Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build
United States of America (USA)
Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build
United States of America (USA)
Clinical Quality Framework Common FHIR Assets (US-Based), published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cqf-us/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="tests-MBODA-example-new-therapy-bundle"/>
<type value="transaction"/>
<entry>
<fullUrl
value="https://www.hl7.org/fhir/us/qicore/MedicationRequest-negation-example.html"/>
<resource>
<MedicationRequest>
<id value="negation-example-new-therapy"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: negation-example</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: community <span style="background: LightGoldenRodYellow">(Details : {[not stated] code 'community' = 'community)</span></p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: Antithrombotic Therapy value set <span style="background: LightGoldenRodYellow">(Details : {[not stated] code 'null' = 'null)</span></p><p><b>subject</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>authoredOn</b>: Mar 26, 2015 12:32:52 AM</p><p><b>requester</b>: <a href="https://hl7.org/fhir/practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>reasonCode</b>: Drug treatment not indicated (situation) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '183966005' = 'Drug treatment not indicated', given as 'Drug treatment not indicated (situation)'})</span></p></div>
</text>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<code value="community"/>
</coding>
</category>
<doNotPerform value="true"/>
<medicationCodeableConcept>
<coding>
<extension
url="http://hl7.org/fhir/StructureDefinition/valueset-reference">
<valueUri
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201"/>
</extension>
</coding>
<text value="Antithrombotic Therapy value set"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
<authoredOn value="2015-03-25T19:32:52-05:00"/>
<requester>
<reference value="Practitioner/example-new-therapy"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="183966005"/>
<display value="Drug treatment not indicated (situation)"/>
</coding>
</reasonCode>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/negation-example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html"/>
<resource>
<MedicationRequest>
<id value="uscore-mo2-continued-therapy"/>
<meta>
<versionId value="1"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#Medication_uscore-med2-continued-therapy">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href="https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="Medication/uscore-med2-continued-therapy"/>
<display value="Nizatidine 15 MG/ML Oral Solution [Axid]"/>
</medicationReference>
<subject>
<reference value="Patient/example-new-therapy"/>
<display value="Amy Shaw"/>
</subject>
<authoredOn value="2009-04-05T00:00:00.000-00:00"/>
<requester>
<reference value="Practitioner/practitioner-1-continued-therapy"/>
<display value="Ronald Bone, MD"/>
</requester>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/uscore-mo2-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/organization.html"/>
<resource>
<Organization>
<id value="example-new-therapy"/>
<meta>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: ??</p><p><b>active</b>: true</p><p><b>type</b>: Organizational team <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'team' = 'Organizational team', given as 'Organizational team'})</span></p><p><b>name</b>: Health Level Seven International</p><p><b>telecom</b>: ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Ann Arbor MI 48104 USA </p></div>
</text>
<identifier>
<system value="http://hl7.org"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="team"/>
<display value="Organizational team"/>
</coding>
</type>
<name value="Health Level Seven International"/>
<telecom>
<system value="phone"/>
<value value="(+1) 734-677-7777"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="(+1) 734-677-6622"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hq@HL7.org"/>
</telecom>
<address>
<line value="3300 Washtenaw Avenue, Suite 227"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="48104"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="PUT"/>
<url value="Organization/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html"/>
<resource>
<MedicationRequest>
<id value="uscore-mo3-continued-therapy"/>
<meta>
<versionId value="2"/>
<profile value="https://build.fhir.org/medicationrequest.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#Medication_uscore-med2-continued-therapy">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href="https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="Medication/uscore-med2-continued-therapy"/>
<display value="Nizatidine 15 MG/ML Oral Solution [Axid]"/>
</medicationReference>
<subject>
<reference value="Patient/example-new-therapy"/>
<display value="Amy Shaw"/>
</subject>
<authoredOn value="2008-04-05T00:00:00.000-00:00"/>
<requester>
<reference value="Practitioner/practitioner-1-continued-therapy"/>
<display value="Ronald Bone, MD"/>
