CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example LTC Monthly Submission Pneumonia Bundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-example-ltc-monthly-subject-pneumonia"/>
  <meta>
    <profile
             value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a78d8d"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2024-02-05T21:04:29.481+00:00"/>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ltc-monthly-pneumonia"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-ltc-monthly-pneumonia"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-ltc-monthly-pneumonia"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-ltc-monthly-pneumonia</b></p><a name="measurereport-example-ltc-monthly-pneumonia"> </a><a name="hcmeasurereport-example-ltc-monthly-pneumonia"> </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/STU5/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>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-1.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2025-02-01 16:02:00-0500 --&gt; 2025-02-08 19:00:00-0500; reasonCode = Weakness</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-2.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient non-acute (ActCode[9.0.0]#NONAC); type = Subsequent nursing facility visit (procedure); period = 2025-02-08 16:02:00-0500 --&gt; 2025-02-11 19:00:00-0500; reasonCode = Pneumonia, unspecified organism</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Coverage-coverage-example-ltc-monthly-pneumonia-medicare.html">Coverage: identifier = Member Number: 335522612; status = active; type = subsidized health program; subscriberId = 123123123123; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Condition-condition-example-diagnosis-ltc-monthly-pneumonia.html">Condition Pneumonia, unspecified organism</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="MedicationAdministration-medadmin-example-ltc-monthly-pneumonia-amoxicillin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; effective[x] = 2024-01-31 04:54:00-0500</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="MedicationAdministration-medadmin-example-ltc-monthly-pneumonia-levofloxacin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; effective[x] = 2024-02-02 14:34:00-0500</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-amoxicillin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; authoredOn = 2024-01-31 04:46:00-0500</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-levofloxacin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Medication-medication-example-amoxicillin-1000.html">Medication amoxicillin 1000 MG</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href="Medication-medication-example-levofloxacin-500.html">Medication levofloxacin 500 MG Oral Tablet</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pneumonia</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html">NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)</a></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></p><p><b>date</b>: 2024-01-06 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; 2024-01-06 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></li><li><a href="Encounter-encounter-example-ltc-monthly-pneumonia-1.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2025-02-01 16:02:00-0500 --&gt; 2025-02-08 19:00:00-0500; reasonCode = Weakness</a></li><li><a href="Encounter-encounter-example-ltc-monthly-pneumonia-2.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient non-acute (ActCode[9.0.0]#NONAC); type = Subsequent nursing facility visit (procedure); period = 2025-02-08 16:02:00-0500 --&gt; 2025-02-11 19:00:00-0500; reasonCode = Pneumonia, unspecified organism</a></li><li><a href="Coverage-coverage-example-ltc-monthly-pneumonia-medicare.html">Coverage: identifier = Member Number: 335522612; status = active; type = subsidized health program; subscriberId = 123123123123; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></li><li><a href="Condition-condition-example-diagnosis-ltc-monthly-pneumonia.html">Condition Pneumonia, unspecified organism</a></li><li><a href="MedicationAdministration-medadmin-example-ltc-monthly-pneumonia-amoxicillin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; effective[x] = 2024-01-31 04:54:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ltc-monthly-pneumonia-levofloxacin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; effective[x] = 2024-02-02 14:34:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-amoxicillin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; authoredOn = 2024-01-31 04:46:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-levofloxacin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; authoredOn = 2024-02-02 13:43:00-0500</a></li><li><a href="Medication-medication-example-amoxicillin-1000.html">Medication amoxicillin 1000 MG</a></li><li><a href="Medication-medication-example-levofloxacin-500.html">Medication levofloxacin 500 MG Oral Tablet</a></li></ul></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="cohort"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-minimal-patient"/>
            </extension>
            <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-encounter"/>
            </extension>
            <reference
                       value="Encounter/encounter-example-ltc-monthly-pneumonia-1"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-encounter"/>
            </extension>
            <reference
                       value="Encounter/encounter-example-ltc-monthly-pneumonia-2"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-coverage"/>
            </extension>
            <reference
                       value="Coverage/coverage-example-ltc-monthly-pneumonia-medicare"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-condition"/>
            </extension>
            <reference
                       value="Condition/condition-example-diagnosis-ltc-monthly-pneumonia"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication-administration"/>
            </extension>
            <reference
                       value="MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-amoxicillin"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication-administration"/>
