Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Additional Supplemental Data Example - Patient Bundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="sde-example-patient-data-bundle"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:050deac6-0544-43df-bff9-7506f8687469"/>
    <resource>
      <Patient>
        <id value="patient04"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient04"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient04</b></p><a name="patient04"> </a><a name="hcpatient04"> </a><a name="patient04-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane E. Doe  Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#patient04)</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="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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity 2135-2</a>: Hispanic or Latino</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2184-0">CDC Race and Ethnicity 2184-0</a>: Dominican</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2148-5">CDC Race and Ethnicity 2148-5</a>: Mexican</li><li>text: Hispanic or Latino</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 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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity 2106-3</a>: White</li><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5">CDC Race and Ethnicity 1002-5</a>: American Indian or Alaska Native</li><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity 2028-9</a>: Asian</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7">CDC Race and Ethnicity 1586-7</a>: Shoshone</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2">CDC Race and Ethnicity 2036-2</a>: Filipino</li><li>text: Mixed</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="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1002-5"/>
              <display value="American Indian or Alaska Native"/>
            </valueCoding>
          </extension>
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1586-7"/>
              <display value="Shoshone"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2036-2"/>
              <display value="Filipino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Mixed"/>
          </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="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2184-0"/>
              <display value="Dominican"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2148-5"/>
              <display value="Mexican"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.6.1000"/>
          <value value="patient04"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Doe"/>
          <given value="Jane"/>
          <given value="E."/>
        </name>
        <gender value="female"/>
        <birthDate value="1987-02-19"/>
      </Patient>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Patient/patient04"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369"/>
    <resource>
      <Encounter>
        <id value="encounter04"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter04"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter04</b></p><a name="encounter04"> </a><a name="hcencounter04"> </a><a name="encounter04-en-US"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode IMP</a>: inpatient encounter</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 185347001}">Encounter for problem (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-nhsn-iip-con101.html">Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}">Chief complaint</span></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</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></tr><tr><td style="display: none">*</td><td><a href="Location-location01.html">Location DaVinciClinic01</a></td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="185347001"/>
            <display value="Encounter for problem (procedure)"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/patient01"/>
        </subject>
        <period>
          <start value="2022-01-01"/>
          <end value="2022-01-31"/>
        </period>
        <diagnosis>
          <condition>🔗 
            <reference value="Condition/nhsn-iip-con101"/>
          </condition>
          <use>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
              <code value="CC"/>
            </coding>
          </use>
        </diagnosis>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location01"/>
          </location>
        </location>
      </Encounter>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Encounter/encounter04"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037"/>
    <resource>
      <MedicationRequest>
        <id value="nhsn-iip-add101"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_nhsn-iip-add101"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest nhsn-iip-add101</b></p><a name="nhsn-iip-add101"> </a><a name="hcnhsn-iip-add101"> </a><a name="nhsn-iip-add101-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Jane E. Doe</a></p><p><b>encounter</b>: <a href="Encounter-nhsn-iip-en101.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href="Practitioner-practitioner01.html">Practitioner Ronald Bone </a></p></div>
        </text>
        <status value="active"/>
        <intent value="proposal"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1161609"/>
            <display value="metFORMIN Oral Liquid Product"/>
          </coding>
          <text value="metFORMIN Oral Liquid Product"/>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/nhsn-iip-ip101"/>
          <display value="Jane E. Doe"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/nhsn-iip-en101"/>
        </encounter>
        <authoredOn value="2022-01-01"/>
        <requester>🔗 
          <reference value="Practitioner/practitioner01"/>
        </requester>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="MedicationRequest/nhsn-iip-add101"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c"/>
    <resource>
      <MedicationRequest>
        <id value="nhsn-iip-add101-10"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2022-06-30T06:15:09.030+00:00"/>
          <source value="#04ea320cd2709af0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_nhsn-iip-add101-10"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest nhsn-iip-add101-10</b></p><a name="nhsn-iip-add101-10"> </a><a name="hcnhsn-iip-add101-10"> </a><a name="nhsn-iip-add101-10-en-US"> </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">version: 1; Last updated: 2022-06-30 06:15:09+0000; </p><p style="margin-bottom: 0px">Information Source: #04ea320cd2709af0</p></div><p><b>identifier</b>: <code>urn:oid:1.2.840.114350.1.13.310.3.7.2.798268</code>/336609269 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Amy Shaw</a></p><p><b>encounter</b>: <a href="Encounter-nhsn-iip-en101.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href="Practitioner-practitioner01.html">Practitioner Ronald Bone </a></p><p><b>recorder</b>: <a href="Practitioner-practitioner02.html">Practitioner Emile Zieme(official)</a></p><p><b>courseOfTherapyType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code , Once per 1 days</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}">calculated</span></p><p><b>dose</b>: 1 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}">ordered</span></p><p><b>dose</b>: 1 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></p></blockquote></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:1.2.840.114350.1.13.310.3.7.2.798268"/>
          <value value="336609269"/>
        </identifier>
        <status value="active"/>
        <intent value="proposal"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient"/>
