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

## : Full ACH Monthly Measure Submission Bundle - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="submission-full-example1"/>
      <meta>
        <profile
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle"/>
      </meta>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9"/>
      </identifier>
      <type value="collection"/>
      <timestamp value="2022-11-15T21:04:29.481+00:00"/>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization"/>
        <resource>
          <Organization>
            <id value="organization-example-submitting-organization"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-example-submitting-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name="organization-example-submitting-organization"> </a><a name="hcorganization-example-submitting-organization"> </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-nhsn-submitting-organization.html">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>
            </text>
            <identifier>
              <system value="https://www.cdc.gov/nhsn/OrgID"/>
              <value value="ExampleNHSNSubmitterOrgID"/>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
            </type>
            <name value="Example NHSN Submitter"/>
            <telecom>
              <system value="phone"/>
              <value value="5555555551"/>
              <rank value="1"/>
            </telecom>
            <address>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                <valueCode value="unknown"/>
              </extension>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Device/device-example-submitting-device"/>
        <resource>
          <Device>
            <id value="device-example-submitting-device"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-submitting-device"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name="device-example-submitting-device"> </a><a name="hcdevice-example-submitting-device"> </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-nhsn-submitting-device.html">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>
            </text>
            <deviceName>
              <name value="NHSN Link"/>
              <type value="model-name"/>
            </deviceName>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="0.9.0"/>
            </version>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="20230713.1"/>
            </version>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="3f9662a8"/>
            </version>
            <version>
              <component>
                <value value="cqf-ruler"/>
              </component>
              <value value="0.13.0"/>
            </version>
          </Device>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest"/>
        <resource>
          <List>
            <id value="list-example-ach-monthly-patients-of-interest"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_list-example-ach-monthly-patients-of-interest"> </a><p class="res-header-id"><b>Generated Narrative: List list-example-ach-monthly-patients-of-interest</b></p><a name="list-example-ach-monthly-patients-of-interest"> </a><a name="hclist-example-ach-monthly-patients-of-interest"> </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-poi-list.html">Patients-Of-Interest List</a></p></div><table class="clstu"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></td></tr></table></div>
            </text>
            <extension
                       url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension">
              <valuePeriod>
                <start value="2021-07-28T00:00:00Z"/>
                <end value="2021-08-28T00:00:00Z"/>
              </valuePeriod>
            </extension>
            <identifier>
              <system value="https://nhsnlink.org"/>
              <value value="NHSNdQMAcuteCareHospitalMonthlyInitialPopulation"/>
            </identifier>
            <status value="current"/>
            <mode value="changes"/>
            <date value="2021-07-28T00:00:00Z"/>
            <entry>
              <item>🔗
                <reference value="Patient/patient-example-ach-monthly-pass1"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference value="Patient/patient-example-ach-monthly-pass2"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference value="Patient/patient-example-ach-monthly-pass3"/>
              </item>
            </entry>
          </List>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1"/>
        <resource>
          <MeasureReport>
            <id value="measurereport-example-ach-monthly-subjectlist1"/>
            <meta>
              <extension
                         url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension">
                <valueDateTime value="2023-05-23T06:07:08Z"/>
              </extension>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-ach-monthly-subjectlist1"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-ach-monthly-subjectlist1</b></p><a name="measurereport-example-ach-monthly-subjectlist1"> </a><a name="hcmeasurereport-example-ach-monthly-subjectlist1"> </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-subjectlist-measurereport.html">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</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>period</b>: 2022-08-01 00:00:00+0000 --&gt; 2022-08-31 23:59:59+0000</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><td><b>SubjectResults</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><td><a href="#hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: List #list-example-ach-monthly-individual-measurereport-list</b></p><a name="measurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list"> </a><a name="hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list"> </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-ip-measurereport-list.html">NHSN Individual MeasureReport List</a></p></div><table class="clstu"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="MeasureReport-measurereport-example-individual-ach-monthly-pass1.html">MeasureReport: extension = Cohort,-&gt;Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, )),-&gt;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,-&gt;Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing),-&gt;Condition Bacteremia (finding),-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object),-&gt;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,-&gt;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,-&gt;Observation Bacteria identified in Blood by Culture,-&gt;Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection,-&gt;Observation Gestational age--at birth,-&gt;Observation Body weight,-&gt;Procedure Placement procedure (procedure),-&gt;Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic,-&gt;ServiceRequest Bacteria identified in Blood by Culture,-&gt;ServiceRequest Differential panel - Cerebral spinal fluid,-&gt;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,-&gt;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; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-individual-ach-monthly-pass2.html">MeasureReport: extension = Cohort,-&gt;Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg,-&gt;Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500,-&gt;Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self,-&gt;Condition Diabetes mellitus type 2 (disorder),-&gt;Condition Thrombophlebitis of deep femoral vein (disorder),-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object),-&gt;Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH',-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500,-&gt;Observation aPTT in Blood by Coagulation assay,-&gt;Observation Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;Observation Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;Observation Hemoglobin A1c/Hemoglobin.total in Blood,-&gt;Observation Bacteria identified in Blood by Culture,-&gt;Observation Body weight,-&gt;Procedure Percutaneous insertion of inferior vena cava filter (procedure),-&gt;ServiceRequest aPTT in Blood by Coagulation assay,-&gt;ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;ServiceRequest Hemoglobin A1c [Mass/volume] in Blood,-&gt;ServiceRequest Hemoglobin [Mass/volume] in Venous blood,-&gt;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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500,-&gt;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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-individual-ach-monthly-pass3.html">MeasureReport: extension = Cohort,-&gt;Condition Acute sinusitis (disorder),-&gt;Condition Enterocolitis due to Clostridium difficile,-&gt;Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self,-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500,-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500,-&gt;Observation Clostridioides difficile (organism),-&gt;Observation Body height,-&gt;Observation Body weight,-&gt;Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, )),-&gt;Procedure Transfusion of red blood cells (procedure),-&gt;ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>
