CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## : Example ACH Monthly Submission Subject Bundle 1 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-example-ach-monthly-subject-ach-pass1"/>
      <meta>
        <profile
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"/>
      </meta>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e1"/>
      </identifier>
      <type value="collection"/>
      <timestamp value="2024-02-05T21:04:29.481+00:00"/>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1"/>
        <resource>
          <MeasureReport>
            <id value="measurereport-example-individual-ach-monthly-pass1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-individual-ach-monthly-pass1"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass1</b></p><a name="measurereport-example-individual-ach-monthly-pass1"> </a><a name="hcmeasurereport-example-individual-ach-monthly-pass1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Coverage-coverage-example-ach-monthly-pass1.html">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass1.html">Condition Bacteremia (finding)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Device-device-example-ach-monthly-pass1-central-line.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass1-blood.html">Observation Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass1-csf.html">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass1-gestational-age.html">Observation Gestational age--at birth</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass1-vitals-weight.html">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Procedure-procedure-example-ach-monthly-pass1-central-line.html">Procedure Placement procedure (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Procedure-procedure-example-ach-monthly-pass1-lumbar.html">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-blood.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-csf.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass1</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href="Organization-organization-example-submitting-organization.html">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass1.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified</a></li><li><a href="Coverage-coverage-example-ach-monthly-pass1.html">Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing)</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass1.html">Condition Bacteremia (finding)</a></li><li><a href="Device-device-example-ach-monthly-pass1-central-line.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object)</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></li><li><a href="Observation-observation-example-ach-monthly-pass1-blood.html">Observation Bacteria identified in Blood by Culture</a></li><li><a href="Observation-observation-example-ach-monthly-pass1-csf.html">Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection</a></li><li><a href="Observation-observation-example-ach-monthly-pass1-gestational-age.html">Observation Gestational age--at birth</a></li><li><a href="Observation-observation-example-ach-monthly-pass1-vitals-weight.html">Observation Body weight</a></li><li><a href="Procedure-procedure-example-ach-monthly-pass1-central-line.html">Procedure Placement procedure (procedure)</a></li><li><a href="Procedure-procedure-example-ach-monthly-pass1-lumbar.html">Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html">ServiceRequest Bacteria identified in Blood by Culture</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html">ServiceRequest Differential panel - Cerebral spinal fluid</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass1-blood.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass1-csf.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></li></ul></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="cohort"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-minimal-patient"/>
                </extension>
                <reference value="Patient/patient-example-ach-monthly-pass1"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-encounter"/>
                </extension>
                <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-coverage"/>
                </extension>
                <reference value="Coverage/coverage-example-ach-monthly-pass1"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-condition"/>
                </extension>
                <reference
                           value="Condition/condition-example-diagnosis-ach-monthly-pass1"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-device"/>
                </extension>
                <reference
                           value="Device/device-example-ach-monthly-pass1-central-line"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-medication-administration"/>
                </extension>
                <reference
                           value="MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-medication-request"/>
                </extension>
                <reference
                           value="MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-observation-lab-category"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass1-blood"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-observation-lab-category"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass1-csf"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-observation-category"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass1-gestational-age"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-observation-vital-signs-category"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass1-vitals-weight"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-procedure"/>
                </extension>
                <reference
                           value="Procedure/procedure-example-ach-monthly-pass1-central-line"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-procedure"/>
                </extension>
                <reference
                           value="Procedure/procedure-example-ach-monthly-pass1-lumbar"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-service-request"/>
                </extension>
                <reference
                           value="ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-service-request"/>
                </extension>
                <reference
                           value="ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-specimen"/>
                </extension>
                <reference
                           value="Specimen/specimen-example-ach-monthly-pass1-blood"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-specimen"/>
                </extension>
                <reference
                           value="Specimen/specimen-example-ach-monthly-pass1-csf"/>
