Full Submission Bundle Example 1 - National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide v1.0.0-ballot

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 1.0.0-ballot 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

Example Bundle: Full Submission Bundle Example 1

Generated Narrative: Bundle submission-full-example1

Bundle submission-full-example1 of type collection

Entry 1 - fullUrl = http://example.com/fhir/Organization/organization-example-submitting-organization

Resource Organization:

Generated Narrative: Organization organization-example-submitting-organization

identifier: https://www.cdc.gov/nhsn/OrgID/ExampleNHSNSubmitterOrgID
active: true
type: Healthcare Provider
name: Example NHSN Submitter
Contacts
- Telecom Address
* ph: 5555555551

Entry 2 - fullUrl = http://example.com/fhir/Device/device-example-submitting-device

Resource Device:

Generated Narrative: Device device-example-submitting-device

version
component: api
value: 0.9.0
version
component: api
value: 20230713.1
version
component: api
value: 3f9662a8
version
component: cqf-ruler
value: 0.13.0

Entry 3 - fullUrl = http://example.com/fhir/List/list-example-patients-of-interest

Resource List:

Generated Narrative: List list-example-patients-of-interest

Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Items
Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))

Entry 4 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-ach-subjectlist1

Resource MeasureReport:

Generated Narrative: MeasureReport measurereport-example-ach-subjectlist1

DEQM Measure Scoring Extension: Cohort
status: Complete
type: Subject List
measure: NHSN dQM Acute Care Hospital Initial Population
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000
group
Populations
- Code Count SubjectResults
* Initial Population 3 List for 'Unspecified List Type' for 'Unspecified Subject'

Entry 5 - fullUrl = http://example.com/fhir/Patient/patient-example-sameresultdiffday

Resource Patient:

Generated Narrative: Patient patient-example-sameresultdiffday

Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))
Active: true Deceased: false
Alt. Name: Sameresultdiffday Hypo(Official)
Contact Detail
ph: 999-999-9999(Home)
5678 Sesame Lansing MI 48864 US (old)
5678 Sesame Lansing MI 48864 US (home)
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Not Hispanic or Latino
US Core Birth Sex Extension M
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2106-3: White
text: White or Caucasian

Entry 6 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass1

Resource MeasureReport:

Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass1

DEQM Measure Scoring Extension: Cohort
identifier: http://example.org/fhir/measurereport/id/123456789-pass1
status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
- Code Count
* Initial Population 1
evaluatedResource: 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

Entry 7 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass1

Resource Patient:

Generated Narrative: Patient patient-example-ach-ach-pass1

Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
Active: true Deceased: false
Contact Detail
ph: 999-999-9999(Home)
456 Alphabet Street Lansing MI 48864 US (home)
Language: English (United States)
Next-of-Kin:
Mom Parent
456 Alphabet Street Lansing MI 48864
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino
text: Hispanic or Latino
US Core Birth Sex Extension M
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2054-5: Black or African American
text: Black or African American

Entry 8 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass1

Resource Encounter:

Generated Narrative: Encounter encounter-example-ach-ach-pass1

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104251 (use: usual, )
status: In Progress
class: inpatient acute
type: Hospital Admission
subject: Pass1 ACH
Diagnoses
- Condition
* No display for Encounter.diagnosis.condition (reference: ->Thrombophlebitis)
Locations
- Location Period
* ACH Neonatal critical care 2024-02-01 16:02:00-0500 --> 2024-02-02 16:02:00-0500

Entry 9 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass1

Resource Coverage:

Generated Narrative: Coverage coverage-example-ach-pass1

identifier: Member Number/084536836
status: Active
type: subsidized supplemental health program
policyHolder: Mom Parent
subscriberId: 98435938934
beneficiary: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
relationship: Child
period: 2020-08-01 --> (ongoing)

Entry 10 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass1

Resource Condition:

Generated Narrative: Condition condition-example-diagnosis-ach-pass1

clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Bacteremia
subject: Pass1 ACH

Entry 11 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass1-central-line

Resource Device:

Generated Narrative: Device device-example-ach-ach-pass1-central-line

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510341 (use: usual, )
type: Central venous catheter, device

Entry 12 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass1-vancomycin

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass1-vancomycin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888111 (use: usual, )
status: completed
category: Inpatient
subject: Pass1 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500
Dosages
- Text Route Dose
* 15mg/kg IV 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')