            </extension>
            <reference
                       value="MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-levofloxacin"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication-request"/>
            </extension>
            <reference
                       value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication-request"/>
            </extension>
            <reference
                       value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication"/>
            </extension>
            <reference
                       value="Medication/medication-example-amoxicillin-1000"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
          <valueReference>🔗 
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
              <valueString value="sde-medication"/>
            </extension>
            <reference
                       value="Medication/medication-example-levofloxacin-500"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="http://example.org/fhir/measurereport/id"/>
          <value value="123456789-pneumonia"/>
        </identifier>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild"/>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
        </subject>
        <date value="2024-01-06T21:04:29.481+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2024-01-05T00:00:00.000+00:00"/>
          <end value="2024-01-06T00:00:00.000+00:00"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
        </group>
        <evaluatedResource>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-1"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-2"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="Coverage/coverage-example-ltc-monthly-pneumonia-medicare"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="Condition/condition-example-diagnosis-ltc-monthly-pneumonia"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-amoxicillin"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-levofloxacin"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference value="Medication/medication-example-amoxicillin-1000"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <reference value="Medication/medication-example-levofloxacin-500"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Patient/patient-example-ltc-monthly-pneumonia"/>
    <resource>
      <Patient>
        <id value="patient-example-ltc-monthly-pneumonia"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ltc-monthly-pneumonia"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ltc-monthly-pneumonia</b></p><a name="patient-example-ltc-monthly-pneumonia"> </a><a name="hcpatient-example-ltc-monthly-pneumonia"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cross-measure-patient.html">Cross-Measure Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 999-999-9999(Home)</li><li>123 Sesame Street Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-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">F</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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3">Race &amp; Ethnicity - CDC: 2106-3</a> (White)</li><li>text: White</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Non Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="MRN"/>
          </type>
          <system value="urn:oid:1.2.5.8.2.7"/>
          <value value="1601191945010308"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Pneumonia LTC"/>
          <family value="LTC"/>
          <given value="Pneumonia"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="999-999-9999"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1945-12-22"/>
        <address>
          <line value="123 Sesame Street Lansing"/>
          <city value="Lansing"/>
          <district value="Ingham County"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Encounter/encounter-example-ltc-monthly-pneumonia-1"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ltc-monthly-pneumonia-1"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-example-ltc-monthly-pneumonia-1"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ltc-monthly-pneumonia-1</b></p><a name="encounter-example-ltc-monthly-pneumonia-1"> </a><a name="hcencounter-example-ltc-monthly-pneumonia-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-ltc-monthly-encounter.html">LTC Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE">ActCode: ACUTE</a> (inpatient acute) (version = 9.0.0 )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 32485007}">Hospital Admission</span></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>period</b>: 2025-02-01 16:02:00-0500 --&gt; 2025-02-08 19:00:00-0500</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm R53.1}">Weakness</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-ltc-monthly-pneumonia.html">Pneumonia</a></td></tr></table><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 mp}">Medical practitioner</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}">Other</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-ltc-monthly-inpatient.html">Inpatient Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 16:02:00-0500 --&gt; 2024-02-08 16:02:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104251"/>
        </identifier>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <version value="9.0.0"/>
          <code value="ACUTE"/>
          <display value="inpatient acute"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="32485007"/>
            <display value="Hospital admission (procedure)"/>
          </coding>
          <text value="Hospital Admission"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <period>
          <start value="2025-02-01T16:02:00-05:00"/>
          <end value="2025-02-08T19:00:00-05:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="R53.1"/>
            <display value="Weakness"/>
          </coding>
          <text value="Weakness"/>
        </reasonCode>
        <diagnosis>
          <condition>🔗 
            <reference
                       value="Condition/condition-example-diagnosis-ltc-monthly-pneumonia"/>