            </text>
            <contained>
              <List>
                <id
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                <meta>
                  <profile
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                </meta>
                <status value="current"/>
                <mode value="snapshot"/>
                <entry>
                  <item>🔗
                    <reference
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                  </item>
                </entry>
                <entry>
                  <item>🔗
                    <reference
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                  </item>
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                <entry>
                  <item>🔗
                    <reference
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                  </item>
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              </List>
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            <status value="complete"/>
            <type value="subject-list"/>
            <measure
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            <period>
              <start value="2022-08-01T00:00:00+00:00"/>
              <end value="2022-08-31T23:59:59+00:00"/>
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            <group>
              <population>
                <code>
                  <coding>
                    <system
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                    <code value="initial-population"/>
                    <display value="Initial Population"/>
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                <count value="1"/>
                <subjectResults>
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              </population>
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      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1"/>
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          <MeasureReport>
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            <meta>
              <profile
                       value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
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              <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>
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-minimal-patient"/>
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                <reference value="Patient/patient-example-ach-monthly-pass1"/>
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            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-encounter"/>
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                <reference value="Encounter/encounter-example-ach-monthly-pass1"/>
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            <extension
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                <reference value="Coverage/coverage-example-ach-monthly-pass1"/>
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                <reference
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-device"/>
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                <reference
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            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-medication-administration"/>
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                <reference
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            </extension>
            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-medication-request"/>
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                <reference
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            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-observation-lab-category"/>
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                <reference
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            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-observation-lab-category"/>
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                <reference
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            </extension>
            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-observation-category"/>
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                <reference
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            </extension>
            <extension
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              <valueReference>🔗
                <extension
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                  <valueString value="sde-observation-vital-signs-category"/>
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                <reference
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            </extension>
            <extension
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              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-procedure"/>
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                <reference
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            <extension
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              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-procedure"/>
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                <reference
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            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
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                  <valueString value="sde-service-request"/>
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                <reference
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            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
              <valueReference>🔗
                <extension
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                  <valueString value="sde-service-request"/>
                </extension>
                <reference
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            </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>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass2"/>
        <resource>
          <MeasureReport>
            <id value="measurereport-example-individual-ach-monthly-pass2"/>
            <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-pass2"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass2</b></p><a name="measurereport-example-individual-ach-monthly-pass2"> </a><a name="hcmeasurereport-example-individual-ach-monthly-pass2"> </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-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Coverage-coverage-example-ach-monthly-pass2.html">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html">Condition Diabetes mellitus type 2 (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass2.html">Condition Thrombophlebitis of deep femoral vein (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Device-device-example-ach-monthly-pass2-compress-hose.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH'</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-aptt.html">Observation aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-poc-1.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-poc-2.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-hemo-a1c.html">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-hemo.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-pass2-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-pass2-ivcf.html">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html">ServiceRequest aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass2</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-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</a></li><li><a href="Coverage-coverage-example-ach-monthly-pass2.html">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html">Condition Diabetes mellitus type 2 (disorder)</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass2.html">Condition Thrombophlebitis of deep femoral vein (disorder)</a></li><li><a href="Device-device-example-ach-monthly-pass2-compress-hose.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></li><li><a href="DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH'</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-aptt.html">Observation aPTT in Blood by Coagulation assay</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-poc-1.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-poc-2.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-hemo-a1c.html">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-hemo.html">Observation Bacteria identified in Blood by Culture</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-vitals-weight.html">Observation Body weight</a></li><li><a href="Procedure-procedure-example-ach-monthly-pass2-ivcf.html">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html">ServiceRequest aPTT in Blood by Coagulation assay</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></li></ul></div>