Entry 13 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass1-vancomycin

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass1-vancomycin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888811 (use: usual, )
status: Completed
intent: Order
category: Inpatient
subject: Pass1 ACH
encounter: Hospital Admission
authoredOn: 2024-02-02 13:43:00-0500
requester: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
dosageInstruction
text: 15mg/kg every 12 hours
timing: Once per 12 hours
route: IV
DoseAndRates
- Type Dose[x]
* calculated 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')

Entry 14 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-blood

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass1-blood

basedOn: ServiceRequest Bacteria identified in Blood by Culture
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:12:00-0500
issued: 2024-02-03 11:42:00-0500
performer: Practitioner Example Practitioner
value: Staphylococcus capitis
specimen: 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

Entry 15 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-csf

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass1-csf

basedOn: ServiceRequest Differential panel - Cerebral spinal fluid
status: Final
category: Laboratory
code: Serratia marcescens DNA
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:13:00-0500
issued: 2024-02-03 11:47:00-0500
performer: Practitioner Example Practitioner
value: Detected (qualifier value)
specimen: 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

Entry 16 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-gestational-age

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass1-gestational-age

status: Final
category: Laboratory
code: Gestational age at birth
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
performer: Practitioner Example Practitioner
value: 164 day (Details: UCUM coded = 'd')

Entry 17 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-vitals-weight

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass1-vitals-weight

status: Final
category: Vital Signs
code: Birth Weight
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
performer: Practitioner Example Practitioner
value: 0.58 kg (Details: UCUM codekg = 'kg')

Entry 18 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-central-line

Resource Procedure:

Generated Narrative: Procedure procedure-example-ach-ach-pass1-central-line

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352 (use: usual, )
status: Completed
code: Placement procedure (procedure)
subject: Pass1 ACH
encounter: Hospital Admission

Entry 19 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-lumbar

Resource Procedure:

Generated Narrative: Procedure procedure-example-ach-ach-pass1-lumbar

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352 (use: usual, )
status: Completed
code: Drainage of Spinal Canal, Percutaneous Approach, Diagnostic
subject: Pass1 ACH
encounter: Hospital Admission
bodySite: Structure of superior articular process of lumbar vertebra

Entry 20 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-blood

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-blood

identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Bacteria identified in Blood by Culture)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:00-0500
specimen: 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

Entry 21 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-csf

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-csf

identifier: Placer Identifier/1019631822 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Differential panel - Cerebral spinal fluid)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:30-0500
specimen: 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

Entry 22 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-blood

Resource Specimen:

Generated Narrative: Specimen specimen-example-ach-ach-pass1-blood

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
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
- Collected[x] BodySite
* 2024-02-02 18:12:00-0500 No display for Specimen.collection.bodySite (concept: Heel structure (body structure))

Entry 23 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-csf

Resource Specimen:

Generated Narrative: Specimen specimen-example-ach-ach-pass1-csf

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
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
- Collected[x] BodySite
* 2024-02-02 18:13:00-0500 No display for Specimen.collection.bodySite (concept: Structure of superior articular process of lumbar vertebra (body structure))

Entry 24 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass2

Resource MeasureReport:

Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass2

DEQM Measure Scoring Extension: Cohort
identifier: http://example.org/fhir/measurereport/id/123456789-pass2
status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
- Code Count
* Initial Population 1
evaluatedResource: 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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500

Entry 25 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass2

Resource Patient:

Generated Narrative: Patient patient-example-ach-ach-pass2

Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
Active: true Deceased: 2024-02-02 16:22:00-0500
Contact Detail
ph: 999-999-9999(Home)
123 Sesame Street Lansing Lansing MI 48864 US
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Non Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2106-3: White
text: White

Entry 26 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-emergency

Resource Encounter:

Generated Narrative: Encounter encounter-example-ach-ach-pass2-emergency

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252a (use: usual, )
status: In Progress
class: emergency
type: Emergency department patient visit
subject: Pass2 ACH
Diagnoses
- Condition
* No display for Encounter.diagnosis.condition (reference: ->Thrombophlebitis)
Locations
- Location Period
* ACH Emergency Department 2024-01-31 02:35:00-0500 --> 2024-02-01 01:02:00-0500