</requester>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/uscore-mo3-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/allergyintolerance.html"/>
<resource>
<AllergyIntolerance>
<id value="example-new-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-allergyintolerance.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>criticality</b>: high</p><p><b>code</b>: Cashew nuts <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>onset</b>: Jan 1, 2004 12:00:00 AM</p><p><b>recordedDate</b>: Oct 9, 2014 3:58:00 AM</p><p><b>recorder</b>: <a href="https://hl7.org/fhir/practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>asserter</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>lastOccurrence</b>: Jun 2, 2012 1:45:31 AM</p><p><b>note</b>: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.</p><blockquote><p><b>reaction</b></p><p><b>substance</b>: cashew nut allergenic extract Injectable Product <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})</span></p><p><b>manifestation</b>: Anaphylactic reaction <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: Jun 12, 2012 12:00:00 AM</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: Urticaria <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})</span></p><p><b>onset</b>: Jan 1, 2004 12:00:00 AM</p><p><b>severity</b>: moderate</p><p><b>note</b>: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.</p></blockquote></div>
</text>
<identifier>
<system value="http://acme.com/ids/patients/risks"/>
<value value="49476534"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<category value="food"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="227493005"/>
<display value="Cashew nuts"/>
</coding>
</code>
<patient>
<reference value="Patient/example-new-therapy"/>
</patient>
<onsetDateTime value="2004"/>
<recordedDate value="2014-10-09T14:58:00+11:00"/>
<recorder>
<reference value="Practitioner/example-new-therapy"/>
</recorder>
<asserter>
<reference value="Patient/example-new-therapy"/>
</asserter>
<lastOccurrence value="2012-06-02T01:45:31+00:00"/>
<note>
<text
value="The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."/>
</note>
<reaction>
<substance>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1160593"/>
<display
value="cashew nut allergenic extract Injectable Product"/>
</coding>
</substance>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39579001"/>
<display value="Anaphylactic reaction"/>
</coding>
</manifestation>
<description
value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/>
<onset value="2012-06-12"/>
<severity value="severe"/>
<exposureRoute>
<coding>
<system value="http://snomed.info/sct"/>
<code value="34206005"/>
<display value="Subcutaneous route"/>
</coding>
</exposureRoute>
</reaction>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64305001"/>
<display value="Urticaria"/>
</coding>
</manifestation>
<onset value="2004"/>
<severity value="moderate"/>
<note>
<text
value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/>
</note>
</reaction>
</AllergyIntolerance>
</resource>
<request>
<method value="PUT"/>
<url value="AllergyIntolerance/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/procedure.html"/>
<resource>
<Procedure>
<id value="example-new-therapy"/>
<meta>
<profile
value="https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-procedure.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_example-new-therapy"> </a><p class="res-header-id"><b>Generated Narrative: Procedure example-new-therapy</b></p><a name="example-new-therapy"> </a><a name="hcexample-new-therapy"> </a><a name="example-new-therapy-en-US"> </a><p><b>status</b>: Completed</p><p><b>subject</b>: <a href="Bundle-tests-MBODA-example-new-therapy-bundle.html#Patient_example-new-therapy">Bundle: type = transaction</a></p></div>
</text>
<status value="completed"/>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
</Procedure>
</resource>
<request>
<method value="PUT"/>
<url value="Procedure/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/encounter.html"/>
<resource>
<Encounter>
<id value="example-new-therapy"/>
<meta>
<versionId value="1"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-encounter.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: in-progress</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Inpatient Hospital Care <span style="background: LightGoldenRodYellow">(Details : {http://www.ama-assn.org/go/cpt code '99223' = '99223', given as 'Inpatient Hospital Care'})</span></p><p><b>subject</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Extension</b></td><td><b>Condition</b></td></tr><tr><td>*</td><td/><td><a href="https://hl7.org/fhir/us/qicore/Condition-appendicitis-example.html">Generated Summary: id: appendicitis-example; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span>; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span>; <span title="Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span>; <span title="Codes: {http://snomed.info/sct 24484000}">Severe (severity modifier)</span>; <span title="Codes: {http://snomed.info/sct 74400008}">Appendicitis</span>; <span title="Codes: {http://snomed.info/sct 66754008}">Appendix structure</span>; onset: May 24, 2012 12:00:00 AM; recordedDate: May 24, 2012 12:00:00 AM</a></td></tr></table></div>