            </text>
            <extension
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              <valueCodeableConcept>
                <coding>
                  <system
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                  <code value="cohort"/>
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            <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"/>
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                <reference value="Patient/patient-example-ach-monthly-pass2"/>
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            <extension
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              <valueReference>🔗
                <extension
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              <valueReference>🔗
                <extension
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                <reference
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            <extension
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              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
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                <reference value="Coverage/coverage-example-ach-monthly-pass2"/>
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            <extension
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              <valueReference>🔗
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="sde-condition"/>
                </extension>
                <reference
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            <extension
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              <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-pass2"/>
              </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-pass2-compress-hose"/>
              </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-diagnosticreport-lab"/>
                </extension>
                <reference
                           value="DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"/>
              </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-pass2-dex4"/>
              </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-pass2-heparin-1"/>
              </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-pass2-heparin-2"/>
              </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-pass2-insulin-lispro-1"/>
              </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-pass2-insulin-lispro-2"/>
              </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-pass2-insulin-lispro-3"/>
              </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-pass2-insulin-lispro-4"/>
              </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-pass2-dex4-tablet"/>
              </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-pass2-heparin"/>
              </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-pass2-insulin-lispro"/>
              </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-pass2-metformin"/>
              </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-pass2-aptt"/>
              </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-pass2-poc-1"/>
              </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-pass2-poc-2"/>
              </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-pass2-hemo-a1c"/>
              </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-pass2-hemo"/>
              </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"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass2-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-pass2-ivcf"/>
              </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-pass2-aptt"/>
              </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-pass2-glucose"/>
              </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-pass2-hemo-a1c"/>
              </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-pass2-hemo"/>
              </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-pass2-blood-1"/>
              </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-pass2-blood-2"/>
              </valueReference>
            </extension>
            <identifier>
              <system value="http://example.org/fhir/measurereport/id"/>
              <value value="123456789-pass2"/>
            </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-pass2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Coverage/coverage-example-ach-monthly-pass2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Condition/condition-example-diagnosis-ach-monthly-pass2-problem"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Condition/condition-example-diagnosis-ach-monthly-pass2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Device/device-example-ach-monthly-pass2-compress-hose"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-aptt"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-poc-1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-poc-2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-hemo-a1c"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-hemo"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass2-vitals-weight"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Procedure/procedure-example-ach-monthly-pass2-ivcf"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass2"/>
        <resource>
          <Patient>
            <id value="patient-example-ach-monthly-pass2"/>
            <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-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-monthly-pass2</b></p><a name="patient-example-ach-monthly-pass2"> </a><a name="hcpatient-example-ach-monthly-pass2"> </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;">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (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">2024-02-02 16:22:00-0500</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>123 Sesame Street Lansing Lansing MI 48864 US </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-2186-5">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non 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">F</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-2106-3">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</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="2106-3"/>
                  <display value="White"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="White"/>
              </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="2186-5"/>
                  <display value="Not Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Non Hispanic or Latino"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
              <valueCode value="F"/>
            </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="1601191902010308"/>
            </identifier>
            <active value="true"/>
            <name>
              <use value="official"/>
              <text value="Pass2 ACH"/>
              <family value="ACH"/>
              <given value="Pass2"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="999-999-9999"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1965-12-22"/>
            <deceasedDateTime value="2024-02-02T16:22:00-05:00"/>
            <address>
              <line value="123 Sesame Street Lansing"/>
              <city value="Lansing"/>
              <district value="Ingham County"/>
              <state value="MI"/>
              <postalCode value="48864"/>
              <country value="US"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-emergency"/>
        <resource>
          <Encounter>
            <id value="encounter-example-ach-monthly-pass2-emergency"/>
            <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-pass2-emergency"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass2-emergency</b></p><a name="encounter-example-ach-monthly-pass2-emergency"> </a><a name="hcencounter-example-ach-monthly-pass2-emergency"> </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>/10005104252a (use: usual, )</p><p><b>status</b>: Triaged</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode EMER</a>: emergency (version = 9.0.0 )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 4525004}">Emergency department patient visit</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>period</b>: 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm M79.661}">Leg pain, lower right</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-pass2.html">Thrombophlebitis</a></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>AdmitSource</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/admit-source other}">Walk-in</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-emergency.html">ACH Monthly Emergency Department</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-01-31 02:35:00-0500 --&gt; 2024-02-01 01:02:00-0500</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="10005104252a"/>