              </valueReference>
            </extension>
            <identifier>
              <system value="http://example.org/fhir/measurereport/id"/>
              <value value="123456789-pass1"/>
            </identifier>
            <status value="complete"/>
            <type value="individual"/>
            <measure
                     value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild"/>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
            </subject>
            <date value="2024-02-05T21:04:29.481+00:00"/>
            <reporter>🔗
              <reference
                         value="Organization/organization-example-submitting-organization"/>
            </reporter>
            <period>
              <start value="2024-01-05T00:00:00.000+00:00"/>
              <end value="2024-02-04T00:00:00.000+00:00"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
              </coding>
            </improvementNotation>
            <group>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
            </group>
            <evaluatedResource>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Coverage/coverage-example-ach-monthly-pass1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Condition/condition-example-diagnosis-ach-monthly-pass1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Device/device-example-ach-monthly-pass1-central-line"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass1-blood"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass1-csf"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass1-gestational-age"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass1-vitals-weight"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Procedure/procedure-example-ach-monthly-pass1-central-line"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Procedure/procedure-example-ach-monthly-pass1-lumbar"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass1-blood"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Specimen/specimen-example-ach-monthly-pass1-csf"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass1"/>
        <resource>
          <Patient>
            <id value="patient-example-ach-monthly-pass1"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ach-monthly-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-monthly-pass1</b></p><a name="patient-example-ach-monthly-pass1"> </a><a name="hcpatient-example-ach-monthly-pass1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cross-measure-patient.html">Cross-Measure Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 999-999-9999(Home)</li><li>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-US}">English (United States)</span></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-Kin">Next-of-Kin:</td><td colspan="3"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2135-2">Race &amp; Ethnicity - CDC 2135-2</a>: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9)."><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">M</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2054-5">Race &amp; Ethnicity - CDC 2054-5</a>: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></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="2054-5"/>
                  <display value="Black or African American"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Black or African American"/>
              </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="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"/>
                  <display value="Medical record number"/>
                </coding>
                <text value="MRN"/>
              </type>
              <system value="urn:oid:1.2.5.8.2.7"/>
              <value value="1601191901010308"/>
            </identifier>
            <active value="true"/>
            <name>
              <use value="official"/>
              <text value="Pass1 ACH"/>
              <family value="ACH"/>
              <given value="Pass1"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="999-999-9999"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="2024-02-01"/>
            <deceasedBoolean value="false"/>
            <address>
              <use value="home"/>
              <type value="both"/>
              <line value="456 Alphabet Street"/>
              <city value="Lansing"/>
              <district value="Ingham County"/>
              <state value="MI"/>
              <postalCode value="48864"/>
              <country value="US"/>
            </address>
            <contact>
              <relationship>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
                  <code value="N"/>
                  <display value="Next-of-Kin"/>
                </coding>
              </relationship>
              <name>
                <text value="Mom Parent"/>
                <family value="Parent"/>
                <given value="Mom"/>
              </name>
              <address>
                <line value="456 Alphabet Street"/>
                <city value="Lansing"/>
                <state value="MI"/>
                <postalCode value="48864"/>
              </address>
            </contact>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="en-US"/>
                  <display value="English (United States)"/>
                </coding>
              </language>
            </communication>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass1"/>
        <resource>
          <Encounter>
            <id value="encounter-example-ach-monthly-pass1"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-example-ach-monthly-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass1</b></p><a name="encounter-example-ach-monthly-pass1"> </a><a name="hcencounter-example-ach-monthly-pass1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-encounter.html">ACH Monthly Event Encounter</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE">ActCode ACUTE</a>: inpatient acute (version = 9.0.0 )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 32485007}">Hospital Admission</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>period</b>: 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm R50.9}">Fever</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-condition-example-diagnosis-ach-monthly-pass1.html">Thrombophlebitis</a></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/admit-source born}">Born in hospital</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}">Other</span></td></tr></table><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><a href="Location-location-example-ach-monthly-nicu-level-iii.html">ACH Monthly Neonatal critical care</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 16:02:00-0500 --&gt; 2024-02-02 16:02:00-0500</td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="10005104251"/>
            </identifier>