            <display value="Pneumonia"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="mp"/>
              <display value="Medical Practitioner/physician referral"/>
            </coding>
            <text value="Medical practitioner"/>
          </admitSource>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="oth"/>
              <display value="Other"/>
            </coding>
            <text value="Other"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference
                       value="Location/location-example-ltc-monthly-inpatient"/>
            <display value="Inpatient Ward"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-01T16:02:00-05:00"/>
            <end value="2024-02-08T16:02:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Encounter/encounter-example-ltc-monthly-pneumonia-2"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ltc-monthly-pneumonia-2"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-example-ltc-monthly-pneumonia-2"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ltc-monthly-pneumonia-2</b></p><a name="encounter-example-ltc-monthly-pneumonia-2"> </a><a name="hcencounter-example-ltc-monthly-pneumonia-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-ltc-monthly-encounter.html">LTC Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NONAC">ActCode: NONAC</a> (inpatient non-acute) (version = 9.0.0 )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 18170008}">Nursing Facility Visit</span></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>period</b>: 2025-02-08 16:02:00-0500 --&gt; 2025-02-11 19:00:00-0500</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm J18.9}">Pneumonia</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-ltc-monthly-pneumonia.html">Pneumonia</a></td></tr></table><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 hosp-trans}">Transferred from other hospital</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}">Other</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-ltc-monthly-nursing-facility.html">Inpatient Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-08 16:02:00-0500 --&gt; 2024-02-11 16:02:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104251"/>
        </identifier>
        <status value="in-progress"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <version value="9.0.0"/>
          <code value="NONAC"/>
          <display value="inpatient non-acute"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="18170008"/>
            <display value="Subsequent nursing facility visit (procedure)"/>
          </coding>
          <text value="Nursing Facility Visit"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <period>
          <start value="2025-02-08T16:02:00-05:00"/>
          <end value="2025-02-11T19:00:00-05:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J18.9"/>
            <display value="Pneumonia, unspecified organism"/>
          </coding>
          <text value="Pneumonia"/>
        </reasonCode>
        <diagnosis>
          <condition>🔗 
            <reference
                       value="Condition/condition-example-diagnosis-ltc-monthly-pneumonia"/>
            <display value="Pneumonia"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="hosp-trans"/>
              <display value="Transferred from other hospital"/>
            </coding>
            <text value="Transferred from other hospital"/>
          </admitSource>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="oth"/>
              <display value="Other"/>
            </coding>
            <text value="Other"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference
                       value="Location/location-example-ltc-monthly-nursing-facility"/>
            <display value="Inpatient Ward"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-08T16:02:00-05:00"/>
            <end value="2024-02-11T16:02:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Coverage/coverage-example-ltc-monthly-pneumonia-medicare"/>
    <resource>
      <Coverage>
        <id value="coverage-example-ltc-monthly-pneumonia-medicare"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-example-ltc-monthly-pneumonia-medicare"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ltc-monthly-pneumonia-medicare</b></p><a name="coverage-example-ltc-monthly-pneumonia-medicare"> </a><a name="hccoverage-example-ltc-monthly-pneumonia-medicare"> </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-ltc-monthly-coverage.html">LTC Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/335522612</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}">subsidized health program</span></p><p><b>subscriberId</b>: 123123123123</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}">Child</span></p><p><b>period</b>: 2020-08-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href="Organization-organization-coverage-example-ltc-monthly-medicare.html">Medicare</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
              <display value="Member Number"/>
            </coding>
          </type>
          <system value="http://example.org/fhir/memberidentifier"/>
          <value value="335522612"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <version value="9.0.0"/>
            <code value="SUBSIDIZ"/>
            <display value="subsidized health program"/>
          </coding>
        </type>
        <subscriberId value="123123123123"/>
        <beneficiary>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="child"/>
            <display value="Child"/>
          </coding>
          <text value="Child"/>
        </relationship>
        <period>
          <start value="2020-08-01"/>
        </period>
        <payor>🔗 
          <reference
                     value="Organization/organization-coverage-example-ltc-monthly-medicare"/>