            </identifier>
            <status value="triaged"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <version value="9.0.0"/>
              <code value="EMER"/>
              <display value="emergency"/>
            </class>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="4525004"/>
                <display value="Emergency department patient visit"/>
              </coding>
              <text value="Emergency department patient visit"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <period>
              <start value="2024-01-31T02:35:00-05:00"/>
              <end value="2024-01-31T22:02:00-05:00"/>
            </period>
            <reasonCode>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="M79.661"/>
                <display value="Pain in right lower leg"/>
              </coding>
              <text value="Leg pain, lower right"/>
            </reasonCode>
            <diagnosis>
              <condition>🔗
                <reference
                           value="Condition/condition-example-diagnosis-ach-monthly-pass2"/>
                <display value="Thrombophlebitis"/>
              </condition>
            </diagnosis>
            <hospitalization>
              <admitSource>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/admit-source"/>
                  <code value="other"/>
                  <display value="Other"/>
                </coding>
                <text value="Walk-in"/>
              </admitSource>
            </hospitalization>
            <location>
              <location>🔗
                <reference
                           value="Location/location-example-ach-monthly-emergency"/>
                <display value="ACH Monthly Emergency Department"/>
              </location>
              <physicalType>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                  <code value="wa"/>
                  <display value="Ward"/>
                </coding>
              </physicalType>
              <period>
                <start value="2024-01-31T02:35:00-05:00"/>
                <end value="2024-02-01T01:02:00-05:00"/>
              </period>
            </location>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
        <resource>
          <Encounter>
            <id value="encounter-example-ach-monthly-pass2-inpatient"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-example-ach-monthly-pass2-inpatient"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass2-inpatient</b></p><a name="encounter-example-ach-monthly-pass2-inpatient"> </a><a name="hcencounter-example-ach-monthly-pass2-inpatient"> </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>Original Resource ID</b>: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3</p><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104252b (use: usual, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode IMP</a>: inpatient encounter (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-pass2.html">Pass2 ACH</a></p><p><b>period</b>: 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</p><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 emd}">Emergency Department</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition exp}">Expired</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-inpatient.html">ACH Monthly Inpatient Hospital Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 01:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</td></tr></table></div>
            </text>
            <extension
                       url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension">
              <valueString
                           value="eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3"/>
            </extension>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="10005104252b"/>
            </identifier>
            <status value="finished">
              <extension
                         url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension">
                <valueString value="COMPLETED"/>
              </extension>
            </status>
            <class>
              <extension
                         url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-mapped-concept-extension">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://www.example.com/prorpietary"/>
                    <code value="I"/>
                    <display value="Inpatient"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <version value="9.0.0"/>
              <code value="IMP"/>
              <display value="inpatient encounter"/>
            </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-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <period>
              <start value="2024-01-31T22:02:00-05:00"/>
              <end value="2024-02-02T16:22:00-05:00"/>
            </period>
            <hospitalization>
              <admitSource>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/admit-source"/>
                  <code value="emd"/>
                  <display value="From accident/emergency department"/>
                </coding>
                <text value="Emergency Department"/>
              </admitSource>
              <dischargeDisposition>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
                  <code value="exp"/>
                  <display value="expired"/>
                </coding>
                <text value="Expired"/>
              </dischargeDisposition>
            </hospitalization>
            <location>
              <location>🔗
                <reference
                           value="Location/location-example-ach-monthly-inpatient"/>
                <display value="ACH Monthly Inpatient Hospital Ward"/>
              </location>
              <physicalType>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                  <code value="wa"/>
                  <display value="Ward"/>
                </coding>
              </physicalType>
              <period>
                <start value="2024-02-01T01:02:00-05:00"/>
                <end value="2024-02-02T16:22:00-05:00"/>
              </period>
            </location>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass2"/>
        <resource>
          <Coverage>
            <id value="coverage-example-ach-monthly-pass2"/>
            <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-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass2</b></p><a name="coverage-example-ach-monthly-pass2"> </a><a name="hccoverage-example-ach-monthly-pass2"> </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/93565936</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HMO}">health maintenance organization policy</span></p><p><b>subscriberId</b>: 89345743</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="http://example.org/fhir/Organization/PayerComm">PayerComm</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="93565936"/>
            </identifier>
            <status value="active"/>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <version value="9.0.0"/>
                <code value="HMO"/>
                <display value="health maintenance organization policy"/>
              </coding>
            </type>
            <subscriberId value="89345743"/>
            <beneficiary>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
            </beneficiary>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
                <code value="self"/>
                <display value="Self"/>
              </coding>
            </relationship>
            <payor>
              <reference value="http://example.org/fhir/Organization/PayerComm"/>
              <display value="PayerComm"/>
            </payor>
          </Coverage>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2-problem"/>
        <resource>
          <Condition>
            <id value="condition-example-diagnosis-ach-monthly-pass2-problem"/>
            <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-pass2-problem"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2-problem</b></p><a name="condition-example-diagnosis-ach-monthly-pass2-problem"> </a><a name="hccondition-example-diagnosis-ach-monthly-pass2-problem"> </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 problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 44054006}, {http://hl7.org/fhir/sid/icd-10-cm E11.9}">Diabetes mellitus without complication</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 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="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
              <text value="Problem List Item"/>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="44054006"/>
                <display value="Diabetes mellitus type 2 (disorder)"/>
              </coding>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="E11.9"/>