Entry 27 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-inpatient

Resource Encounter:

Generated Narrative: Encounter encounter-example-ach-ach-pass2-inpatient

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252b (use: usual, )
status: completed
class: inpatient encounter
type: Hospital Admission
subject: Pass2 ACH
Locations
- Location Period
* ACH Inpatient Hospital Ward 2024-02-01 01:02:00-0500 --> 2024-02-02 16:22:00-0500

Entry 28 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass2

Resource Coverage:

Generated Narrative: Coverage coverage-example-ach-pass2

identifier: Member Number/93565936
status: Active
type: health maintenance organization policy
subscriberId: 89345743
beneficiary: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
relationship: Self

Entry 29 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2-problem

Resource Condition:

Generated Narrative: Condition condition-example-diagnosis-ach-pass2-problem

clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus without complication
subject: Pass2 ACH

Entry 30 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2

Resource Condition:

Generated Narrative: Condition condition-example-diagnosis-ach-pass2

clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Thrombophlebitis
subject: Pass2 ACH

Entry 31 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass2-compress-hose

Resource Device:

Generated Narrative: Device device-example-ach-ach-pass2-compress-hose

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/100051034 (use: usual, )
type: Graduated compression elastic hosiery

Entry 32 - fullUrl = http://example.com/fhir/DiagnosticReport/diagnosticreport-example-ach-ach-pass2-radiology

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport diagnosticreport-example-ach-ach-pass2-radiology

ultrasonography of right lower limb (Radiology)
Subject Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
When For 2024-02-01 23:14:00-0500
Reported 2024-02-02 08:52:00-0500
Report Details
Coded Conclusions:
Deep venous thrombosis (disorder)

Entry 33 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-dex4

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-dex4

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888893 (use: usual, )
status: completed
category: Outpatient
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500
Dosages
- Text Route Dose
* 4 gm chewable tablet X1 Oral 4 g (Details: UCUM codeg = 'g')

Entry 34 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-1

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-1

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')

Entry 35 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-2

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-2

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')

Entry 36 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-1

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-1

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888942 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5

Entry 37 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-2

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-2

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888943 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4

Entry 38 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-3

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-3

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888944 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5

Entry 39 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-4

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-4

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888945 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
Dosages
- Text Site Route Dose
* Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4

Entry 40 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-dex4-tablet

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-dex4-tablet

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892 (use: usual, )
status: Active
intent: Plan
category: Outpatient
subject: Pass2 ACH
encounter: Emergency Encounter
authoredOn: 2024-01-31 04:46:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
text: 4 gm chewable tablet X1
timing: Once per 1 days
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 4 g (Details: UCUM codeg = 'g')

Entry 41 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-heparin

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-heparin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895 (use: usual, )
status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
text: 0.5 mL
timing: 2 per 1 days
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
- Dose[x]
* 5000 uL (Details: UCUM codeuL = 'uL')

Entry 42 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-insulin-lispro

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888894 (use: usual, )
status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
text: Give 5 units before breakfast
timing: Code , Once per 1 days
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
- Dose[x]
* 5
dosageInstruction
text: Give 4 units before dinner
timing: Code , Once per 1 days
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
- Dose[x]
* 4

Entry 43 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-metformin

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-metformin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892 (use: usual, )
status: Active
intent: Plan
category: Home Medication
subject: Pass2 ACH
encounter: Emergency Encounter
authoredOn: 2024-01-31 04:22:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
recorder: Patient Identified
dosageInstruction
text: 1000 mg tablet by mouth twice daily
timing: 2 per 1 days
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 1000 mg (Details: UCUM codemg = 'mg')

Entry 44 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-aptt

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-aptt

basedOn: ServiceRequest aPTT in Blood by Coagulation assay
status: Final
category: Laboratory
code: aPTT
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
performer: Practitioner Example Practitioner
value: 8 s (Details: UCUM codes = 's')
specimen: 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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500

Entry 45 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-poc-1

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-poc-1

basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:02:00-0500
performer: Practitioner Example Practitioner
value: 53 d/gL (Details: UCUM codeg/dL = 'g/dL')

Entry 46 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-poc-2

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-poc-2

basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 10:14:00-0500
issued: 2024-02-02 10:15:00-0500
performer: Practitioner Example Practitioner
value: 105 d/gL (Details: UCUM codeg/dL = 'g/dL')