</text>
<extension url="https://www.hl7.org/fhir/encounter.html">
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80146002"/>
<display value="Excision of appendix (procedure)"/>
</coding>
<text value="Excision of appendix (procedure)"/>
</valueCodeableConcept>
</extension>
<extension url="rank">
<valuePositiveInt value="1"/>
</extension>
<extension url="procedure">
<valueReference>
<reference value="Procedure/example-new-therapy"/>
</valueReference>
</extension>
</extension>
<status value="in-progress"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99223"/>
<display
value="Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."/>
</coding>
</type>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
<diagnosis>
<extension
url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission">
<valueCodeableConcept>
<coding>
<system
value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</extension>
<condition>
<reference
value="https://build.fhir.org/ig/HL7/fhir-qi-core//Condition-appendicitis-example.html"/>
</condition>
</diagnosis>
</Encounter>
</resource>
<request>
<method value="PUT"/>
<url value="Encounter/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html"/>
<resource>
<MedicationRequest>
<id
value="uscore-mo2-continued-therapy-with-dosage-continued-therapy"/>
<meta>
<versionId value="3"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#Medication_uscore-med2-continued-therapy">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href="https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="Medication/uscore-med2-continued-therapy"/>
<display value="Nizatidine 15 MG/ML Oral Solution [Axid]"/>
</medicationReference>
<subject>
<reference value="Patient/example-new-therapy"/>
<display value="Amy Shaw"/>
</subject>
<authoredOn value="2023-04-05T00:00:00.000-00:00"/>
<requester>
<reference value="Practitioner/practitioner-1-continued-therapy"/>
<display value="Ronald Bone, MD"/>
</requester>
<dosageInstruction>
<timing>
<repeat>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="447964005"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="5"/>
<unit value="ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ml"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<numberOfRepeatsAllowed value="1"/>
<quantity>
<value value="480"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</quantity>
<expectedSupplyDuration>
<value value="30"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url
value="MedicationRequest/uscore-mo2-continued-therapy-with-dosage-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/practitioner.html"/>
<resource>
<Practitioner>
<id value="practitioner-1-continued-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: practitioner-1-continued-therapy</p><p><b>meta</b>: </p><p><b>identifier</b>: 9941339108, 25456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="25456"/>
</identifier>
<name>
<family value="Bone"/>
<given value="Ronald"/>
<prefix value="Dr"/>
</name>
<address>
<use value="home"/>
<line value="1003 Healthcare Drive"/>
<city value="Amherst"/>
<state value="MA"/>
<postalCode value="01002"/>
</address>
</Practitioner>
</resource>
<request>
<method value="PUT"/>
<url value="Practitioner/practitioner-1-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/coverage.html"/>
<resource>
<Coverage>
<id value="example-new-therapy"/>
<meta>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-coverage.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 12345</p><p><b>status</b>: active</p><p><b>type</b>: Other Private Insurance <span style="background: LightGoldenRodYellow">(Details : {urn:oid:2.16.840.1.113883.3.221.5 code '59' = '59', given as 'Other Private Insurance'})</span></p><p><b>policyHolder</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>subscriber</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>beneficiary</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: self <span style="background: LightGoldenRodYellow">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>period</b>: May 23, 2011 12:00:00 AM --> May 23, 2012 12:00:00 AM</p><p><b>payor</b>: <a href="https://www.hl7.org/fhir/organization-example.html">Generated Summary: id: example; ??; active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>order</b>: 9</p></div>
</text>
<identifier>
<system value="http://benefitsinc.com/certificate"/>
<value value="12345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="urn:oid:2.16.840.1.113883.3.221.5"/>
<code value="59"/>
<display value="Other Private Insurance"/>
</coding>
</type>
<policyHolder>
<reference value="Patient/example-new-therapy"/>
</policyHolder>
<subscriber>
<reference value="Patient/example-new-therapy"/>
</subscriber>
<subscriberId value="subscriber-id-example-new-therapy"/>
<beneficiary>
<reference value="Patient/example-new-therapy"/>
</beneficiary>
<dependent value="0"/>
<relationship>
<coding>
<code value="self"/>
</coding>