                <display value="Type 2 diabetes mellitus without complications"/>
              </coding>
              <text value="Diabetes mellitus without complication"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2"/>
        <resource>
          <Condition>
            <id value="condition-example-diagnosis-ach-monthly-pass2"/>
            <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-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass2</b></p><a name="condition-example-diagnosis-ach-monthly-pass2"> </a><a name="hccondition-example-diagnosis-ach-monthly-pass2"> </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 1748006}">Thrombophlebitis</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 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="1748006"/>
                <display
                         value="Thrombophlebitis of deep femoral vein (disorder)"/>
              </coding>
              <text value="Thrombophlebitis"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass2-compress-hose"/>
        <resource>
          <Device>
            <id value="device-example-ach-monthly-pass2-compress-hose"/>
            <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-pass2-compress-hose"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-monthly-pass2-compress-hose</b></p><a name="device-example-ach-monthly-pass2-compress-hose"> </a><a name="hcdevice-example-ach-monthly-pass2-compress-hose"> </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>/100051034 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 348681001}">Graduated compression elastic hosiery</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 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="100051034"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="348681001"/>
                <display
                         value="Graduated compression elastic hosiery (physical object)"/>
              </coding>
              <text value="Graduated compression elastic hosiery"/>
            </type>
            <patient>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </patient>
          </Device>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"/>
        <resource>
          <DiagnosticReport>
            <id value="diagnosticreport-example-ach-monthly-pass2-radiology"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_diagnosticreport-example-ach-monthly-pass2-radiology"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport diagnosticreport-example-ach-monthly-pass2-radiology</b></p><a name="diagnosticreport-example-ach-monthly-pass2-radiology"> </a><a name="hcdiagnosticreport-example-ach-monthly-pass2-radiology"> </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-diagnosticreport-note.html">ACH Monthly Event Diagnostic Report - Report and Note</a></p></div><h2><span title="Codes:{http://snomed.info/sct 14331000087103}">ultrasonography of right lower limb</span> (<span title="Codes:{http://loinc.org LP29684-5}">Radiology</span>) </h2><table class="grid"><tr><td>Subject</td><td>Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</td></tr><tr><td>When For</td><td>2024-02-01 23:14:00-0500</td></tr><tr><td>Reported</td><td>2024-02-02 08:52:00-0500</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 128053003}">Deep venous thrombosis (disorder)</span></li></ul></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system value="http://loinc.org"/>
                <code value="LP29684-5"/>
                <display value="Radiology"/>
              </coding>
              <text value="Radiology"/>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="14331000087103"/>
                <display
                         value="Doppler ultrasonography of vascular structure of right lower limb (procedure)"/>
              </coding>
              <text value="ultrasonography of right lower limb"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T23:14:00-05:00"/>
            <issued value="2024-02-02T08:52:00-05:00"/>
            <conclusionCode>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="128053003"/>
                <display value="Deep venous thrombosis (disorder)"/>
              </coding>
            </conclusionCode>
          </DiagnosticReport>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-dex4"/>
            <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-pass2-dex4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-dex4</b></p><a name="medadmin-example-ach-monthly-pass2-dex4"> </a><a name="hcmedadmin-example-ach-monthly-pass2-dex4"> </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>/101888893 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-dex4-tablet.html">Dex4 4 gm chewable tablet X1</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Emergency Encounter</a></p><p><b>effective</b>: 2024-01-31 04:54:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</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>4 gm chewable tablet X1</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>4 g<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</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="101888893"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="outpatient"/>
                <display value="Outpatient"/>
              </coding>
              <text value="Outpatient"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-dex4-tablet"/>
              <display value="Dex4 4 gm chewable tablet X1"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
              <display value="Emergency Encounter"/>
            </context>
            <effectiveDateTime value="2024-01-31T04:54:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
            </request>
            <dosage>
              <text value="4 gm chewable tablet X1"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <dose>
                <value value="4"/>
                <unit value="g"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="g"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-heparin-1"/>
            <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-pass2-heparin-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-1</b></p><a name="medadmin-example-ach-monthly-pass2-heparin-1"> </a><a name="hcmedadmin-example-ach-monthly-pass2-heparin-1"> </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>/101888895 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-heparin.html">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 12:22:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.5 mL</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</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="101888895"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-heparin"/>
              <display
                       value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-01T12:22:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
            </request>
            <dosage>
              <text value="0.5 mL"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="5000"/>
                <unit value="uL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="uL"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-heparin-2"/>
            <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-pass2-heparin-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-heparin-2</b></p><a name="medadmin-example-ach-monthly-pass2-heparin-2"> </a><a name="hcmedadmin-example-ach-monthly-pass2-heparin-2"> </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>/101888895 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-heparin.html">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 13:26:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.5 mL</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</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="101888895"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-heparin"/>
              <display
                       value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-02T13:26:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
            </request>
            <dosage>
              <text value="0.5 mL"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="5000"/>
                <unit value="uL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="uL"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-insulin-lispro-1"/>
            <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-pass2-insulin-lispro-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-1</b></p><a name="medadmin-example-ach-monthly-pass2-insulin-lispro-1"> </a><a name="hcmedadmin-example-ach-monthly-pass2-insulin-lispro-1"> </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>/1018888942 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 12:00:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before breakfast</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5</td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1018888942"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-insulin-lispro"/>