          <display value="Medicare"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ltc-monthly-pneumonia"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ltc-monthly-pneumonia"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis|6.0.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ltc-monthly-pneumonia"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ltc-monthly-pneumonia</b></p><a name="condition-example-diagnosis-ltc-monthly-pneumonia"> </a><a name="hccondition-example-diagnosis-ltc-monthly-pneumonia"> </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/qicore/STU6/StructureDefinition-qicore-condition-encounter-diagnosis.html">QICore Condition Encounter Diagnosisversion: null6.0.0)</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 J18.9}">Pneumonia, unspecified organism</span></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.1"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Encounter Diagnosis"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J18.9"/>
            <display value="Pneumonia, unspecified organism"/>
          </coding>
          <text value="Pneumonia, unspecified organism"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-amoxicillin"/>
    <resource>
      <MedicationAdministration>
        <id value="medadmin-example-ltc-monthly-pneumonia-amoxicillin"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medadmin-example-ltc-monthly-pneumonia-amoxicillin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ltc-monthly-pneumonia-amoxicillin</b></p><a name="medadmin-example-ltc-monthly-pneumonia-amoxicillin"> </a><a name="hcmedadmin-example-ltc-monthly-pneumonia-amoxicillin"> </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-ltc-monthly-medicationadministration.html">LTC Monthly Event Medication Administration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888893 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-amoxicillin-1000.html">Amoxicillin 1000 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-2.html">Emergency Encounter</a></p><p><b>effective</b>: 2024-01-31 04:54:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-amoxicillin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; authoredOn = 2024-01-31 04:46:00-0500</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>1000 MG Oral once before dental procedure</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>1 g<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888893"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="outpatient"/>
            <display value="Outpatient"/>
          </coding>
          <text value="Outpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-amoxicillin-1000"/>
          <display value="Amoxicillin 1000 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-2"/>
          <display value="Emergency Encounter"/>
        </context>
        <effectiveDateTime value="2024-01-31T04:54:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"/>
        </request>
        <dosage>
          <text value="1000 MG Oral once before dental procedure"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="1"/>
            <unit value="g"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ltc-monthly-pneumonia-levofloxacin"/>
    <resource>
      <MedicationAdministration>
        <id value="medadmin-example-ltc-monthly-pneumonia-levofloxacin"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medadmin-example-ltc-monthly-pneumonia-levofloxacin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ltc-monthly-pneumonia-levofloxacin</b></p><a name="medadmin-example-ltc-monthly-pneumonia-levofloxacin"> </a><a name="hcmedadmin-example-ltc-monthly-pneumonia-levofloxacin"> </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-ltc-monthly-medicationadministration.html">LTC Monthly Event Medication Administration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-levofloxacin-500.html">Levofloxacin 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 14:34:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ltc-monthly-pneumonia-levofloxacin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; authoredOn = 2024-02-02 13:43:00-0500</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>500 MG Oral Tablet once daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral route</span></td><td>500 MG<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeMG = 'MG')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888111"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-levofloxacin-500"/>
          <display value="Levofloxacin 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-1"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-02T14:34:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"/>
        </request>
        <dosage>
          <text value="500 MG Oral Tablet once daily"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral route"/>
            </coding>
          </route>
          <dose>
            <value value="500"/>
            <unit value="MG"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="MG"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"/>
    <resource>
      <MedicationRequest>
        <id
            value="medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ltc-monthly-pneumonia-amoxicillin</b></p><a name="medicationrequest-example-ltc-monthly-pneumonia-amoxicillin"> </a><a name="hcmedicationrequest-example-ltc-monthly-pneumonia-amoxicillin"> </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-ltc-monthly-medicationrequest.html">LTC Monthly Event Medication Request</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-amoxicillin-1000.html">Amoxicillin 1000 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-2.html">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-01-31 04:46:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 2gram PO 30-60 minutes before dental procedure</p><p><b>timing</b>: Once per 30 minutes</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>2 g<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></td></tr></table></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888892"/>
        </identifier>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="outpatient"/>
            <display value="Outpatient"/>
          </coding>
          <text value="Outpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-amoxicillin-1000"/>
          <display value="Amoxicillin 1000 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-2"/>
          <display value="Hospital Admission"/>
        </encounter>
        <authoredOn value="2024-01-31T04:46:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