</relationship>
<period>
<start value="2011-05-23"/>
<end value="2012-05-23"/>
</period>
<payor>
<reference value="Organization/example-new-therapy"/>
</payor>
<order value="9"/>
</Coverage>
</resource>
<request>
<method value="PUT"/>
<url value="Coverage/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/medication.html"/>
<resource>
<Medication>
<id value="uscore-med2-continued-therapy"/>
<meta>
<versionId value="1"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med2-continued-therapy</p><p><b>meta</b>: </p><p><b>code</b>: Nizatidine 15 MG/ML Oral Solution [Axid] <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '582620' = 'Nizatidine 15 MG/ML Oral Solution [Axid]', given as 'Nizatidine 15 MG/ML Oral Solution [Axid]'})</span></p></div>
</text>
<code>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="582620"/>
<display value="Nizatidine 15 MG/ML Oral Solution [Axid]"/>
</coding>
<text value="Nizatidine 15 MG/ML Oral Solution [Axid]"/>
</code>
</Medication>
</resource>
<request>
<method value="PUT"/>
<url value="Medication/uscore-med2-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/medication.html"/>
<resource>
<Medication>
<id value="uscore-med1-continued-therapy"/>
<meta>
<versionId value="2"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med1-continued-therapy</p><p><b>meta</b>: </p><p><b>code</b>: lisinopril oral 10 mg <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '206765' = 'Prinivil 10 MG Oral Tablet', given as 'Lisinopril 10 MG Oral Tablet [Prinivil]'})</span></p></div>
</text>
<code>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="206765"/>
<display value="Lisinopril 10 MG Oral Tablet [Prinivil]"/>
</coding>
<text value="lisinopril oral 10 mg"/>
</code>
</Medication>
</resource>
<request>
<method value="PUT"/>
<url value="Medication/uscore-med1-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/patient.html"/>
<resource>
<Practitioner>
<id value="example-new-therapy"/>
<meta>
<versionId value="1"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 23</p><p><b>active</b>: true</p><p><b>name</b>: Adam Careful </p><p><b>address</b>: 534 Erewhon St PleasantVille UT 84414 (HOME)</p><h3>Qualifications</h3><table class="grid"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td><td><b>Period</b></td><td><b>Issuer</b></td></tr><tr><td>*</td><td>12345</td><td>Bachelor of Science <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/v2-0360|2.7 code 'BS' = 'Bachelor of Science', given as 'Bachelor of Science'})</span></td><td>Jan 1, 1995 12:00:00 AM --> (ongoing)</td><td>Example University</td></tr></table></div>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<active value="true"/>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
<address>
<use value="home"/>
<line value="534 Erewhon St"/>
<city value="PleasantVille"/>
<state value="UT"/>
<postalCode value="84414"/>
</address>
<qualification>
<identifier>
<system value="http://example.org/UniversityIdentifier"/>
<value value="12345"/>
</identifier>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0360|2.7"/>
<code value="BS"/>
<display value="Bachelor of Science"/>
</coding>
<text value="Bachelor of Science"/>
</code>
<period>
<start value="1995"/>
</period>
<issuer>
<display value="Example University"/>
</issuer>
</qualification>
</Practitioner>
</resource>
<request>
<method value="PUT"/>
<url value="Practitioner/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/patient.html"/>
<resource>
<Patient>
<id value="example-new-therapy"/>
<meta>
<versionId value="2"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN)</p><p><b>telecom</b>: ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1974-12-25</p><p><b>deceased</b>: false</p><p><b>address</b>: 534 Erewhon St PeasantVille, Utah 84414(HOME)</p><h3>Contacts</h3><table class="grid"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td><td><b>Gender</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>Next-of-Kin <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/v2-0131 code 'N' = 'Next-of-Kin)</span></td><td>Bénédicte du Marché </td><td>ph: +33 (237) 998327</td><td>534 Erewhon St PleasantVille VT 3999 (HOME)</td><td>female</td><td>Jan 1, 2012 12:00:00 AM --> (ongoing)</td></tr></table><p><b>managingOrganization</b>: <a href="https://www.hl7.org/fhir/organization-example.html">Generated Summary: id: example; ??; active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1735-0"/>
<display value="Alaska Native"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="M"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:1.2.36.146.595.217.0.1"/>
<value value="12345"/>
<period>
<start value="2001-05-06"/>
</period>
<assigner>
<display value="Acme Healthcare"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Chalmers"/>
<given value="Peter"/>
<given value="James"/>
</name>
<name>
<use value="usual"/>
<family value="Chalmers"/>
<given value="Jim"/>
</name>
<name>
<use value="maiden"/>
<family value="Windsor"/>
<given value="Peter"/>
<given value="James"/>
<period>
<end value="2002"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="(03) 5555 6473"/>