              <display value="Insulin Lispro"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-01T12:00:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            </request>
            <dosage>
              <text value="Give 5 units before breakfast"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="5"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-insulin-lispro-2"/>
            <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-pass2-insulin-lispro-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-2</b></p><a name="medadmin-example-ach-monthly-pass2-insulin-lispro-2"> </a><a name="hcmedadmin-example-ach-monthly-pass2-insulin-lispro-2"> </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>/1018888943 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-01 19:00:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before dinner</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>4</td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1018888943"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-insulin-lispro"/>
              <display value="Insulin Lispro"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-01T19:00:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            </request>
            <dosage>
              <text value="Give 5 units before dinner"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="4"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-insulin-lispro-3"/>
            <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-pass2-insulin-lispro-3"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-3</b></p><a name="medadmin-example-ach-monthly-pass2-insulin-lispro-3"> </a><a name="hcmedadmin-example-ach-monthly-pass2-insulin-lispro-3"> </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>/1018888944 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 07:00:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before breakfast</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5</td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1018888944"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-insulin-lispro"/>
              <display value="Insulin Lispro"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-02T07:00:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            </request>
            <dosage>
              <text value="Give 5 units before breakfast"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="5"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass2-insulin-lispro-4"/>
            <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-pass2-insulin-lispro-4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass2-insulin-lispro-4</b></p><a name="medadmin-example-ach-monthly-pass2-insulin-lispro-4"> </a><a name="hcmedadmin-example-ach-monthly-pass2-insulin-lispro-4"> </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>/1018888945 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 15:00:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before dinner</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>4</td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="1018888945"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-insulin-lispro"/>
              <display value="Insulin Lispro"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </context>
            <effectiveDateTime value="2024-02-02T15:00:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            </request>
            <dosage>
              <text value="Give 5 units before dinner"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <dose>
                <value value="4"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
            <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-pass2-dex4-tablet"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-dex4-tablet</b></p><a name="medicationrequest-example-ach-monthly-pass2-dex4-tablet"> </a><a name="hcmedicationrequest-example-ach-monthly-pass2-dex4-tablet"> </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>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href="Medication-medication-example-dex4-tablet.html">Dex4 4 gm chewable tablet X1</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Emergency Encounter</a></p><p><b>authoredOn</b>: 2024-01-31 04:46:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 4 gm chewable tablet X1</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral</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>4 g<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</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="101888892"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="outpatient"/>
                <display value="Outpatient"/>
              </coding>
              <text value="Outpatient"/>
            </category>
            <reportedBoolean value="true"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-dex4-tablet"/>
              <display value="Dex4 4 gm chewable tablet X1"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
              <display value="Emergency Encounter"/>
            </encounter>
            <authoredOn value="2024-01-31T04:46:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
            </requester>
            <dosageInstruction>
              <text value="4 gm chewable tablet X1"/>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </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="4"/>
                  <unit value="g"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="g"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass2-heparin"/>
            <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-pass2-heparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-heparin</b></p><a name="medicationrequest-example-ach-monthly-pass2-heparin"> </a><a name="hcmedicationrequest-example-ach-monthly-pass2-heparin"> </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>/101888895 (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 Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="Medication-medication-example-heparin.html">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-01 12:00:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.5 mL</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></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>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>5000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</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="101888895"/>
            </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 Medication"/>
            </category>
            <reportedBoolean value="false"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-heparin"/>
              <display
                       value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <authoredOn value="2024-02-01T12:00:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
            </requester>
            <dosageInstruction>
              <text value="0.5 mL"/>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="5000"/>
                  <unit value="uL"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="uL"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
        <resource>
          <MedicationRequest>
            <id
                value="medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
            <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-pass2-insulin-lispro"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-insulin-lispro</b></p><a name="medicationrequest-example-ach-monthly-pass2-insulin-lispro"> </a><a name="hcmedicationrequest-example-ach-monthly-pass2-insulin-lispro"> </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>/101888894 (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 Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>authoredOn</b>: 2024-02-01 12:00:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 5 units before breakfast</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></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>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>5</td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 4 units before dinner</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></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>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>4</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="101888894"/>
            </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 Medication"/>
            </category>
            <reportedBoolean value="false"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-insulin-lispro"/>
              <display value="Insulin Lispro"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <authoredOn value="2024-02-01T12:00:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
            </requester>
            <dosageInstruction>
              <text value="Give 5 units before breakfast"/>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
                    <code value="AM"/>
                  </coding>
                </code>
              </timing>