        </requester>
        <dosageInstruction>
          <text value="2gram PO 30-60 minutes before dental procedure"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="30"/>
              <periodUnit value="min"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral route"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="2"/>
              <unit value="g"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"/>
    <resource>
      <MedicationRequest>
        <id
            value="medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ltc-monthly-pneumonia-levofloxacin</b></p><a name="medicationrequest-example-ltc-monthly-pneumonia-levofloxacin"> </a><a name="hcmedicationrequest-example-ltc-monthly-pneumonia-levofloxacin"> </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-ltc-monthly-medicationrequest.html">LTC Monthly Event Medication Request</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-levofloxacin-500.html">Levofloxacin 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ltc-monthly-pneumonia-1.html">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-02 13:43:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ltc-monthly-pneumonia.html">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN: 1601191945010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 500mg by mouth once a day for 7 days</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral route</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</td></tr></table></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888811"/>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-levofloxacin-500"/>
          <display value="Levofloxacin 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          <display value="Pneumonia LTC"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ltc-monthly-pneumonia-1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <authoredOn value="2024-02-02T13:43:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
        </requester>
        <dosageInstruction>
          <text value="500mg by mouth once a day for 7 days"/>
          <timing>
            <repeat>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral route"/>
            </coding>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="500"/>
              <unit value="MG"/>
              <system value="http://unitsofmeasure.org"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Medication/medication-example-amoxicillin-1000"/>
    <resource>
      <Medication>
        <id value="medication-example-amoxicillin-1000"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-amoxicillin-1000"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-amoxicillin-1000</b></p><a name="medication-example-amoxicillin-1000"> </a><a name="hcmedication-example-amoxicillin-1000"> </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-ltc-monthly-medication.html">LTC Monthly Event Medication</a></p></div><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 331055}">Amoxicillin 1000mg oral tablet</span></p><p><b>status</b>: Active</p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="331055"/>
            <display value="amoxicillin 1000 MG"/>
          </coding>
          <text value="Amoxicillin 1000mg oral tablet"/>
        </code>
        <status value="active"/>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Medication/medication-example-levofloxacin-500"/>
    <resource>
      <Medication>
        <id value="medication-example-levofloxacin-500"/>
        <meta>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-levofloxacin-500"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-levofloxacin-500</b></p><a name="medication-example-levofloxacin-500"> </a><a name="hcmedication-example-levofloxacin-500"> </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-ltc-monthly-medication.html">LTC Monthly Event Medication</a></p></div><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 199885}">Levofloxacin 500mg Oral Tablet</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385060002}">Extended-release tablet</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="199885"/>
            <display value="levofloxacin 500 MG Oral Tablet"/>
          </coding>
          <text value="Levofloxacin 500mg Oral Tablet"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385060002"/>
            <display value="Prolonged-release oral tablet (dose form)"/>
          </coding>
          <text value="Extended-release tablet"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Location/location-example-ltc-monthly-nursing-facility"/>
    <resource>
      <Location>
        <id value="location-example-ltc-monthly-nursing-facility"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location|6.0.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ltc-monthly-nursing-facility"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ltc-monthly-nursing-facility</b></p><a name="location-example-ltc-monthly-nursing-facility"> </a><a name="hclocation-example-ltc-monthly-nursing-facility"> </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/qicore/STU6/StructureDefinition-qicore-location.html">QICore Locationversion: null6.0.0)</a></p></div><p><b>identifier</b>: <code>http://www.example.com/location</code>/3001</p><p><b>status</b>: Active</p><p><b>name</b>: LTC Monthly - Long Term Care Facility General Nursing Unit</p><p><b>description</b>: LTC Monthly General Nursing Unit</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1258-3}">Long Term Care Facility General Nursing Unit</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.com/location"/>
          <value value="3001"/>
        </identifier>
        <status value="active"/>
        <name
              value="LTC Monthly - Long Term Care Facility General Nursing Unit"/>
        <description value="LTC Monthly General Nursing Unit"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1258-3"/>
            <display value="Long Term Care Facility General Nursing Unit"/>
          </coding>
          <text value="Long Term Care Facility General Nursing Unit"/>
        </type>
      </Location>
    </resource>
  </entry>
</Bundle>