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
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• JSON

: MedicationAdministration - Example ACH Pass3 Enoxaparin - XML Representation

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<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="medicationadministration-example-ach-pass3-enoxaparin"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdone"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>QICore Not Done Recorded</b>: 2024-02-02 21:04:00-0500</p><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833 (use: usual, )</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 (use: usual, ); 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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
    <valueDateTime value="2024-02-02T21:04:00-05:00"/>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
    <value value="101888833"/>
  </identifier>
  <status value="not-done"/>
  <statusReason>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="182903008"/>
      <display value="Drug declined by patient - reason unknown (situation)"/>
    </coding>
  </statusReason>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
      <code value="inpatient"/>
      <display value="Inpatient"/>
    </coding>
    <text value="Inpatient Medication"/>
  </category>
  <medicationCodeableConcept>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="854235"/>
      <display value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
    </coding>
    <text value="Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe"/>
  </medicationCodeableConcept>
  <subject>🔗 
    <reference value="Patient/patient-example-ach-ach-pass3"/>
    <display value="Pass2 ACH"/>
  </subject>
  <context>🔗 
    <reference value="Encounter/encounter-example-ach-ach-pass3-acute"/>
    <display value="Critical care visit"/>
  </context>
  <effectiveDateTime value="2024-02-02T21:04:00-05:00"/>
  <request>🔗 
    <reference
               value="MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin"/>
  </request>
  <dosage>
    <text value="0.4ml subcutaneous once daily in abdomen"/>
    <site>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="42972002"/>
        <display
                 value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
      </coding>
    </site>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="26643006"/>
        <display value="Oral Use"/>
      </coding>
      <text value="Oral"/>
    </route>
    <dose>
      <value value="4000"/>
      <unit value="uL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="uL"/>
    </dose>
  </dosage>
</MedicationAdministration>