Entry 47 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-hemo-a1c

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-hemo-a1c

basedOn: ServiceRequest Hemoglobin A1c [Mass/volume] in Blood
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:52:00-0500
performer: Practitioner Example Practitioner
value: 7.5 % (Details: UCUM code% = '%')
specimen: 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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500

Entry 48 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-hemo

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-hemo

basedOn: ServiceRequest Hemoglobin [Mass/volume] in Venous blood
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
performer: Practitioner Example Practitioner
value: 8 d/gL (Details: UCUM codeg/dL = 'g/dL')
specimen: 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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500

Entry 49 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-vitals-weight

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass2-vitals-weight

status: Final
category: Vital Signs
code: Weight
subject: Pass2 ACH
encounter: Emergency Encounter
effective: 2024-01-31 01:42:00-0500
issued: 2024-01-31 01:42:00-0500
performer: Practitioner Example Practitioner
value: 113.4 kg (Details: UCUM codekg = 'kg')

Entry 50 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass2-ivcf

Resource Procedure:

Generated Narrative: Procedure procedure-example-ach-ach-pass2-ivcf

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005103526 (use: usual, )
status: Completed
code: Percutaneous insertion of inferior vena cava filter (procedure)
subject: Pass2 ACH
encounter: Hospital Admission

Entry 51 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-aptt

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-aptt

identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: aPTT in Blood by Coagulation assay)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
specimen: 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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500

Entry 52 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-glucose

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-glucose

identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Glucose [Mass/volume] in Capillary blood by Glucometer)
quantity: 2
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Count 2 times, Once per 1 days
authoredOn: 2024-01-31 22:21:00-0500

Entry 53 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo-a1c

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo-a1c

identifier: Placer Identifier/1019631823 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Hemoglobin A1c [Mass/volume] in Blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
specimen: 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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500

Entry 54 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo

identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: Hemoglobin [Mass/volume] in Venous blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 11:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 11:22:00-0500
specimen: 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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500

Entry 55 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-1

Resource Specimen:

Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-1

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: Blood venous
subject: Pass1 ACH
receivedTime: 2024-01-31 22:50:00-0500
Collections
- Collected[x] BodySite
* 2024-01-31 22:42:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))

Entry 56 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-2

Resource Specimen:

Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-2

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: Blood venous
subject: Pass1 ACH
receivedTime: 2024-02-02 11:26:00-0500
Collections
- Collected[x] BodySite
* 2024-02-02 11:24:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))

Entry 57 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass3

Resource MeasureReport:

Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass3

DEQM Measure Scoring Extension: Cohort
identifier: http://example.org/fhir/measurereport/id/123456789-pass3
status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
- Code Count
* Initial Population 1
evaluatedResource: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500

Entry 58 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass3

Resource Patient:

Generated Narrative: Patient patient-example-ach-ach-pass3

Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
Active: true
Contact Detail
ACHtestcase@testcase.com
5678 Sesame Lansing Lansing MI 48864 US
Language: Chinese
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Non Hispanic or Latino
US Core Birth Sex Extension M
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2028-9: Asian
text: White

Entry 59 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-acute

Resource Encounter:

Generated Narrative: Encounter encounter-example-ach-ach-pass3-acute

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a (use: usual, )
status: completed
class: inpatient acute
type: Critical care visit
subject: Pass3 ACH
Locations
- Location Period
* ACH Medical Critical Care 2024-02-02 16:43:00-0500 --> 2024-03-02 19:58:00-0500

Entry 60 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-short-stay

Resource Encounter:

Generated Narrative: Encounter encounter-example-ach-ach-pass3-short-stay

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a (use: usual, )
status: In Progress
class: short stay
type: Hospital Admission, Elective Procedure
subject: Pass3 ACH
Diagnoses
- Condition
* No display for Encounter.diagnosis.condition (reference: ->Enterocolitis due to Clostridium difficile)
Locations
- Location Period
* ACH Medical-Surgical Ward 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500

Entry 61 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass3

Resource Coverage:

Generated Narrative: Coverage coverage-example-ach-pass3

identifier: Member Number/0945345
status: Active
type: preferred provider organization policy
subscriberId: 7843574536
beneficiary: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
relationship: Self