<use value="work"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="(03) 3410 5613"/>
<use value="mobile"/>
<rank value="2"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="(03) 5555 8834"/>
<use value="old"/>
<period>
<end value="2014"/>
</period>
</telecom>
<gender value="male"/>
<birthDate value="1974-12-25">
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
<valueDateTime value="1974-12-25T14:35:45-05:00"/>
</extension>
</birthDate>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<type value="both"/>
<text value="534 Erewhon St PeasantVille, Utah 84414"/>
<line value="534 Erewhon St"/>
<city value="PleasantVille"/>
<district value="Rainbow"/>
<state value="UT"/>
<postalCode value="84414"/>
<period>
<start value="1974-12-25"/>
</period>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
</coding>
</relationship>
<name>
<family value="du Marché">
<extension
url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="VV"/>
</extension>
</family>
<given value="Bénédicte"/>
</name>
<telecom>
<system value="phone"/>
<value value="+33 (237) 998327"/>
</telecom>
<address>
<use value="home"/>
<type value="both"/>
<line value="534 Erewhon St"/>
<city value="PleasantVille"/>
<district value="Rainbow"/>
<state value="VT"/>
<postalCode value="3999"/>
<period>
<start value="1974-12-25"/>
</period>
</address>
<gender value="female"/>
<period>
<start value="2012"/>
</period>
</contact>
<managingOrganization>
<reference value="Organization/example-new-therapy"/>
</managingOrganization>
</Patient>
</resource>
<request>
<method value="PUT"/>
<url value="Patient/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-body-height.html"/>
<resource>
<Observation>
<id value="height-continued-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/StructureDefinition/bodyheight"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: height</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: height <span style="background: LightGoldenRodYellow">(Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'})</span></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>encounter</b>: GP Visit</p><p><b>effective</b>: 02/07/1999 12:00:00 AM</p><p><b>value</b>: 111.506 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM code cm = 'cm')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
<text value="height"/>
</code>
<subject>
<reference value="Patient/example-new-therapy"/>
<display value="Amy Shaw"/>
</subject>
<encounter>
<display value="GP Visit"/>
</encounter>
<effectiveDateTime value="1999-07-02"/>
<valueQuantity>
<value value="111.506"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="PUT"/>
<url value="Observation/height-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://hl7.org/fhir/us/core/STU5.0.1/MedicationRequest-self-tylenol.html"/>
<resource>
<MedicationRequest>
<id value="self-tylenol-continued-therapy"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: self-tylenol-continued-therapy</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>reported</b>: true</p><p><b>medication</b>: Tylenol PM Pill <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '1187314' = 'Tylenol PM Pill', given as 'Tylenol PM Pill'})</span></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>encounter</b>: <a href="https://hl7.org/fhir/us/core/2024Jan/Encounter-example-1.html">Office Visit. Generated Summary: id: example-1; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office Visit</span>; period: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM</a></p><p><b>authoredOn</b>: 24/06/2019 12:00:00 AM</p><p><b>requester</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">**self-prescribed**. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>dosageInstruction</b>: </p></div>
</text>
<identifier>
<use value="official"/>
<system value="http://acme.org/prescriptions"/>
<value value="12345689"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<reportedBoolean value="true"/>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1187314"/>
<display value="Tylenol PM Pill"/>
</coding>
<text value="Tylenol PM Pill"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/example"/>
<display value="Amy V. Shaw"/>
</subject>
<encounter>
<reference value="Encounter/example-1"/>
<display value="Office Visit"/>
</encounter>
<authoredOn value="2019-06-24"/>
<requester>
<reference value="Patient/example"/>
<display value="**self-prescribed**"/>
</requester>
<dosageInstruction>
<text
value="Takes 1-2 tablets once daily at bedtime as needed for restless legs"/>
</dosageInstruction>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/self-tylenol-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/encounter.html"/>
<resource>
<Encounter>
<id value="example-1"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2017-05-26T11:56:57.250-04:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-1</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit <span style="background: LightGoldenRodYellow">(Details : {http://www.ama-assn.org/go/cpt code '99201' = '99201)</span></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>period</b>: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM</p></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99202"/>