        </category>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1161609"/>
            <display value="metFORMIN Oral Liquid Product"/>
          </coding>
          <text value="metFORMIN Oral Liquid Product"/>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/nhsn-iip-ip101"/>
          <display value="Amy Shaw"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/nhsn-iip-en101"/>
        </encounter>
        <authoredOn value="2022-01-15T16:50:26Z"/>
        <requester>🔗 
          <reference value="Practitioner/practitioner01"/>
        </requester>
        <recorder>🔗 
          <reference value="Practitioner/practitioner02"/>
        </recorder>
        <courseOfTherapyType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
            <code value="acute"/>
            <display value="Short course (acute) therapy"/>
          </coding>
          <text value="Short course (acute) therapy"/>
        </courseOfTherapyType>
        <dosageInstruction>
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2021-02-15T16:43:55Z"/>
                <end value="2021-02-22T21:32:24Z"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
            <code>
              <text value="PRN"/>
            </code>
          </timing>
          <asNeededBoolean value="true"/>
          <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="1"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="ordered"/>
                <display value="ordered"/>
              </coding>
              <text value="ordered"/>
            </type>
            <doseQuantity>
              <value value="1"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="MedicationRequest/nhsn-iip-add101-10"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc"/>
    <resource>
      <ServiceRequest>
        <id value="nhsn-iip-sr-sde"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_nhsn-iip-sr-sde"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest nhsn-iip-sr-sde</b></p><a name="nhsn-iip-sr-sde"> </a><a name="hcnhsn-iip-sr-sde"> </a><a name="nhsn-iip-sr-sde-en-US"> </a><p><b>identifier</b>: Placer/2345234234234</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>code</b>: <span title="Codes:{http://loinc.org 57698-3}">Lipid Panel</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>encounter</b>: <a href="Encounter-nhsn-iip-en101.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-9-cm V173}">Fam hx-ischem heart dis</span></p><p><b>supportingInfo</b>: <a href="#hcnhsn-iip-sr-sde/fasting">Fasting status</a></p><p><b>specimen</b>: <a href="#hcnhsn-iip-sr-sde/serum">Serum specimen</a></p><p><b>note</b>: patient is afraid of needles</p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #fasting</b></p><a name="nhsn-iip-sr-sde/fasting"> </a><a name="hcnhsn-iip-sr-sde/fasting"> </a><a name="nhsn-iip-sr-sde/fasting-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 49541-6}">Fasting status - Reported</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Specimen  #serum</b></p><a name="nhsn-iip-sr-sde/serum"> </a><a name="hcnhsn-iip-sr-sde/serum"> </a><a name="nhsn-iip-sr-sde/serum-en-US"> </a><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119364003}">Serum sample</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>
        </text>
        <contained>
          <Observation>
            <id value="fasting"/>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="49541-6"/>
                <display value="Fasting status - Reported"/>
              </coding>
            </code>
            <subject>🔗 
              <reference value="Patient/nhsn-iip-ip101"/>
            </subject>
            <effectivePeriod>
              <start value="2022-01-01T09:30:10+01:00"/>
            </effectivePeriod>
            <performer>🔗 
              <reference value="Organization/organization01"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                <code value="Y"/>
                <display value="Yes"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </contained>
        <contained>
          <Specimen>
            <id value="serum"/>
            <identifier>
              <system value="http://acme.org/specimens"/>
              <value value="20150107-0012"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="119364003"/>
                <display value="Serum sample"/>
              </coding>
            </type>
            <subject>🔗 
              <reference value="Patient/nhsn-iip-ip101"/>
            </subject>
            <collection>
              <collectedDateTime value="2015-08-16T06:40:17Z"/>
            </collection>
          </Specimen>
        </contained>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
            <text value="Placer"/>
          </type>
          <system value="urn:oid:1.3.4.5.6.7"/>
          <value value="2345234234234"/>
        </identifier>
        <status value="active"/>
        <intent value="original-order"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="57698-3"/>
          </coding>
          <text value="Lipid Panel"/>
        </code>
        <subject>🔗 
          <reference value="Patient/nhsn-iip-ip101"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/nhsn-iip-en101"/>
        </encounter>
        <occurrenceDateTime value="2013-05-02T16:16:00-07:00"/>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-9-cm"/>
            <code value="V173"/>
            <display value="Fam hx-ischem heart dis"/>
          </coding>
        </reasonCode>
        <supportingInfo>
          <reference value="#fasting"/>
          <display value="Fasting status"/>
        </supportingInfo>
        <specimen>
          <reference value="#serum"/>
          <display value="Serum specimen"/>
        </specimen>
        <note>
          <text value="patient is afraid of needles"/>
        </note>
      </ServiceRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ServiceRequest/nhsn-iip-sr-sde"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b7075a17-98a5-429b-a464-3da906001492"/>
    <resource>
      <Location>
        <id value="nhsn-iip-loc101"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_nhsn-iip-loc101"> </a><p class="res-header-id"><b>Generated Narrative: Location nhsn-iip-loc101</b></p><a name="nhsn-iip-loc101"> </a><a name="hcnhsn-iip-loc101"> </a><a name="nhsn-iip-loc101-en-US"> </a><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode RADO}">Radiation oncology unit</span></p></div>
        </text>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="RADO"/>
            <display value="Radiation oncology unit"/>
          </coding>
        </type>
      </Location>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Location/nhsn-iip-loc101"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69"/>
    <resource>
      <Condition>
        <id value="condition04"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition04"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition04</b></p><a name="condition04"> </a><a name="hccondition04"> </a><a name="condition04-en-US"> </a><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}, {http://snomed.info/sct 439401001}">Encounter Diagnosis</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>onset</b>: 2022-01-08</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="439401001"/>
            <display value="Diagnosis"/>
          </coding>
        </category>
        <subject>🔗 
          <reference value="Patient/nhsn-iip-ip101"/>
        </subject>
        <onsetDateTime value="2022-01-08"/>
      </Condition>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Condition/condition04"/>
    </request>
  </entry>
</Bundle>