference" : "Location/location-example-ach-monthly-medsurg",
              "display" : "ACH Monthly Medical-Surgical Ward"
            },
            "physicalType" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code" : "wa",
                  "display" : "Ward"
                }
              ]
            },
            "period" : {
              "start" : "2024-02-01T14:12:00-05:00",
              "end" : "2024-02-02T16:43:00-05:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "coverage-example-ach-monthly-pass3",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass3</b></p><a name=\"coverage-example-ach-monthly-pass3\"> </a><a name=\"hccoverage-example-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-coverage.html\">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/0945345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">preferred provider organization policy</span></p><p><b>subscriberId</b>: 7843574536</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"http://example.org/fhir/Organization/NationFirst\">Nation First Health Care</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MB",
                  "display" : "Member Number"
                }
              ]
            },
            "system" : "http://example.org/fhir/memberidentifier",
            "value" : "0945345"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "PPO",
              "display" : "preferred provider organization policy"
            }
          ]
        },
        "subscriberId" : "7843574536",
        "beneficiary" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
        },
        "relationship" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code" : "self",
              "display" : "Self"
            }
          ]
        },
        "payor" : [
          {
            "reference" : "http://example.org/fhir/Organization/NationFirst",
            "display" : "Nation First Health Care"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-example-diagnosis-ach-monthly-pass3-problem",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass3-problem\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3-problem</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3-problem\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3-problem\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 15805002}, {http://hl7.org/fhir/sid/icd-10-cm J01.90}\">Acute sinusitis</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>onset</b>: 2024-01-21 07:32:00-0500</p><p><b>abatement</b>: 2024-02-02 16:43:00-0500</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "resolved",
              "display" : "Resolved"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "version" : "4.0.0",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ],
          "text" : "Confirmed"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ],
            "text" : "Problem List Item"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "15805002",
              "display" : "Acute sinusitis (disorder)"
            },
            {
              "system" : "http://hl7.org/fhir/sid/icd-10-cm",
              "code" : "J01.90",
              "display" : "Acute sinusitis, unspecified"
            }
          ],
          "text" : "Acute sinusitis"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "onsetDateTime" : "2024-01-21T07:32:00-05:00",
        "abatementDateTime" : "2024-02-02T16:43:00-05:00"
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-example-diagnosis-ach-monthly-pass3",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-monthly-pass3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3</b></p><a name=\"condition-example-diagnosis-ach-monthly-pass3\"> </a><a name=\"hccondition-example-diagnosis-ach-monthly-pass3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-condition.html\">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm A04.7}\">Enterocolitis due to Clostridium difficile</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "version" : "4.0.0",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ],
          "text" : "Confirmed"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ],
            "text" : "Encounter Diagnosis"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10-cm",
              "code" : "A04.7",
              "display" : "Enterocolitis due to Clostridium difficile"
            }
          ],
          "text" : "Enterocolitis due to Clostridium difficile"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump",
      "resource" : {
        "resourceType" : "Device",
        "id" : "device-example-ach-monthly-pass3-ivcs-pump",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-ach-monthly-pass3-ivcs-pump\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-monthly-pass3-ivcs-pump</b></p><a name=\"device-example-ach-monthly-pass3-ivcs-pump\"> </a><a name=\"hcdevice-example-ach-monthly-pass3-ivcs-pump\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-device.html\">ACH Monthly Event Device</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035\u00a0(use:\u00a0usual,\u00a0)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 469317002}\">Intermittent venous compression system pump</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value" : "100051035"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "469317002",
              "display" : "Intermittent venous compression system pump (physical object)"
            }
          ],
          "text" : "Intermittent venous compression system pump"
        },
        "patient" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medadmin-example-ach-monthly-pass3-enoxaparin",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medadmin-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-enoxaparin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Not Done</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>effective</b>: 2024-02-02 21:04:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "101888833"
          }
        ],
        "status" : "not-done",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code" : "inpatient",
              "display" : "Inpatient"
            }
          ],