Entry 62 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3-problem

Resource Condition:

Generated Narrative: Condition condition-example-diagnosis-ach-pass3-problem

clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Acute sinusitis
subject: Pass3 ACH
onset: 2024-01-21 07:32:00-0500
abatement: 2024-02-02 16:43:00-0500

Entry 63 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3

Resource Condition:

Generated Narrative: Condition condition-example-diagnosis-ach-pass3

clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Enterocolitis due to Clostridium difficile
subject: Pass3 ACH

Entry 64 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass3-ivcs-pump

Resource Device:

Generated Narrative: Device device-example-ach-ach-pass3-ivcs-pump

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/100051035 (use: usual, )
type: Intermittent venous compression system pump

Entry 65 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-enoxaparin

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-enoxaparin

QICore Not Done Recorded: 2024-02-02 21:04:00-0500
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888833 (use: usual, )
status: not-done
statusReason: Drug declined by patient - reason unknown (situation)
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500
Dosages
- Text Site Route Dose
* 0.4ml subcutaneous once daily in abdomen Subcutaneous tissue structure of anterior abdominal wall (body structure) Oral 4000 uL (Details: UCUM codeuL = 'uL')

Entry 66 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-1

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-1

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888321 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500
Dosages
- Text Route Dose
* 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')

Entry 67 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-2

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-2

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888322 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500
Dosages
- Text Route Dose
* 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')

Entry 68 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-3

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-3

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888323 (use: usual, )
status: completed
category: Inpatient Medication
subject: Pass2 ACH
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500
Dosages
- Text Route Dose
* 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')

Entry 69 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-cipro

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-cipro

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892 (use: usual, )
status: Active
intent: Plan
category: Home Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 19:15:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
recorder: Patient Identified
dosageInstruction
text: 500mg tablet by mouth twice daily
timing: 2 per 1 days
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 500 mg (Details: UCUM codemg = 'mg')

Entry 70 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-enoxaparin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888833 (use: usual, )
status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Critical care visit
authoredOn: 2024-02-02 12:21:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
dosageInstruction
text: 0.4ml subcutaneous once daily in abdomen
timing: Once per 1 days
site: Subcutaneous tissue structure of anterior abdominal wall (body structure)
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 4000 uL (Details: UCUM codeuL = 'uL')

Entry 71 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-metronidazole

Resource MedicationRequest:

Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-metronidazole

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888832 (use: usual, )
status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 20:33:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
dosageInstruction
text: 5mg tablet by mouth twice daily
timing: 2 per 1 days
route: Oral
DoseAndRates
- Type Dose[x]
* calculated 5 mg (Details: UCUM codemg = 'mg')

Entry 72 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-cdiff

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass3-cdiff

basedOn: ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay
status: Final
category: Laboratory
code: C. Diff.
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
effective: 2024-02-01 19:02:00-0500
issued: 2024-02-02 15:30:00-0500
performer: Practitioner Example Practitioner
value: Positive (qualifier value)
specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500

Entry 73 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-height

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass3-vitals-height

status: Final
category: Vital Signs
code: Height
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
performer: Practitioner Example Practitioner
value: 176.8 cm (Details: UCUM codecm = 'cm')

Entry 74 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-weight

Resource Observation:

Generated Narrative: Observation observation-example-ach-pass3-vitals-weight

status: Final
category: Vital Signs
code: Weight
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
performer: Practitioner Example Practitioner
value: 54.4 kg (Details: UCUM codekg = 'kg')

Entry 75 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass3-transfusion

Resource Procedure:

Generated Narrative: Procedure procedure-example-ach-ach-pass3-transfusion

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/100051035264 (use: usual, )
status: Completed
code: Transfusion of red blood cells (procedure)
subject: Pass3 ACH
encounter: Critical care visit

Entry 76 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass3-cdiff

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass3-cdiff

identifier: Placer Identifier/1019631826 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Clostridioides difficile toxin A [Presence] in Stool by Immunoassay)
quantity: 1
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
occurrence: Code , Events: 2024-02-01 18:12:00-0500 , Count 1 times, Once
authoredOn: 2024-02-01 18:12:00-0500
specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500

Entry 77 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass3-stool

Resource Specimen:

