National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
0.1.0-cibuild - Continuous Integration
National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
0.1.0-cibuild - Continuous Integration
National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 0.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/nhsn-dqm/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "bundle-example-ach-subject-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-subject-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e1"
},
"type" : "collection",
"timestamp" : "2024-02-05T21:04:29.481+00:00",
"entry" : [
{
"fullUrl" : "http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass1",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "measurereport-example-individual-ach-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-individual-ach-ach-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass1</b></p><a name=\"measurereport-example-individual-ach-ach-pass1\"> </a><a name=\"hcmeasurereport-example-individual-ach-ach-pass1\"> </a><a name=\"hcmeasurereport-example-individual-ach-ach-pass1-en\"> </a><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass1</p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-NHSNdQMAcuteCareHospitalInitialPopulation.html\">NHSN dQM Acute Care Hospital Initial Populationversion: {0}0.1.0-cibuild)</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH(official) female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: <a href=\"Specimen-specimen-example-ach-ach-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "cohort",
"display" : "Cohort"
}
]
}
}
],
"identifier" : [
{
"system" : "http://example.org/fhir/measurereport/id",
"value" : "123456789-pass1"
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation|0.1.0-cibuild",
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1"
},
"date" : "2024-02-05T21:04:29.481+00:00",
"reporter" : {
🔗 "reference" : "Organization/organization-example-submitting-organization"
},
"period" : {
"start" : "2024-01-05T00:00:00.000+00:00",
"end" : "2024-02-04T00:00:00.000+00:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
}
]
}
],
"evaluatedResource" : [
{
🔗 "reference" : "Specimen/specimen-example-ach-ach-pass1-csf"
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Patient/patient-example-ach-ach-pass1",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-example-ach-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example-ach-ach-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example-ach-ach-pass1</b></p><a name=\"patient-example-ach-ach-pass1\"> </a><a name=\"hcpatient-example-ach-ach-pass1\"> </a><a name=\"hcpatient-example-ach-ach-pass1-en\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pass1 ACH(official) female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</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>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (United States)</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Next-of-Kin\">Next-of-Kin:</td><td colspan=\"3\"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2054-5\">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2054-5",
"display" : "Black or African American"
}
},
{
"url" : "text",
"valueString" : "Black or African American"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
],
"text" : "MRN"
},
"system" : "urn:oid:1.2.5.8.2.7",
"value" : "1601191901010308"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"text" : "Pass1 ACH",
"family" : "ACH",
"given" : [
"Pass1"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "999-999-9999",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "2024-02-01",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"type" : "both",
"line" : [
"456 Alphabet Street"
],
"city" : "Lansing",
"district" : "Ingham County",
"state" : "MI",
"postalCode" : "48864",
"country" : "US"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "N",
"display" : "Next-of-Kin"
}
]
}
],
"name" : {
"text" : "Mom Parent",
"family" : "Parent",
"given" : [
"Mom"
]
},
"address" : {
"line" : [
"456 Alphabet Street"
],
"city" : "Lansing",
"state" : "MI",
"postalCode" : "48864"
}
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (United States)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Encounter/encounter-example-ach-ach-pass1",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-example-ach-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-example-ach-ach-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass1</b></p><a name=\"encounter-example-ach-ach-pass1\"> </a><a name=\"hcencounter-example-ach-ach-pass1\"> </a><a name=\"hcencounter-example-ach-ach-pass1-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: in-progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode</a> ACUTE: inpatient acute</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-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>period</b>: 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R50.9}\">Fever</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-pass1.html\">Thrombophlebitis</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 born}\">Born in 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-ach-nicu-level-iii.html\">ACH Neonatal critical care</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 --> 2024-02-02 16:02:00-0500</td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value" : "10005104251"
}
],
"status" : "in-progress",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "ACUTE",
"display" : "inpatient acute"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "32485007",