              <asNeededBoolean value="false"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="5"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
            <dosageInstruction>
              <text value="Give 4 units before dinner"/>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
                    <code value="BED"/>
                  </coding>
                </code>
              </timing>
              <asNeededBoolean value="false"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47625008"/>
                  <display value="Intravenous route"/>
                </coding>
                <text value="IV"/>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="4"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass2-metformin"/>
            <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-pass2-metformin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass2-metformin</b></p><a name="medicationrequest-example-ach-monthly-pass2-metformin"> </a><a name="hcmedicationrequest-example-ach-monthly-pass2-metformin"> </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>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Home Medication</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href="Medication-medication-example-metformin-1000.html">Metformin hydrochloride 1000 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Emergency Encounter</a></p><p><b>authoredOn</b>: 2024-01-31 04:22:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 1000 mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral</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>1000 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="101888892"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="community"/>
                <display value="Community"/>
              </coding>
              <text value="Home Medication"/>
            </category>
            <reportedBoolean value="true"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-metformin-1000"/>
              <display value="Metformin hydrochloride 1000 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
              <display value="Emergency Encounter"/>
            </encounter>
            <authoredOn value="2024-01-31T04:22:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
            </requester>
            <recorder>
              <display value="Patient Identified"/>
            </recorder>
            <dosageInstruction>
              <text value="1000 mg tablet by mouth twice daily"/>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </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="1000"/>
                  <unit value="mg"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-aptt"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-aptt"/>
            <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-pass2-aptt"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-aptt</b></p><a name="observation-example-ach-monthly-pass2-aptt"> </a><a name="hcobservation-example-ach-monthly-pass2-aptt"> </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-pass2-aptt.html">ServiceRequest aPTT in Blood by Coagulation assay</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 3173-2}">aPTT</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 11:24:00-0500</p><p><b>issued</b>: 2024-02-02 11:29:00-0500</p><p><b>value</b>: 8 s<span style="background: LightGoldenRodYellow"> (Details: UCUM  codes = 's')</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"/>
            </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="3173-2"/>
                <display value="aPTT in Blood by Coagulation assay"/>
              </coding>
              <text value="aPTT"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-02T11:24:00-05:00"/>
            <issued value="2024-02-02T11:29:00-05:00"/>
            <valueQuantity>
              <value value="8"/>
              <unit value="s"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </valueQuantity>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-1"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-poc-1"/>
            <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-pass2-poc-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-1</b></p><a name="observation-example-ach-monthly-pass2-poc-1"> </a><a name="hcobservation-example-ach-monthly-pass2-poc-1"> </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-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</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 41653-7}">Glucose</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-01-31 23:01:00-0500</p><p><b>issued</b>: 2024-01-31 23:02:00-0500</p><p><b>value</b>: 53 d/gL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg/dL = 'g/dL')</span></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
            </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="41653-7"/>
                <display
                         value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
              </coding>
              <text value="Glucose"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-01-31T23:01:00-05:00"/>
            <issued value="2024-01-31T23:02:00-05:00"/>
            <valueQuantity>
              <value value="53"/>
              <unit value="d/gL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/dL"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-2"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-poc-2"/>
            <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-pass2-poc-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-poc-2</b></p><a name="observation-example-ach-monthly-pass2-poc-2"> </a><a name="hcobservation-example-ach-monthly-pass2-poc-2"> </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-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</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 41653-7}">Glucose</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 10:14:00-0500</p><p><b>issued</b>: 2024-02-02 10:15:00-0500</p><p><b>value</b>: 105 d/gL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg/dL = 'g/dL')</span></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
            </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="41653-7"/>
                <display
                         value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
              </coding>
              <text value="Glucose"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-02T10:14:00-05:00"/>
            <issued value="2024-02-02T10:15:00-05:00"/>
            <valueQuantity>
              <value value="105"/>
              <unit value="d/gL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/dL"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo-a1c"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-hemo-a1c"/>
            <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-pass2-hemo-a1c"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo-a1c</b></p><a name="observation-example-ach-monthly-pass2-hemo-a1c"> </a><a name="hcobservation-example-ach-monthly-pass2-hemo-a1c"> </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-pass2-hemo-a1c.html">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</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 4548-4}">Hemoglobin A1c</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-01-31 23:01:00-0500</p><p><b>issued</b>: 2024-01-31 23:52:00-0500</p><p><b>value</b>: 7.5 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
            </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="4548-4"/>
                <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
              </coding>
              <text value="Hemoglobin A1c"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-01-31T23:01:00-05:00"/>
            <issued value="2024-01-31T23:52:00-05:00"/>
            <valueQuantity>
              <value value="7.5"/>
              <unit value="%"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="%"/>
            </valueQuantity>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-hemo"/>
            <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-pass2-hemo"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-hemo</b></p><a name="observation-example-ach-monthly-pass2-hemo"> </a><a name="hcobservation-example-ach-monthly-pass2-hemo"> </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-pass2-hemo.html">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</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-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>effective</b>: 2024-02-02 11:24:00-0500</p><p><b>issued</b>: 2024-02-02 11:29:00-0500</p><p><b>value</b>: 8 d/gL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg/dL = 'g/dL')</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"/>
            </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-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <effectiveDateTime value="2024-02-02T11:24:00-05:00"/>
            <issued value="2024-02-02T11:29:00-05:00"/>