          "text" : "Inpatient Medication"
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-enoxaparin",
          "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "context" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display" : "Critical care visit"
        },
        "effectiveDateTime" : "2024-02-02T21:04:00-05:00",
        "request" : {
          🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
        },
        "dosage" : {
          "text" : "0.4ml subcutaneous once daily in abdomen",
          "site" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "42972002",
                "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
              }
            ]
          },
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006",
                "display" : "Oral Use"
              }
            ],
            "text" : "Oral"
          },
          "dose" : {
            "value" : 4000,
            "unit" : "uL",
            "system" : "http://unitsofmeasure.org",
            "code" : "uL"
          }
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medadmin-example-ach-monthly-pass3-metronidazole-1",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-1</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888321\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 21:02:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "1018888321"
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code" : "inpatient",
              "display" : "Inpatient"
            }
          ],
          "text" : "Inpatient Medication"
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-metronidazole",
          "display" : "Metronidazole 500 MG"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "context" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "effectiveDateTime" : "2024-02-01T21:02:00-05:00",
        "request" : {
          🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage" : {
          "text" : "5mg tablet by mouth twice daily",
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006",
                "display" : "Oral Use"
              }
            ],
            "text" : "Oral"
          },
          "dose" : {
            "value" : 5,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medadmin-example-ach-monthly-pass3-metronidazole-2",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-2</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888322\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-02 21:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "1018888322"
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code" : "inpatient",
              "display" : "Inpatient"
            }
          ],
          "text" : "Inpatient Medication"
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-metronidazole",
          "display" : "Metronidazole 500 MG"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "context" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "effectiveDateTime" : "2024-02-02T21:09:00-05:00",
        "request" : {
          🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage" : {
          "text" : "5mg tablet by mouth twice daily",
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006",
                "display" : "Oral Use"
              }
            ],
            "text" : "Oral"
          },
          "dose" : {
            "value" : 5,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medadmin-example-ach-monthly-pass3-metronidazole-3",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-3</b></p><a name=\"medadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><a name=\"hcmedadmin-example-ach-monthly-pass3-metronidazole-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationadministration.html\">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888323\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-03 09:09:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>5mg tablet by mouth twice daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "1018888323"
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code" : "inpatient",
              "display" : "Inpatient"
            }
          ],
          "text" : "Inpatient Medication"
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-metronidazole",
          "display" : "Metronidazole 500 MG"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "context" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "effectiveDateTime" : "2024-02-03T09:09:00-05:00",
        "request" : {
          🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
        },
        "dosage" : {
          "text" : "5mg tablet by mouth twice daily",
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006",
                "display" : "Oral Use"
              }
            ],
            "text" : "Oral"
          },
          "dose" : {
            "value" : 5,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "medicationrequest-example-ach-monthly-pass3-cipro",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-cipro\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-cipro</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-cipro\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-cipro\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Home Medication</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href=\"Medication-medication-example-cipro-500.html\">Ciprofloxacin 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 19:15:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 500mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "101888892"
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code" : "community",
                "display" : "Community"
              }
            ],
            "text" : "Home Medication"
          }
        ],
        "reportedBoolean" : true,
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-cipro-500",
          "display" : "Ciprofloxacin 500 MG"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "authoredOn" : "2024-02-01T19:15:00-05:00",
        "requester" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
        },
        "recorder" : {
          "display" : "Patient Identified"
        },