            <status value="in-progress"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <version value="9.0.0"/>
              <code value="ACUTE"/>
              <display value="inpatient acute"/>
            </class>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="32485007"/>
                <display value="Hospital admission (procedure)"/>
              </coding>
              <text value="Hospital Admission"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <period>
              <start value="2024-02-01T16:02:00-05:00"/>
              <end value="2024-02-04T19:00:00-05:00"/>
            </period>
            <reasonCode>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="R50.9"/>
                <display value="Fever, unspecified"/>
              </coding>
              <text value="Fever"/>
            </reasonCode>
            <diagnosis>
              <condition>🔗
                <reference
                           value="Condition/condition-example-diagnosis-ach-monthly-pass1"/>
                <display value="Thrombophlebitis"/>
              </condition>
            </diagnosis>
            <hospitalization>
              <admitSource>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/admit-source"/>
                  <code value="born"/>
                  <display value="Born in hospital"/>
                </coding>
                <text value="Born in hospital"/>
              </admitSource>
              <dischargeDisposition>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
                  <code value="oth"/>
                  <display value="Other"/>
                </coding>
                <text value="Other"/>
              </dischargeDisposition>
            </hospitalization>
            <location>
              <location>🔗
                <reference
                           value="Location/location-example-ach-monthly-nicu-level-iii"/>
                <display value="ACH Monthly Neonatal critical care"/>
              </location>
              <physicalType>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                  <code value="wa"/>
                  <display value="Ward"/>
                </coding>
              </physicalType>
              <period>
                <start value="2024-02-01T16:02:00-05:00"/>
                <end value="2024-02-02T16:02:00-05:00"/>
              </period>
            </location>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass1"/>
        <resource>
          <Coverage>
            <id value="coverage-example-ach-monthly-pass1"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-example-ach-monthly-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass1</b></p><a name="coverage-example-ach-monthly-pass1"> </a><a name="hccoverage-example-ach-monthly-pass1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-coverage.html">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/084536836</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}">subsidized health program</span></p><p><b>policyHolder</b>: <a href="http://example.org/fhir/RelatedPerson/exampleMom">Mom Parent</a></p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}">Child</span></p><p><b>period</b>: 2020-08-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href="http://example.org/fhir/Organization/Medicaid">Medicaid</a></p></div>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MB"/>
                  <display value="Member Number"/>
                </coding>
              </type>
              <system value="http://example.org/fhir/memberidentifier"/>
              <value value="084536836"/>
            </identifier>
            <status value="active"/>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <version value="9.0.0"/>
                <code value="SUBSIDIZ"/>
                <display value="subsidized health program"/>
              </coding>
            </type>
            <policyHolder>
              <reference
                         value="http://example.org/fhir/RelatedPerson/exampleMom"/>
              <display value="Mom Parent"/>
            </policyHolder>
            <subscriberId value="98435938934"/>
            <beneficiary>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
            </beneficiary>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
                <code value="child"/>
                <display value="Child"/>
              </coding>
              <text value="Child"/>
            </relationship>
            <period>
              <start value="2020-08-01"/>
            </period>
            <payor>
              <reference value="http://example.org/fhir/Organization/Medicaid"/>
              <display value="Medicaid"/>
            </payor>
          </Coverage>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass1"/>
        <resource>
          <Condition>
            <id value="condition-example-diagnosis-ach-monthly-pass1"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-monthly-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass1</b></p><a name="condition-example-diagnosis-ach-monthly-pass1"> </a><a name="hccondition-example-diagnosis-ach-monthly-pass1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-condition.html">ACH Monthly Event Condition</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 5758002}, {http://hl7.org/fhir/sid/icd-10-cm R78.81}">Bacteremia</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <version value="4.0.0"/>
                <code value="confirmed"/>
                <display value="Confirmed"/>
              </coding>
              <text value="Confirmed"/>
            </verificationStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="encounter-diagnosis"/>
                <display value="Encounter Diagnosis"/>
              </coding>
              <text value="Encounter Diagnosis"/>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="5758002"/>
                <display value="Bacteremia (finding)"/>
              </coding>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="R78.81"/>
                <display value="Bacteremia"/>
              </coding>
              <text value="Bacteremia"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass1-central-line"/>
        <resource>
          <Device>
            <id value="device-example-ach-monthly-pass1-central-line"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-ach-monthly-pass1-central-line"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-monthly-pass1-central-line</b></p><a name="device-example-ach-monthly-pass1-central-line"> </a><a name="hcdevice-example-ach-monthly-pass1-central-line"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-device.html">ACH Monthly Event Device</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510341 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 52124006}">Central venous catheter, device</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="1000510341"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="52124006"/>
