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

• Narrative Content
• XML
• JSON

: MedicationAdministration - Example ACH Pass3 Enoxaparin - JSON Representation

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{
  "resourceType" : "MedicationAdministration",
  "id" : "medicationadministration-example-ach-pass3-enoxaparin",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdone"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-enoxaparin</b></p><a name=\"medicationadministration-example-ach-pass3-enoxaparin\"> </a><a name=\"hcmedicationadministration-example-ach-pass3-enoxaparin\"> </a><a name=\"medicationadministration-example-ach-pass3-enoxaparin-en-US\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 182903008}\">Drug declined by patient - reason unknown (situation)</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient Medication</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 854235}\">Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass3.html\">Pass2 ACH</a></p><p><b>context</b>: <a href=\"Encounter-encounter-example-ach-ach-pass3-acute.html\">Critical care visit</a></p><p><b>effective</b>: 2024-02-02 21:04:00-0500</p><p><b>request</b>: <a href=\"MedicationRequest-medicationrequest-example-ach-pass3-enoxaparin.html\">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833\u00a0(use:\u00a0usual,\u00a0); status = active; intent = order; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title=\"Codes:{http://snomed.info/sct 42972002}\">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral</span></td><td>4000 uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded",
      "valueDateTime" : "2024-02-02T21:04:00-05:00"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
      "value" : "101888833"
    }
  ],
  "status" : "not-done",
  "statusReason" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "182903008",
          "display" : "Drug declined by patient - reason unknown (situation)"
        }
      ]
    }
  ],
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
        "code" : "inpatient",
        "display" : "Inpatient"
      }
    ],
    "text" : "Inpatient Medication"
  },
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code" : "854235",
        "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
      }
    ],
    "text" : "Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe"
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-example-ach-ach-pass3",
    "display" : "Pass2 ACH"
  },
  "context" : {
    🔗 "reference" : "Encounter/encounter-example-ach-ach-pass3-acute",
    "display" : "Critical care visit"
  },
  "effectiveDateTime" : "2024-02-02T21:04:00-05:00",
  "request" : {
    🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin"
  },
  "dosage" : {
    "text" : "0.4ml subcutaneous once daily in abdomen",
    "site" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "42972002",
          "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
        }
      ]
    },
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "26643006",
          "display" : "Oral Use"
        }
      ],
      "text" : "Oral"
    },
    "dose" : {
      "value" : 4000,
      "unit" : "uL",
      "system" : "http://unitsofmeasure.org",
      "code" : "uL"
    }
  }
}