Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America flag

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 4.0.0 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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "sde-example-patient-data-bundle"] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:050deac6-0544-43df-bff9-7506f8687469"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:050deac6-0544-43df-bff9-7506f8687469> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "Patient/patient04"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "Encounter/encounter04"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "MedicationRequest/nhsn-iip-add101"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "MedicationRequest/nhsn-iip-add101-10"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "ServiceRequest/nhsn-iip-sr-sde"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:b7075a17-98a5-429b-a464-3da906001492"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:b7075a17-98a5-429b-a464-3da906001492> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "Location/nhsn-iip-loc101"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "Condition/condition04"^^xsd:anyURI ]     ]
  ] ) . # 

<urn:uuid:050deac6-0544-43df-bff9-7506f8687469> a fhir:Patient ;
  fhir:id [ fhir:v "patient04"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient04\"> </a><p><b>Generated Narrative: Patient</b><a name=\"patient04\"> </a><a name=\"hcpatient04\"> </a></p><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\">Resource Patient &quot;patient04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = 'White', stated as 'White')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: American Indian or Alaska Native (Details: urn:oid:2.16.840.1.113883.6.238 code 1002-5 = 'American Indian or Alaska Native', stated as 'American Indian or Alaska Native')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = 'Asian', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Shoshone (Details: urn:oid:2.16.840.1.113883.6.238 code 1586-7 = 'Shoshone', stated as 'Shoshone')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Filipino (Details: urn:oid:2.16.840.1.113883.6.238 code 2036-2 = 'Filipino', stated as 'Filipino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = 'Hispanic or Latino', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Dominican (Details: urn:oid:2.16.840.1.113883.6.238 code 2184-0 = 'Dominican', stated as 'Dominican')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Mexican (Details: urn:oid:2.16.840.1.113883.6.238 code 2148-5 = 'Mexican', stated as 'Mexican')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.6.1000</code>/patient04</p><p><b>active</b>: true</p><p><b>name</b>: Jane E. Doe </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-19</p></div>"
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2106-3" ] ;
fhir:display [ fhir:v "White" ]       ]     ] [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1002-5" ] ;
fhir:display [ fhir:v "American Indian or Alaska Native" ]       ]     ] [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1586-7" ] ;
fhir:display [ fhir:v "Shoshone" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2036-2" ] ;
fhir:display [ fhir:v "Filipino" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Mixed" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2184-0" ] ;
fhir:display [ fhir:v "Dominican" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2148-5" ] ;
fhir:display [ fhir:v "Mexican" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Hispanic or Latino" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.1000"^^xsd:anyURI ] ;
fhir:value [ fhir:v "patient04" ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:family [ fhir:v "Doe" ] ;
    ( fhir:given [ fhir:v "Jane" ] [ fhir:v "E." ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1987-02-19"^^xsd:date] . # 

<urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> a fhir:Encounter ;
  fhir:id [ fhir:v "encounter04"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter04\"> </a><p><b>Generated Narrative: Encounter</b><a name=\"encounter04\"> </a><a name=\"hcencounter04\"> </a></p><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\">Resource Encounter &quot;encounter04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Encounter for problem (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#185347001)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Patient/patient01</a> &quot; WEBSTER&quot;</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/nhsn-iip-con101</a></td><td>Chief complaint <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a>#CC)</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>home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#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/location01</a> &quot;DaVinciClinic01&quot;</td></tr></table></div>"
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IMP" ] ;
fhir:display [ fhir:v "inpatient encounter" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
a sct:185347001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "185347001" ] ;
fhir:display [ fhir:v "Encounter for problem (procedure)" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/patient01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2022-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2022-01-31"^^xsd:date ]
  ] ; # 
  fhir:diagnosis ( [
fhir:condition [
fhir:reference [ fhir:v "Condition/nhsn-iip-con101" ]     ] ;
fhir:use [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CC" ]       ] )     ]
  ] ) ; # 
  fhir:hospitalization [
fhir:dischargeDisposition [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/discharge-disposition"^^xsd:anyURI ] ;
fhir:code [ fhir:v "home" ] ;
fhir:display [ fhir:v "home" ]       ] )     ]
  ] ; # 
  fhir:location ( [
fhir:location [
fhir:reference [ fhir:v "Location/location01" ]     ]
  ] ) . # 

<urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> a fhir:MedicationRequest ;
  fhir:id [ fhir:v "nhsn-iip-add101"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101\"> </a><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101\"> </a><a name=\"hcnhsn-iip-add101\"> </a></p><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\">Resource MedicationRequest &quot;nhsn-iip-add101&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Jane E. Doe</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p></div>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:medication [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1161609" ] ;
fhir:display [ fhir:v "metFORMIN Oral Liquid Product" ]     ] ) ;
fhir:text [ fhir:v "metFORMIN Oral Liquid Product" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ] ;
fhir:display [ fhir:v "Jane E. Doe" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2022-01-01"^^xsd:date] ; # 
  fhir:requester [
fhir:reference [ fhir:v "Practitioner/practitioner01" ]
  ] . # 

<urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> a fhir:MedicationRequest ;
  fhir:id [ fhir:v "nhsn-iip-add101-10"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2022-06-30T06:15:09.030+00:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "#04ea320cd2709af0"^^xsd:anyURI ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101-10\"> </a><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101-10\"> </a><a name=\"hcnhsn-iip-add101-10\"> </a></p><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\">Resource MedicationRequest &quot;nhsn-iip-add101-10&quot; Version &quot;1&quot; Updated &quot;2022-06-30 06:15:09+0000&quot; </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>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#inpatient)</span></p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner/practitioner02</a> &quot; ZIEME&quot;</p><p><b>courseOfTherapyType</b>: Short course (acute) therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-course-of-therapy.html\">MedicationRequest Course of Therapy Codes</a>#acute)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code: PRN, Starting 2021-02-15 16:43:55+0000, Once per 1 days, Until 2021-02-22 21:32:24+0000</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p></blockquote><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:system [ fhir:v "urn:oid:1.2.840.114350.1.13.310.3.7.2.798268"^^xsd:anyURI ] ;
fhir:value [ fhir:v "336609269" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "inpatient" ] ;
fhir:display [ fhir:v "Inpatient" ]     ] ) ;
fhir:text [ fhir:v "Inpatient" ]
  ] ) ; # 
  fhir:medication [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1161609" ] ;
fhir:display [ fhir:v "metFORMIN Oral Liquid Product" ]     ] ) ;
fhir:text [ fhir:v "metFORMIN Oral Liquid Product" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ] ;
fhir:display [ fhir:v "Amy Shaw" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2022-01-15T16:50:26Z"^^xsd:dateTime] ; # 
  fhir:requester [
fhir:reference [ fhir:v "Practitioner/practitioner01" ]
  ] ; # 
  fhir:recorder [
fhir:reference [ fhir:v "Practitioner/practitioner02" ]
  ] ; # 
  fhir:courseOfTherapyType [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"^^xsd:anyURI ] ;
fhir:code [ fhir:v "acute" ] ;
fhir:display [ fhir:v "Short course (acute) therapy" ]     ] ) ;
fhir:text [ fhir:v "Short course (acute) therapy" ]
  ] ; # 
  fhir:dosageInstruction ( [
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2021-02-15T16:43:55Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2021-02-22T21:32:24Z"^^xsd:dateTime ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]       ] ;
fhir:code [
fhir:text [ fhir:v "PRN" ]       ]     ] ;
fhir:asNeeded [ fhir:v "true"^^xsd:boolean ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated" ] ;
fhir:display [ fhir:v "calculated" ]         ] ) ;
fhir:text [ fhir:v "calculated" ]       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ]       ]     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "ordered" ]         ] ) ;
fhir:text [ fhir:v "ordered" ]       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ]       ]     ] )
  ] ) . # 

<urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "nhsn-iip-sr-sde"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_nhsn-iip-sr-sde\"> </a><p><b>Generated Narrative: ServiceRequest</b><a name=\"nhsn-iip-sr-sde\"> </a><a name=\"hcnhsn-iip-sr-sde\"> </a></p><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\">Resource ServiceRequest &quot;nhsn-iip-sr-sde&quot; </p></div><p><b>identifier</b>: Placer/2345234234234</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Lipid Panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#57698-3)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: Fam hx-ischem heart dis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ICD-9#V173)</span></p><p><b>supportingInfo</b>: <a name=\"hcfasting\"> </a></p><blockquote><p/><p><a name=\"fasting\"> </a></p><p><a name=\"hcfasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/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/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><p><b>specimen</b>: <a name=\"hcserum\"> </a></p><blockquote><p/><p><a name=\"serum\"> </a></p><p><a name=\"hcserum\"> </a></p><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/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><p><b>note</b>: patient is afraid of needles</p><hr/><blockquote><p><b>Generated Narrative: Observation #fasting</b><a name=\"fasting\"> </a><a name=\"hcfasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/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/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Specimen #serum</b><a name=\"serum\"> </a><a name=\"hcserum\"> </a></p><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/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>"
  ] ; # 
  fhir:contained ( [
a fhir:Observation ;
fhir:id [ fhir:v "fasting" ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
      ( fhir:coding [
a loinc:49541-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "49541-6" ] ;
fhir:display [ fhir:v "Fasting status - Reported" ]       ] )     ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]     ] ;
fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2022-01-01T09:30:10+01:00"^^xsd:dateTime ]     ] ;
    ( fhir:performer [
fhir:reference [ fhir:v "Organization/organization01" ]     ] ) ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Y" ] ;
fhir:display [ fhir:v "Yes" ]       ] )     ]
  ] [
a fhir:Specimen ;
fhir:id [ fhir:v "serum" ] ;
    ( fhir:identifier [
fhir:system [ fhir:v "http://acme.org/specimens"^^xsd:anyURI ] ;
fhir:value [ fhir:v "20150107-0012" ]     ] ) ;
fhir:type [
      ( fhir:coding [
a sct:119364003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "119364003" ] ;
fhir:display [ fhir:v "Serum sample" ]       ] )     ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]     ] ;
fhir:collection [
fhir:collected [ fhir:v "2015-08-16T06:40:17Z"^^xsd:dateTime ]     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PLAC" ]       ] ) ;
fhir:text [ fhir:v "Placer" ]     ] ;
fhir:system [ fhir:v "urn:oid:1.3.4.5.6.7"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2345234234234" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "original-order"] ; # 
  fhir:code [
    ( fhir:coding [
a loinc:57698-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57698-3" ]     ] ) ;
fhir:text [ fhir:v "Lipid Panel" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
  ] ; # 
  fhir:occurrence [ fhir:v "2013-05-02T16:16:00-07:00"^^xsd:dateTime] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-9"^^xsd:anyURI ] ;
fhir:code [ fhir:v "V173" ] ;
fhir:display [ fhir:v "Fam hx-ischem heart dis" ]     ] )
  ] ) ; # 
  fhir:supportingInfo ( [
fhir:reference [ fhir:v "#fasting" ] ;
fhir:display [ fhir:v "Fasting status" ]
  ] ) ; # 
  fhir:specimen ( [
fhir:reference [ fhir:v "#serum" ] ;
fhir:display [ fhir:v "Serum specimen" ]
  ] ) ; # 
  fhir:note ( [
fhir:text [ fhir:v "patient is afraid of needles" ]
  ] ) . # 

<urn:uuid:b7075a17-98a5-429b-a464-3da906001492> a fhir:Location ;
  fhir:id [ fhir:v "nhsn-iip-loc101"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_nhsn-iip-loc101\"> </a><p><b>Generated Narrative: Location</b><a name=\"nhsn-iip-loc101\"> </a><a name=\"hcnhsn-iip-loc101\"> </a></p><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\">Resource Location &quot;nhsn-iip-loc101&quot; </p></div><p><b>type</b>: Radiation oncology unit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#RADO)</span></p></div>"
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "RADO" ] ;
fhir:display [ fhir:v "Radiation oncology unit" ]     ] )
  ] ) . # 

<urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> a fhir:Condition ;
  fhir:id [ fhir:v "condition04"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition04\"> </a><p><b>Generated Narrative: Condition</b><a name=\"condition04\"> </a><a name=\"hccondition04\"> </a></p><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\">Resource Condition &quot;condition04&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001 &quot;Diagnosis&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>onset</b>: 2022-01-08</p></div>"
  ] ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-diagnosis" ] ;
fhir:display [ fhir:v "Encounter Diagnosis" ]     ] [
a sct:439401001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "439401001" ] ;
fhir:display [ fhir:v "Diagnosis" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]
  ] ; # 
  fhir:onset [ fhir:v "2022-01-08"^^xsd:date] . #