        "dosageInstruction" : [
          {
            "text" : "500mg tablet by mouth twice daily",
            "timing" : {
              "repeat" : {
                "frequency" : 2,
                "period" : 1,
                "periodUnit" : "d"
              }
            },
            "asNeededBoolean" : false,
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "26643006",
                  "display" : "Oral Use"
                }
              ],
              "text" : "Oral"
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "calculated",
                      "display" : "Calculated"
                    }
                  ],
                  "text" : "calculated"
                },
                "doseQuantity" : {
                  "value" : 500,
                  "unit" : "mg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "medicationrequest-example-ach-monthly-pass3-enoxaparin",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-enoxaparin</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-enoxaparin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-enoxaparin.html\">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>authoredOn</b>: 2024-02-02 12:21:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.4ml subcutaneous once daily in abdomen</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></blockquote></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "101888833"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code" : "inpatient",
                "display" : "Inpatient"
              }
            ],
            "text" : "Inpatient Medication"
          }
        ],
        "reportedBoolean" : false,
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-enoxaparin",
          "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display" : "Critical care visit"
        },
        "authoredOn" : "2024-02-02T12:21:00-05:00",
        "requester" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
        },
        "dosageInstruction" : [
          {
            "text" : "0.4ml subcutaneous once daily in abdomen",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d"
              }
            },
            "asNeededBoolean" : false,
            "site" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "42972002",
                  "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
                }
              ]
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "26643006",
                  "display" : "Oral Use"
                }
              ],
              "text" : "Oral"
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "calculated",
                      "display" : "Calculated"
                    }
                  ],
                  "text" : "calculated"
                },
                "doseQuantity" : {
                  "value" : 4000,
                  "unit" : "uL",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "uL"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "medicationrequest-example-ach-monthly-pass3-metronidazole",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-metronidazole</b></p><a name=\"medicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><a name=\"hcmedicationrequest-example-ach-monthly-pass3-metronidazole\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-medicationrequest.html\">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888832\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"Medication-medication-example-metronidazole.html\">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass2 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 20:33:00-0500</p><p><b>requester</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 5mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></td><td>5 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "101888832"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code" : "inpatient",
                "display" : "Inpatient"
              }
            ],
            "text" : "Inpatient Medication"
          }
        ],
        "reportedBoolean" : false,
        "medicationReference" : {
          🔗 "reference" : "Medication/medication-example-metronidazole",
          "display" : "Metronidazole 500 MG"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass2 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "authoredOn" : "2024-02-01T20:33:00-05:00",
        "requester" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
        },
        "dosageInstruction" : [
          {
            "text" : "5mg tablet by mouth twice daily",
            "timing" : {
              "repeat" : {
                "frequency" : 2,
                "period" : 1,
                "periodUnit" : "d"
              }
            },
            "asNeededBoolean" : false,
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "26643006",
                  "display" : "Oral Use"
                }
              ],
              "text" : "Oral"
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "calculated",
                      "display" : "Calculated"
                    }
                  ],
                  "text" : "calculated"
                },
                "doseQuantity" : {
                  "value" : 5,
                  "unit" : "mg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-example-ach-monthly-pass3-cdiff",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-cdiff</b></p><a name=\"observation-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-cdiff\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-lab.html\">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html\">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 5933001}\">C. Diff.</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:02:00-0500</p><p><b>issued</b>: 2024-02-02 15:30:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>"
        },
        "basedOn" : [
          {
            🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ],
            "text" : "Laboratory"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "5933001",
              "display" : "Clostridioides difficile (organism)"
            }
          ],
          "text" : "C. Diff."