                <display
                         value="Central venous catheter, device (physical object)"/>
              </coding>
              <text value="Central venous catheter, device"/>
            </type>
            <patient>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </patient>
          </Device>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass1-vancomycin"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medadmin-example-ach-monthly-pass1-vancomycin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass1-vancomycin</b></p><a name="medadmin-example-ach-monthly-pass1-vancomycin"> </a><a name="hcmedadmin-example-ach-monthly-pass1-vancomycin"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-medicationadministration.html">ACH Monthly Event MedicationAdministration</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-vancomycin-15.html">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 14:34:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>15mg/kg</td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>15 mg/kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/kg = 'mg/kg')</span></td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1018888111"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-vancomycin-15"/>
              <display value="vancomycin Injectable Solution 50MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <context>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-02T14:34:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"/>
            </request>
            <dosage>
              <text value="15mg/kg"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="15"/>
                <unit value="mg/kg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg/kg"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass1-vancomycin"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-monthly-pass1-vancomycin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass1-vancomycin</b></p><a name="medicationrequest-example-ach-monthly-pass1-vancomycin"> </a><a name="hcmedicationrequest-example-ach-monthly-pass1-vancomycin"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-medicationrequest.html">ACH Monthly Event MedicationRequest</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="Medication-medication-example-vancomycin-15.html">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-02 13:43:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 15mg/kg every 12 hours</p><p><b>timing</b>: Once per 12 hours</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 47625008}">IV</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}">calculated</span></td><td>15 mg/kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/kg = 'mg/kg')</span></td></tr></table></blockquote></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="101888811"/>
            </identifier>
            <status value="completed"/>
            <intent value="order"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient"/>
            </category>
            <reportedBoolean value="false"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-vancomycin-15"/>
              <display value="vancomycin Injectable Solution 50MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <authoredOn value="2024-02-02T13:43:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
            </requester>
            <dosageInstruction>
              <text value="15mg/kg every 12 hours"/>
              <timing>
                <repeat>
                  <period value="12"/>
                  <periodUnit value="h"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <doseAndRate>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                    <code value="calculated"/>
                    <display value="Calculated"/>
                  </coding>
                  <text value="calculated"/>
                </type>
                <doseQuantity>
                  <value value="15"/>
                  <unit value="mg/kg"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/kg"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-blood"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass1-blood"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-monthly-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-blood</b></p><a name="observation-example-ach-monthly-pass1-blood"> </a><a name="hcobservation-example-ach-monthly-pass1-blood"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-observation-lab.html">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-blood.html">ServiceRequest Bacteria identified in Blood by Culture</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 600-7}">Bacteria identified in Blood by Culture</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:12:00-0500</p><p><b>issued</b>: 2024-02-03 11:42:00-0500</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 113962001}">Staphylococcus capitis</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-blood.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"/>
            </basedOn>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
              <text value="Laboratory"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="600-7"/>
                <display value="Bacteria identified in Blood by Culture"/>
              </coding>
              <text value="Bacteria identified in Blood by Culture"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-02T18:12:00-05:00"/>
            <issued value="2024-02-03T11:42:00-05:00"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="113962001"/>
                <display value="Staphylococcus capitis ss capitis (organism)"/>
              </coding>
              <text value="Staphylococcus capitis"/>
            </valueCodeableConcept>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass1-blood"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-csf"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass1-csf"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-monthly-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-csf</b></p><a name="observation-example-ach-monthly-pass1-csf"> </a><a name="hcobservation-example-ach-monthly-pass1-csf"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-observation-lab.html">ACH Monthly Event Lab Result Observation</a></p></div><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass1-csf.html">ServiceRequest Differential panel - Cerebral spinal fluid</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 61402-4}">Serratia marcescens DNA</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 18:13:00-0500</p><p><b>issued</b>: 2024-02-03 11:47:00-0500</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 260373001}">Detected (qualifier value)</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-csf.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"/>