"display" : "Hospital admission (procedure)"
}
],
"text" : "Hospital Admission"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"period" : {
"start" : "2024-02-01T16:02:00-05:00",
"end" : "2024-02-04T19:00:00-05:00"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "R50.9",
"display" : "Fever, unspecified"
}
],
"text" : "Fever"
}
],
"diagnosis" : [
{
"condition" : {
🔗 "reference" : "Condition/condition-example-diagnosis-ach-pass1",
"display" : "Thrombophlebitis"
}
}
],
"hospitalization" : {
"admitSource" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/admit-source",
"code" : "born",
"display" : "Born in hospital"
}
],
"text" : "Born in hospital"
},
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "oth",
"display" : "Other"
}
],
"text" : "Other"
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/location-example-ach-nicu-level-iii",
"display" : "ACH Neonatal critical care"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "wa",
"display" : "Ward"
}
]
},
"period" : {
"start" : "2024-02-01T16:02:00-05:00",
"end" : "2024-02-02T16:02:00-05:00"
}
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Coverage/coverage-example-ach-pass1",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage-example-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-example-ach-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-example-ach-pass1</b></p><a name=\"coverage-example-ach-pass1\"> </a><a name=\"hccoverage-example-ach-pass1\"> </a><a name=\"hccoverage-example-ach-pass1-en\"> </a><p><b>identifier</b>: Member Number/084536836</p><p><b>status</b>: active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSUPP}\">subsidized supplemental health program</span></p><p><b>policyHolder</b>: Mom Parent</p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH(official) female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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 --> (ongoing)</p><p><b>payor</b>: Medicaid</p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
]
},
"system" : "http://example.org/fhir/memberidentifier",
"value" : "084536836"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "SUBSUPP",
"display" : "subsidized supplemental health program"
}
]
},
"policyHolder" : {
"display" : "Mom Parent"
},
"subscriberId" : "98435938934",
"beneficiary" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "child",
"display" : "Child"
}
],
"text" : "Child"
},
"period" : {
"start" : "2020-08-01"
},
"payor" : [
{
"display" : "Medicaid"
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass1",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-example-diagnosis-ach-pass1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-example-diagnosis-ach-pass1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass1</b></p><a name=\"condition-example-diagnosis-ach-pass1\"> </a><a name=\"hccondition-example-diagnosis-ach-pass1\"> </a><a name=\"hccondition-example-diagnosis-ach-pass1-en\"> </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}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 5758002}, {http://hl7.org/fhir/sid/icd-10-cm R78.81}\">Bacteremia</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"version" : "4.0.0",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Encounter Diagnosis"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "5758002",
"display" : "Bacteremia (finding)"
},
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "R78.81",
"display" : "Bacteremia"
}
],
"text" : "Bacteremia"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
}
}
},
{
"fullUrl" : "http://example.com/fhir/Device/device-example-ach-ach-pass1-central-line",
"resource" : {
"resourceType" : "Device",
"id" : "device-example-ach-ach-pass1-central-line",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-ach-ach-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-ach-ach-pass1-central-line</b></p><a name=\"device-example-ach-ach-pass1-central-line\"> </a><a name=\"hcdevice-example-ach-ach-pass1-central-line\"> </a><a name=\"hcdevice-example-ach-ach-pass1-central-line-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510341\u00a0(use:\u00a0usual,\u00a0)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 52124006}\">Central venous catheter, device</span></p><p><b>patient</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value" : "1000510341"
}
],
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52124006",
"display" : "Central venous catheter, device (physical object)"
}
],
"text" : "Central venous catheter, device"
},
"patient" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
}
}
},
{
"fullUrl" : "http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass1-vancomycin",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "medicationadministration-example-ach-pass1-vancomycin",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medicationadministration-example-ach-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass1-vancomycin</b></p><a name=\"medicationadministration-example-ach-pass1-vancomycin\"> </a><a name=\"hcmedicationadministration-example-ach-pass1-vancomycin\"> </a><a name=\"hcmedicationadministration-example-ach-pass1-vancomycin-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-medication-example-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.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-ach-pass1-vancomycin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; 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>15mg/kg</td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></td><td>15 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/kg = 'mg/kg')</span></td></tr></table></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