</coding>
<text value="Office Visit"/>
</type>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
<period>
<start value="2015-11-01T17:00:14-05:00"/>
<end value="2015-11-01T18:00:14-05:00"/>
</period>
</Encounter>
</resource>
<request>
<method value="PUT"/>
<url value="Encounter/example-1"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.hl7.org/fhir/dstu2/qicore/allergyintolerance-example-refuted.html"/>
<resource>
<AllergyIntolerance>
<id value="example-refuted-new-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-allergyintolerance.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-refuted</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Inactive <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'inactive' = 'Inactive)</span></p><p><b>verificationStatus</b>: Refuted <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'refuted' = 'Refuted)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>code</b>: Cashew nuts <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>recordedDate</b>: Oct 9, 2014 3:58:00 AM</p><p><b>recorder</b>: <a href="https://hl7.org/fhir/practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>asserter</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="MED"/>
<display value="Medical Status Altered"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://acme.com/ids/patients/risks"/>
<value value="49476534"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="inactive"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="refuted"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<category value="food"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="227493005"/>
<display value="Cashew nuts"/>
</coding>
</code>
<patient>
<reference value="Patient/example-new-therapy"/>
</patient>
<recordedDate value="2014-10-09T14:58:00+11:00"/>
<recorder>
<reference value="Practitioner/example-new-therapy"/>
</recorder>
<asserter>
<reference value="Patient/example-new-therapy"/>
</asserter>
</AllergyIntolerance>
</resource>
<request>
<method value="PUT"/>
<url value="AllergyIntolerance/example-refuted-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/condition.html"/>
<resource>
<Condition>
<id value="example-new-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
<profile
value="https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-condition-encounter-diagnosis.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span></p><p><b>category</b>: Problem List Item <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span></p><p><b>severity</b>: Severe (severity modifier) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '24484000' = 'Severe', given as 'Severe (severity modifier)'})</span></p><p><b>code</b>: Burnt Ear <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '39065001' = 'Burn of ear', given as 'Burn of ear'})</span></p><p><b>bodySite</b>: Left Ear <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '49521004' = 'Left external ear', given as 'Left external ear structure'})</span></p><p><b>subject</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a href="https://build.fhir.org/ig/HL7/fhir-qi-core//Encounter-encounter-ed-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99223}">Inpatient Hospital Care</span></a></p><p><b>onset</b>: May 24, 2012 12:00:00 AM</p><p><b>recordedDate</b>: May 24, 2012 12:00:00 AM</p><h3>Stages</h3><table class="grid"><tr><td>-</td><td><b>Summary</b></td></tr><tr><td>*</td><td>stage II <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '258219007' = 'Stage 2', given as 'stage II'})</span></td></tr></table></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="24484000"/>
<display value="Severe (severity modifier)"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39065001"/>
<display value="Burn of ear"/>
</coding>
<text value="Burnt Ear"/>
</code>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="49521004"/>
<display value="Left external ear structure"/>
</coding>
<text value="Left Ear"/>
</bodySite>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
<encounter>
<reference value="Encounter/example-new-therapy"/>
</encounter>
<onsetDateTime value="2012-05-24T00:00:00+00:00"/>
<recordedDate value="2012-05-24T00:00:00+00:00"/>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258219007"/>
<display value="stage II"/>
</coding>
</summary>
</stage>
</Condition>
</resource>
<request>
<method value="PUT"/>
<url value="Condition/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/medicationrequest.html"/>
<resource>
<MedicationRequest>
<id value="example-new-therapy"/>
<meta>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medicationrequest.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="Medication-example.html">Generated Summary: id: example; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1594660}">alemtuzumab 10 MG/ML [Lemtrada]</span>; <span title="Codes: {http://snomed.info/sct 385219001}">Conventional release solution for injection (dose form)</span></a></p><p><b>subject</b>: <a href="https://www.hl7.org/fhir/patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>authoredOn</b>: Mar 26, 2015 12:32:52 AM</p><p><b>requester</b>: <a href="https://hl7.org/fhir/practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>100 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</span></td></tr></table></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="Medication/example-new-therapy"/>