Generated Narrative: Specimen specimen-example-ach-ach-pass3-stool

identifier: urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082905, urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:45
type: Bloody stool
subject: Pass3 ACH
receivedTime: 2024-02-01 19:12:00-0500
Collections
- Collected[x] BodySite
* 2024-02-01 19:02:00-0500 No display for Specimen.collection.bodySite (concept: Entire rectum (body structure))

Entry 78 - fullUrl = http://example.com/fhir/Medication/medication-example-vancomycin-15

Resource Medication:

Generated Narrative: Medication medication-example-vancomycin-15

code: Vancomycin Injectable Solution
status: Active

Entry 79 - fullUrl = http://example.com/fhir/Medication/medication-example-dex4-tablet

Resource Medication:

Generated Narrative: Medication medication-example-dex4-tablet

code: metformin hydrochloride 1000 MG
status: Active

Entry 80 - fullUrl = http://example.com/fhir/Medication/medication-example-heparin

Resource Medication:

Generated Narrative: Medication medication-example-heparin

code: 0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe
status: Active

Entry 81 - fullUrl = http://example.com/fhir/Medication/medication-example-insulin-lispro

Resource Medication:

Generated Narrative: Medication medication-example-insulin-lispro

code: insulin lispro
status: Active

Entry 82 - fullUrl = http://example.com/fhir/Medication/medication-example-metformin-1000

Resource Medication:

Generated Narrative: Medication medication-example-metformin-1000

code: Metformin hydrochloride 1000 MG
status: Active

Entry 83 - fullUrl = http://example.com/fhir/Medication/medication-example-metronidazole

Resource Medication:

Generated Narrative: Medication medication-example-metronidazole

code: Metronidazole 500 MG
status: Active

Entry 84 - fullUrl = http://example.com/fhir/Medication/medication-example-cipro-500

Resource Medication:

Generated Narrative: Medication medication-example-cipro-500

code: Ciprofloxacin 500 MG
status: Active

Entry 85 - fullUrl = http://example.com/fhir/Medication/medication-example-enoxaparin

Resource Medication:

Generated Narrative: Medication medication-example-enoxaparin

code: Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe
status: Active

Entry 86 - fullUrl = http://example.com/fhir/Location/location-example-ach-nicu-level-iii

Resource Location:

Generated Narrative: Location location-example-ach-nicu-level-iii

identifier: http://www.example.org/location/2933
name: ACH Neonatal critical care
description:
ACH Neonatal critical care

type: Neonatal Critical Care (Level III)

Entry 87 - fullUrl = http://example.com/fhir/Location/location-example-ach-emergency

Resource Location:

Generated Narrative: Location location-example-ach-emergency

identifier: http://www.example.org/location/2934
status: Active
name: ACH Emergency Department
description:
ACH Emergency Department

type: Emergency Department

Entry 88 - fullUrl = http://example.com/fhir/Location/location-example-ach-inpatient

Resource Location:

Generated Narrative: Location location-example-ach-inpatient

identifier: http://www.example.org/location/2935
status: Active
name: ACH Inpatient Hospital Ward
description:
ACH Inpatient Hospital Ward

type: Medical ward

Entry 89 - fullUrl = http://example.com/fhir/Location/location-example-ach-crit

Resource Location:

Generated Narrative: Location location-example-ach-crit

identifier: http://www.example.org/location/2936
status: Active
name: ACH Medical Critical Care
description:
ACH Medical Critical Care

type: Medical Critical Care

Entry 90 - fullUrl = http://example.com/fhir/Location/location-example-ach-medsurg

Resource Location:

Generated Narrative: Location location-example-ach-medsurg

identifier: http://www.example.org/location/2935
status: Active
name: ACH Medical-Surgical Ward
description:
ACH Medical-Surgical Ward

type: Medical-Surgical Ward

Entry 91 - fullUrl = http://example.com/fhir/List/list-example-ach-individual-measurereport-list

Resource List:

Generated Narrative: List list-example-ach-individual-measurereport-list

Mode: Snapshot List Status: Current
Items
MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement

Entry 92 - fullUrl = http://example.com/fhir/Practitioner/practitioner-example

Resource Practitioner:

Generated Narrative: Practitioner practitioner-example

identifier: United States National Provider Identifier/9941339100
name: Example Practitioner

Date: 2021-07-28 00:00:00+0000	Mode: Change List	Status: Current