"value" : "1018888111"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
},
"medicationReference" : {
🔗 "reference" : "Medication/medication-example-vancomycin-15",
"display" : "vancomycin Injectable Solution 50MG"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"context" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"effectiveDateTime" : "2024-02-02T14:34:00-05:00",
"request" : {
🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-pass1-vancomycin"
},
"dosage" : {
"text" : "15mg/kg",
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route"
}
],
"text" : "IV"
},
"dose" : {
"value" : 15,
"unit" : "mg/kg",
"system" : "http://unitsofmeasure.org",
"code" : "mg/kg"
}
}
}
},
{
"fullUrl" : "http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass1-vancomycin",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medicationrequest-example-ach-pass1-vancomycin",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medicationrequest-example-ach-pass1-vancomycin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass1-vancomycin</b></p><a name=\"medicationrequest-example-ach-pass1-vancomycin\"> </a><a name=\"hcmedicationrequest-example-ach-pass1-vancomycin\"> </a><a name=\"hcmedicationrequest-example-ach-pass1-vancomycin-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811\u00a0(use:\u00a0usual,\u00a0)</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-vancomycin-15.html\">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.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-ach-ach-pass1.html\">Pass1 ACH(official) female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
"value" : "101888811"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
}
],
"medicationReference" : {
🔗 "reference" : "Medication/medication-example-vancomycin-15",
"display" : "vancomycin Injectable Solution 50MG"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"authoredOn" : "2024-02-02T13:43:00-05:00",
"requester" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1"
},
"dosageInstruction" : [
{
"text" : "15mg/kg every 12 hours",
"timing" : {
"repeat" : {
"period" : 12,
"periodUnit" : "h"
}
},
"asNeededBoolean" : false,
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route"
}
],
"text" : "IV"
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "Calculated"
}
],
"text" : "calculated"
},
"doseQuantity" : {
"value" : 15,
"unit" : "mg/kg",
"system" : "http://unitsofmeasure.org",
"code" : "mg/kg"
}
}
]
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Observation/observation-example-ach-pass1-blood",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-example-ach-pass1-blood",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-pass1-blood</b></p><a name=\"observation-example-ach-pass1-blood\"> </a><a name=\"hcobservation-example-ach-pass1-blood\"> </a><a name=\"hcobservation-example-ach-pass1-blood-en\"> </a><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-ach-pass1-blood.html\">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:12:00-0500</p><p><b>issued</b>: 2024-02-03 11:42:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 113962001}\">Staphylococcus capitis</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-ach-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Blood venous; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/servicerequest-example-ach-ach-pass1-blood"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "600-7",
"display" : "Bacteria identified in Blood by Culture"
}
],
"text" : "Bacteria identified in Blood by Culture"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"effectiveDateTime" : "2024-02-02T18:12:00-05:00",
"issued" : "2024-02-03T11:42:00-05:00",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "113962001",
"display" : "Staphylococcus capitis ss capitis (organism)"
}
],
"text" : "Staphylococcus capitis"
},
"specimen" : {
🔗 "reference" : "Specimen/specimen-example-ach-ach-pass1-blood"
}
}
},
{
"fullUrl" : "http://example.com/fhir/Observation/observation-example-ach-pass1-csf",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-example-ach-pass1-csf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-pass1-csf</b></p><a name=\"observation-example-ach-pass1-csf\"> </a><a name=\"hcobservation-example-ach-pass1-csf\"> </a><a name=\"hcobservation-example-ach-pass1-csf-en\"> </a><p><b>basedOn</b>: <a href=\"ServiceRequest-servicerequest-example-ach-ach-pass1-csf.html\">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 61402-4}\">Serratia marcescens DNA</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:13:00-0500</p><p><b>issued</b>: 2024-02-03 11:47:00-0500</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260373001}\">Detected (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-ach-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/servicerequest-example-ach-ach-pass1-csf"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61402-4",
"display" : "Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"
}
],
"text" : "Serratia marcescens DNA"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"effectiveDateTime" : "2024-02-02T18:13:00-05:00",
"issued" : "2024-02-03T11:47:00-05:00",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260373001",
"display" : "Detected (qualifier value)"
}
]
},
"specimen" : {
🔗 "reference" : "Specimen/specimen-example-ach-ach-pass1-csf"
}
}
},
{