            </basedOn>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
              <text value="Laboratory"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="61402-4"/>
                <display
                         value="Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"/>
              </coding>
              <text value="Serratia marcescens DNA"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-02T18:13:00-05:00"/>
            <issued value="2024-02-03T11:47:00-05:00"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="260373001"/>
                <display value="Detected (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
            <specimen>🔗
              <reference value="Specimen/specimen-example-ach-monthly-pass1-csf"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-gestational-age"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass1-gestational-age"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-monthly-pass1-gestational-age"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-gestational-age</b></p><a name="observation-example-ach-monthly-pass1-gestational-age"> </a><a name="hcobservation-example-ach-monthly-pass1-gestational-age"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-observation.html">ACH Monthly Event Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 76516-4}">Gestational age at birth</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 164 day<span style="background: LightGoldenRodYellow"> (Details: UCUM  coded = 'd')</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="exam"/>
                <display value="exam"/>
              </coding>
              <text value="Exam"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="76516-4"/>
                <display value="Gestational age--at birth"/>
              </coding>
              <text value="Gestational age at birth"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T16:02:00-05:00"/>
            <issued value="2024-02-01T16:02:00-05:00"/>
            <valueQuantity>
              <value value="164"/>
              <unit value="day"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="d"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-vitals-weight"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass1-vitals-weight"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-monthly-pass1-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass1-vitals-weight</b></p><a name="observation-example-ach-monthly-pass1-vitals-weight"> </a><a name="hcobservation-example-ach-monthly-pass1-vitals-weight"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-observation-vitals.html">ACH Monthly Event Observation - Vital Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}">Weight</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 16:02:00-0500</p><p><b>issued</b>: 2024-02-01 16:02:00-0500</p><p><b>value</b>: 0.58 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
            </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/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T16:02:00-05:00"/>
            <issued value="2024-02-01T16:02:00-05:00"/>
            <valueQuantity>
              <value value="0.58"/>
              <unit value="kg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="kg"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-central-line"/>
        <resource>
          <Procedure>
            <id value="procedure-example-ach-monthly-pass1-central-line"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-monthly-pass1-central-line"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-central-line</b></p><a name="procedure-example-ach-monthly-pass1-central-line"> </a><a name="hcprocedure-example-ach-monthly-pass1-central-line"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-procedure.html">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 312052002}">Placement procedure (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:12:00-0500</p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="1000510352"/>
            </identifier>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="312052002"/>
                <display value="Placement procedure (procedure)"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <performedDateTime value="2024-02-02T18:12:00-05:00"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-lumbar"/>
        <resource>
          <Procedure>
            <id value="procedure-example-ach-monthly-pass1-lumbar"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-monthly-pass1-lumbar"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass1-lumbar</b></p><a name="procedure-example-ach-monthly-pass1-lumbar"> </a><a name="hcprocedure-example-ach-monthly-pass1-lumbar"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-procedure.html">ACH Monthly Event Procedure</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://www.cms.gov/Medicare/Coding/ICD10 009U3ZX}">Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:56:00-0500</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 272005}">Structure of superior articular process of lumbar vertebra</span></p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="1000510352"/>
            </identifier>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://www.cms.gov/Medicare/Coding/ICD10"/>
                <code value="009U3ZX"/>
                <display
                         value="Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <performedDateTime value="2024-02-02T18:56:00-05:00"/>
            <bodySite>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="272005"/>
                <display
                         value="Structure of superior articular process of lumbar vertebra (body structure)"/>
              </coding>
              <text
                    value="Structure of superior articular process of lumbar vertebra"/>
            </bodySite>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass1-blood"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-monthly-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-blood</b></p><a name="servicerequest-example-ach-monthly-pass1-blood"> </a><a name="hcservicerequest-example-ach-monthly-pass1-blood"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-servicerequest.html">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631821 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 600-7}">Bacteria identified in Blood by Culture</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:00-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-blood.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PLAC"/>
                  <display value="Placer Identifier"/>