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Hospital Admission, Short Stay"
        },
        "effectiveDateTime" : "2024-02-01T19:02:00-05:00",
        "issued" : "2024-02-02T15:30:00-05:00",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "10828004",
              "display" : "Positive (qualifier value)"
            }
          ]
        },
        "specimen" : {
          🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-example-ach-monthly-pass3-vitals-height",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-vitals-height\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-height</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-height\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-vitals-height\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Height</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 176.8 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs",
                "display" : "Vital Signs"
              }
            ],
            "text" : "Vital Signs"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "8302-2",
              "display" : "Body height"
            }
          ],
          "text" : "Height"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
        "issued" : "2024-02-01T19:21:00-05:00",
        "valueQuantity" : {
          "value" : 176.8,
          "unit" : "cm",
          "system" : "http://unitsofmeasure.org",
          "code" : "cm"
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-example-ach-monthly-pass3-vitals-weight",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-monthly-pass3-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-weight</b></p><a name=\"observation-example-ach-monthly-pass3-vitals-weight\"> </a><a name=\"hcobservation-example-ach-monthly-pass3-vitals-weight\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-observation-vitals.html\">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Weight</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 54.4 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs",
                "display" : "Vital Signs"
              }
            ],
            "text" : "Vital Signs"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29463-7",
              "display" : "Body weight"
            }
          ],
          "text" : "Weight"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Short Stay"
        },
        "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
        "issued" : "2024-02-01T19:21:00-05:00",
        "valueQuantity" : {
          "value" : 54.4,
          "unit" : "kg",
          "system" : "http://unitsofmeasure.org",
          "code" : "kg"
        }
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "procedure-example-ach-monthly-pass3-transfusion",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-monthly-pass3-transfusion\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass3-transfusion</b></p><a name=\"procedure-example-ach-monthly-pass3-transfusion\"> </a><a name=\"hcprocedure-example-ach-monthly-pass3-transfusion\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-procedure.html\">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035264\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 116863004}\">Transfusion of red blood cells (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-acute.html\">Critical care visit</a></p><p><b>performed</b>: 2024-02-02 20:43:00-0500</p></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
            "value" : "100051035264"
          }
        ],
        "status" : "completed",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "116863004",
              "display" : "Transfusion of red blood cells (procedure)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
          "display" : "Critical care visit"
        },
        "performedDateTime" : "2024-02-02T20:43:00-05:00"
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "servicerequest-example-ach-monthly-pass3-cdiff",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-monthly-pass3-cdiff\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass3-cdiff</b></p><a name=\"servicerequest-example-ach-monthly-pass3-cdiff\"> </a><a name=\"hcservicerequest-example-ach-monthly-pass3-cdiff\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-servicerequest.html\">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631826\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 13957-6}\">C. Diff. toxin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-monthly-pass3-short-stay.html\">Hospital Admission, Short Stay</a></p><p><b>occurrence</b>: Code , Events: 2024-02-01 18:12:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-01 18:12:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-monthly-pass3-stool.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ],
              "text" : "Placer Identifier"
            },
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
            "value" : "1019631826"
          }
        ],
        "status" : "completed",
        "intent" : "original-order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "108252007",
                "display" : "Laboratory procedure"
              }
            ],
            "text" : "Laboratory procedure"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "13957-6",
              "display" : "Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"
            }
          ],
          "text" : "C. Diff. toxin"
        },
        "quantityQuantity" : {
          "value" : 1
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "display" : "Hospital Admission, Short Stay"
        },
        "occurrenceTiming" : {
          "event" : [
            "2024-02-01T18:12:00-05:00"
          ],
          "repeat" : {
            "count" : 1
          },
          "code" : {
            "text" : "Once"
          }
        },
        "authoredOn" : "2024-02-01T18:12:00-05:00",
        "specimen" : [
          {
            🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-example-ach-monthly-pass3-stool",
        "meta" : {
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-monthly-pass3-stool\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass3-stool</b></p><a name=\"specimen-example-ach-monthly-pass3-stool\"> </a><a name=\"hcspecimen-example-ach-monthly-pass3-stool\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ach-monthly-specimen.html\">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082905, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:45</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 429901000124102}\">Bloody stool specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH</a></p><p><b>receivedTime</b>: 2024-02-01 19:12:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-01 19:02:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 181261002}\">Entire rectum (body structure)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
            "value" : "C104082905",
            "assigner" : {
              "display" : "LIS"
            }
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
            "value" : "C10408290:45"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "429901000124102",
              "display" : "Bloody stool specimen (specimen)"
            }
          ],
          "text" : "Bloody stool specimen (specimen)"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
          "display" : "Pass3 ACH"
        },
        "receivedTime" : "2024-02-01T19:12:00-05:00",
        "collection" : {
          "collectedDateTime" : "2024-02-01T19:02:00-05:00",
          "bodySite" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "181261002",
                "display" : "Entire rectum (body structure)"
              }
            ]
          }
        }
      }
    }
  ]
}