"fullUrl" : "http://example.com/fhir/Observation/observation-example-ach-pass1-gestational-age",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-example-ach-pass1-gestational-age",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-pass1-gestational-age\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-pass1-gestational-age</b></p><a name=\"observation-example-ach-pass1-gestational-age\"> </a><a name=\"hcobservation-example-ach-pass1-gestational-age\"> </a><a name=\"hcobservation-example-ach-pass1-gestational-age-en\"> </a><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76516-4}\">Gestational age at birth</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 164 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "76516-4",
"display" : "Gestational age--at birth"
}
],
"text" : "Gestational age at birth"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"effectiveDateTime" : "2024-02-01T16:02:00-05:00",
"issued" : "2024-02-01T16:02:00-05:00",
"valueQuantity" : {
"value" : 164,
"unit" : "day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
},
{
"fullUrl" : "http://example.com/fhir/Observation/observation-example-ach-pass1-vitals-weight",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-example-ach-pass1-vitals-weight",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-example-ach-pass1-vitals-weight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-example-ach-pass1-vitals-weight</b></p><a name=\"observation-example-ach-pass1-vitals-weight\"> </a><a name=\"hcobservation-example-ach-pass1-vitals-weight\"> </a><a name=\"hcobservation-example-ach-pass1-vitals-weight-en\"> </a><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8339-4}\">Birth Weight</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 0.58 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8339-4",
"display" : "Birth weight Measured"
}
],
"text" : "Birth Weight"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"effectiveDateTime" : "2024-02-01T16:02:00-05:00",
"issued" : "2024-02-01T16:02:00-05:00",
"valueQuantity" : {
"value" : 0.58,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
}
},
{
"fullUrl" : "http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-central-line",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-example-ach-ach-pass1-central-line",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-ach-pass1-central-line\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass1-central-line</b></p><a name=\"procedure-example-ach-ach-pass1-central-line\"> </a><a name=\"hcprocedure-example-ach-ach-pass1-central-line\"> </a><a name=\"hcprocedure-example-ach-ach-pass1-central-line-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 312052002}\">Placement procedure (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:12:00-0500</p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value" : "1000510352"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "312052002",
"display" : "Placement procedure (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"performedDateTime" : "2024-02-02T18:12:00-05:00"
}
},
{
"fullUrl" : "http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-lumbar",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-example-ach-ach-pass1-lumbar",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-example-ach-ach-pass1-lumbar\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass1-lumbar</b></p><a name=\"procedure-example-ach-ach-pass1-lumbar\"> </a><a name=\"hcprocedure-example-ach-ach-pass1-lumbar\"> </a><a name=\"hcprocedure-example-ach-ach-pass1-lumbar-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/ICD10 009U3ZX}\">Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:56:00-0500</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
"value" : "1000510352"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://www.cms.gov/Medicare/Coding/ICD10",
"code" : "009U3ZX",
"display" : "Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"performedDateTime" : "2024-02-02T18:56:00-05:00",
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "272005",
"display" : "Structure of superior articular process of lumbar vertebra (body structure)"
}
],
"text" : "Structure of superior articular process of lumbar vertebra"
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-blood",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "servicerequest-example-ach-ach-pass1-blood",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-ach-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-blood</b></p><a name=\"servicerequest-example-ach-ach-pass1-blood\"> </a><a name=\"hcservicerequest-example-ach-ach-pass1-blood\"> </a><a name=\"hcservicerequest-example-ach-ach-pass1-blood-en\"> </a><p><b>identifier</b>: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: completed</p><p><b>intent</b>: original-order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 600-7}\">Bacteria identified in Blood by Culture</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:00-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-ach-pass1-blood.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Blood venous; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC",
"display" : "Placer Identifier"
}
],
"text" : "Placer Identifier"
},
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
"value" : "1019631821"
}
],
"status" : "completed",
"intent" : "original-order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108252007",
"display" : "Laboratory procedure"
}
],
"text" : "Laboratory procedure"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "600-7",
"display" : "Bacteria identified in Blood by Culture"
}
],