</medicationReference>
<subject>
<reference value="Patient/example-new-therapy"/>
</subject>
<authoredOn value="2015-03-25T19:32:52-05:00"/>
<requester>
<reference value="Practitioner/example-new-therapy"/>
</requester>
<dosageInstruction>
<timing>
<repeat>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="447964005"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="5"/>
<unit value="ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ml"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="100"/>
<unit value="ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ml"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/example-new-therapy"/>
</request>
</entry>
<entry>
<fullUrl
value="https://build.fhir.org/ig/HL7/cimi-vital-signs/StructureDefinition-body-weight-definitions.html"/>
<resource>
<Observation>
<id value="weight-continued-therapy"/>
<meta>
<profile
value="http://hl7.org/fhir/StructureDefinition/bodyweight"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: weight</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: weight <span style="background: LightGoldenRodYellow">(Details : {LOINC code '29463-7' = 'Body weight', given as 'Body Weight'})</span></p><p><b>subject</b>: <a href="https://hl7.org/fhir/us/core/Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>encounter</b>: GP Visit</p><p><b>effective</b>: 02/07/1999 12:00:00 AM</p><p><b>value</b>: 20.09414 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM code kg = 'kg')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body Weight"/>
</coding>
<text value="weight"/>
</code>
<subject>
<reference value="Patient/example-new-therapy"/>
<display value="Amy Shaw"/>
</subject>
<encounter>
<display value="GP Visit"/>
</encounter>
<effectiveDateTime value="1999-07-02"/>
<valueQuantity>
<value value="20.09414"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="PUT"/>
<url value="Observation/weight-continued-therapy"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/medication.html"/>
<resource>
<Medication>
<id value="example-new-therapy"/>
<meta>
<versionId value="3"/>
<profile
value="https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medication.html"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>code</b>: alemtuzumab 10 MG/ML [Lemtrada] <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'alemtuzumab 10 MG/ML [Lemtrada]'})</span></p><p><b>manufacturer</b>: unknown resource contained</p><p><b>form</b>: Conventional release solution for injection (dose form) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '385219001' = 'Solution for injection', given as 'Conventional release solution for injection (dose form)'})</span></p><h3>Ingredients</h3><table class="grid"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Alemtuzumab (substance) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '129472003' = 'Alemtuzumab', given as 'Alemtuzumab (substance)'})</span></td><td>12 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1.2 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></td></tr></table><h3>Batches</h3><table class="grid"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>May 22, 2017 12:00:00 AM</td></tr></table></div>
</text>
<contained>
<Organization>
<id value="org6"/>
<identifier>
<system value="http://example.org/identifier"/>
<value value="ORG-006"/>
</identifier>
<active value="true"/>
<name value="Genzyme"/>
<telecom>
<system value="url"/>
<value value="https://www.sanofigenzyme.com/"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<city value="Cambridge"/>
<state value="MA"/>
<country value="USA"/>
</address>
</Organization>
</contained>
<code>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1594660"/>
<display value="alemtuzumab 10 MG/ML [Lemtrada]"/>
</coding>
</code>
<manufacturer>
<reference value="#org6"/>
</manufacturer>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385219001"/>
<display
value="Conventional release solution for injection (dose form)"/>
</coding>
</form>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="129472003"/>
<display value="Alemtuzumab (substance)"/>
</coding>
</itemCodeableConcept>
<strength>
<numerator>
<value value="12"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="1.2"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</denominator>
</strength>
</ingredient>
<batch>
<lotNumber value="9494788"/>
<expirationDate value="2017-05-22"/>
</batch>
</Medication>
</resource>
<request>
<method value="PUT"/>
<url value="Medication/example-new-therapy"/>
</request>
</entry>
</Bundle>
IG © 2019+ Clinical Quality Framework. Package fhir.cqf.us.common#0.1.0 based on FHIR 4.0.1. Generated 2024-12-13
Links: Table of Contents |
QA Report
| Version History 
|