                </coding>
                <text value="Placer Identifier"/>
              </type>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1019631821"/>
            </identifier>
            <status value="completed"/>
            <intent value="original-order"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="108252007"/>
                <display value="Laboratory procedure"/>
              </coding>
              <text value="Laboratory procedure"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="600-7"/>
                <display value="Bacteria identified in Blood by Culture"/>
              </coding>
              <text value="Bacteria identified in Blood by Culture"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-02-02T17:22:00-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-02-02T17:22:00-05:00"/>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass1-blood"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass1-csf"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-monthly-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-csf</b></p><a name="servicerequest-example-ach-monthly-pass1-csf"> </a><a name="hcservicerequest-example-ach-monthly-pass1-csf"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-servicerequest.html">ACH Monthly Event ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1019631822 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29584-0}">Differential panel - Cerebral spinal fluid</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass1.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 17:22:30-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-02 17:22:30-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass1-csf.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PLAC"/>
                  <display value="Placer Identifier"/>
                </coding>
                <text value="Placer Identifier"/>
              </type>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1019631822"/>
            </identifier>
            <status value="completed"/>
            <intent value="original-order"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="108252007"/>
                <display value="Laboratory procedure"/>
              </coding>
              <text value="Laboratory procedure"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29584-0"/>
                <display value="Differential panel - Cerebral spinal fluid"/>
              </coding>
              <text value="Differential panel - Cerebral spinal fluid"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-02-02T17:22:30-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-02-02T17:22:30-05:00"/>
            <specimen>🔗
              <reference value="Specimen/specimen-example-ach-monthly-pass1-csf"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-blood"/>
        <resource>
          <Specimen>
            <id value="specimen-example-ach-monthly-pass1-blood"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-monthly-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-blood</b></p><a name="specimen-example-ach-monthly-pass1-blood"> </a><a name="hcspecimen-example-ach-monthly-pass1-blood"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-specimen.html">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082901, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:41</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 122555007}">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-02 18:12:00-0500</td><td><span title="Codes:{http://snomed.info/sct 76853006}">Heel structure</span></td></tr></table></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
              <value value="C104082901"/>
              <assigner>
                <display value="LIS"/>
              </assigner>
            </identifier>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
              <value value="C10408290:41"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="122555007"/>
                <display value="Venous blood specimen (specimen)"/>
              </coding>
              <text value="Venous blood specimen (specimen)"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <receivedTime value="2024-02-02T18:20:00-05:00"/>
            <collection>
              <collectedDateTime value="2024-02-02T18:12:00-05:00"/>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="76853006"/>
                  <display value="Heel structure (body structure)"/>
                </coding>
                <text value="Heel structure"/>
              </bodySite>
            </collection>
          </Specimen>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-csf"/>
        <resource>
          <Specimen>
            <id value="specimen-example-ach-monthly-pass1-csf"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-monthly-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass1-csf</b></p><a name="specimen-example-ach-monthly-pass1-csf"> </a><a name="hcspecimen-example-ach-monthly-pass1-csf"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-specimen.html">ACH Monthly Event Specimen</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798.32</code>/C104082902, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:42</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 258450006}">Cerebrospinal fluid specimen (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-02 18:13:00-0500</td><td><span title="Codes:{http://snomed.info/sct 272005}">Structure of superior articular process of lumbar vertebra</span></td></tr></table></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
              <value value="C104082902"/>
              <assigner>
                <display value="LIS"/>
              </assigner>
            </identifier>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
              <value value="C10408290:42"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="258450006"/>
                <display value="Cerebrospinal fluid specimen (specimen)"/>
              </coding>
              <text value="Cerebrospinal fluid specimen (specimen)"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass1"/>
              <display value="Pass1 ACH"/>
            </subject>
            <receivedTime value="2024-02-02T18:20:00-05:00"/>
            <collection>
              <collectedDateTime value="2024-02-02T18:13:00-05:00"/>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="272005"/>
                  <display
                           value="Structure of superior articular process of lumbar vertebra (body structure)"/>
                </coding>
                <text
                      value="Structure of superior articular process of lumbar vertebra"/>
              </bodySite>
            </collection>
          </Specimen>
        </resource>
      </entry>
    </Bundle>