"text" : "Bacteria identified in Blood by Culture"
},
"quantityQuantity" : {
"value" : 1
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"occurrenceTiming" : {
"event" : [
"2024-02-02T17:22:00-05:00"
],
"repeat" : {
"count" : 1
},
"code" : {
"text" : "Once"
}
},
"authoredOn" : "2024-02-02T17:22:00-05:00",
"specimen" : [
{
🔗 "reference" : "Specimen/specimen-example-ach-ach-pass1-blood"
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-csf",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "servicerequest-example-ach-ach-pass1-csf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-example-ach-ach-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-csf</b></p><a name=\"servicerequest-example-ach-ach-pass1-csf\"> </a><a name=\"hcservicerequest-example-ach-ach-pass1-csf\"> </a><a name=\"hcservicerequest-example-ach-ach-pass1-csf-en\"> </a><p><b>identifier</b>: Placer Identifier/1019631822\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: completed</p><p><b>intent</b>: original-order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29584-0}\">Differential panel - Cerebral spinal fluid</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-example-ach-ach-pass1.html\">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:30-0500</p><p><b>specimen</b>: <a href=\"Specimen-specimen-example-ach-ach-pass1-csf.html\">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>"
},
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC",
"display" : "Placer Identifier"
}
],
"text" : "Placer Identifier"
},
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
"value" : "1019631822"
}
],
"status" : "completed",
"intent" : "original-order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108252007",
"display" : "Laboratory procedure"
}
],
"text" : "Laboratory procedure"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29584-0",
"display" : "Differential panel - Cerebral spinal fluid"
}
],
"text" : "Differential panel - Cerebral spinal fluid"
},
"quantityQuantity" : {
"value" : 1
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-example-ach-ach-pass1",
"display" : "Hospital Admission"
},
"occurrenceTiming" : {
"event" : [
"2024-02-02T17:22:30-05:00"
],
"repeat" : {
"count" : 1
},
"code" : {
"text" : "Once"
}
},
"authoredOn" : "2024-02-02T17:22:30-05:00",
"specimen" : [
{
🔗 "reference" : "Specimen/specimen-example-ach-ach-pass1-csf"
}
]
}
},
{
"fullUrl" : "http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-blood",
"resource" : {
"resourceType" : "Specimen",
"id" : "specimen-example-ach-ach-pass1-blood",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-ach-pass1-blood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass1-blood</b></p><a name=\"specimen-example-ach-ach-pass1-blood\"> </a><a name=\"hcspecimen-example-ach-ach-pass1-blood\"> </a><a name=\"hcspecimen-example-ach-ach-pass1-blood-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082901, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:41</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0487 BLDV}\">Blood venous</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-02 18:12:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 76853006}\">Heel structure</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value" : "C104082901",
"assigner" : {
"display" : "LIS"
}
},
{
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value" : "C10408290:41"
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0487",
"code" : "BLDV",
"display" : "Blood venous"
}
],
"text" : "Blood venous"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"receivedTime" : "2024-02-02T18:20:00-05:00",
"collection" : {
"collectedDateTime" : "2024-02-02T18:12:00-05:00",
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "76853006",
"display" : "Heel structure (body structure)"
}
],
"text" : "Heel structure"
}
}
}
},
{
"fullUrl" : "http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-csf",
"resource" : {
"resourceType" : "Specimen",
"id" : "specimen-example-ach-ach-pass1-csf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-example-ach-ach-pass1-csf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass1-csf</b></p><a name=\"specimen-example-ach-ach-pass1-csf\"> </a><a name=\"hcspecimen-example-ach-ach-pass1-csf\"> </a><a name=\"hcspecimen-example-ach-ach-pass1-csf-en\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0487 CSF}\">Cerebral spinal fluid</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-02-02 18:13:00-0500</td><td><span title=\"Codes:{http://snomed.info/sct 272005}\">Structure of superior articular process of lumbar vertebra</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
"value" : "C104082902",
"assigner" : {
"display" : "LIS"
}
},
{
"system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
"value" : "C10408290:42"
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0487",
"code" : "CSF",
"display" : "Cerebral spinal fluid"
}
],
"text" : "Cerebral spinal fluid"
},
"subject" : {
🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
"display" : "Pass1 ACH"
},
"receivedTime" : "2024-02-02T18:20:00-05:00",
"collection" : {
"collectedDateTime" : "2024-02-02T18:13:00-05:00",
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "272005",
"display" : "Structure of superior articular process of lumbar vertebra (body structure)"
}
],
"text" : "Structure of superior articular process of lumbar vertebra"
}
}
}
}
]
}
IG © 2024+ HL7 International / Public Health. Package hl7.fhir.us.nhsn-dqm#0.1.0-cibuild based on FHIR 4.0.1. Generated 2024-06-28
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