            <valueQuantity>
              <value value="8"/>
              <unit value="d/gL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/dL"/>
            </valueQuantity>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-vitals-weight"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass2-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-pass2-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass2-vitals-weight</b></p><a name="observation-example-ach-monthly-pass2-vitals-weight"> </a><a name="hcobservation-example-ach-monthly-pass2-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-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Emergency Encounter</a></p><p><b>effective</b>: 2024-01-31 01:42:00-0500</p><p><b>issued</b>: 2024-01-31 01:42:00-0500</p><p><b>value</b>: 113.4 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-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
              <display value="Emergency Encounter"/>
            </encounter>
            <effectiveDateTime value="2024-01-31T01:42:00-05:00"/>
            <issued value="2024-01-31T01:42:00-05:00"/>
            <valueQuantity>
              <value value="113.4"/>
              <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-pass2-ivcf"/>
        <resource>
          <Procedure>
            <id value="procedure-example-ach-monthly-pass2-ivcf"/>
            <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-pass2-ivcf"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass2-ivcf</b></p><a name="procedure-example-ach-monthly-pass2-ivcf"> </a><a name="hcprocedure-example-ach-monthly-pass2-ivcf"> </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>/10005103526 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 397913009}">Percutaneous insertion of inferior vena cava filter (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-01 05:02:00-0500</p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="10005103526"/>
            </identifier>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="397913009"/>
                <display
                         value="Percutaneous insertion of inferior vena cava filter (procedure)"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <performedDateTime value="2024-02-01T05:02:00-05:00"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass2-aptt"/>
            <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-pass2-aptt"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-aptt</b></p><a name="servicerequest-example-ach-monthly-pass2-aptt"> </a><a name="hcservicerequest-example-ach-monthly-pass2-aptt"> </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/1019631824 (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>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 3173-2}">aPTT</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-01-31 22:21:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</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="1019631824"/>
            </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>
            <priority value="stat"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="3173-2"/>
                <display value="aPTT in Blood by Coagulation assay"/>
              </coding>
              <text value="aPTT"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-01-31T22:21:00-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-01-31T22:21:00-05:00"/>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass2-glucose"/>
            <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-pass2-glucose"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-glucose</b></p><a name="servicerequest-example-ach-monthly-pass2-glucose"> </a><a name="hcservicerequest-example-ach-monthly-pass2-glucose"> </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/1019631824 (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 41653-7}">Glucose</span></p><p><b>quantity</b>: 2</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Count 2  times, Once per 1 day</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</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="1019631824"/>
            </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="41653-7"/>
                <display
                         value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
              </coding>
              <text value="Glucose"/>
            </code>
            <quantityQuantity>
              <value value="2"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <repeat>
                <count value="2"/>
                <period value="1"/>
                <periodUnit value="d"/>
              </repeat>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
                  <code value="BID"/>
                  <display value="BID"/>
                </coding>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-01-31T22:21:00-05:00"/>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
            <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-pass2-hemo-a1c"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo-a1c</b></p><a name="servicerequest-example-ach-monthly-pass2-hemo-a1c"> </a><a name="hcservicerequest-example-ach-monthly-pass2-hemo-a1c"> </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/1019631823 (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 41995-2}">Hemoglobin A1c</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-01-31 22:21:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</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="1019631823"/>
            </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="41995-2"/>
                <display value="Hemoglobin A1c [Mass/volume] in Blood"/>
              </coding>
              <text value="Hemoglobin A1c"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-01-31T22:21:00-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-01-31T22:21:00-05:00"/>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass2-hemo"/>
            <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-pass2-hemo"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass2-hemo</b></p><a name="servicerequest-example-ach-monthly-pass2-hemo"> </a><a name="hcservicerequest-example-ach-monthly-pass2-hemo"> </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/1019631824 (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>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 30350-3}">Hemoglobin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Events: 2024-02-02 11:22:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-02 11:22:00-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</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="1019631824"/>
            </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>
            <priority value="stat"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="30350-3"/>
                <display value="Hemoglobin [Mass/volume] in Venous blood"/>
              </coding>
              <text value="Hemoglobin"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
              <display value="Hospital Admission"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-02-02T11:22:00-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-02-02T11:22:00-05:00"/>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
        <resource>
          <Specimen>
            <id value="specimen-example-ach-monthly-pass2-blood-1"/>
            <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-pass2-blood-1"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-1</b></p><a name="specimen-example-ach-monthly-pass2-blood-1"> </a><a name="hcspecimen-example-ach-monthly-pass2-blood-1"> </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 122555007}">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-01-31 22:50:00-0500</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>2024-01-31 22:42:00-0500</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</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="122555007"/>
                <display value="Venous blood specimen (specimen)"/>
              </coding>
              <text value="Venous blood specimen (specimen)"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass1 ACH"/>
            </subject>
            <receivedTime value="2024-01-31T22:50:00-05:00"/>
            <collection>
              <collectedDateTime value="2024-01-31T22:42:00-05:00"/>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </bodySite>
            </collection>
          </Specimen>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
        <resource>
          <Specimen>
            <id value="specimen-example-ach-monthly-pass2-blood-2"/>
            <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-pass2-blood-2"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass2-blood-2</b></p><a name="specimen-example-ach-monthly-pass2-blood-2"> </a><a name="hcspecimen-example-ach-monthly-pass2-blood-2"> </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 122555007}">Venous blood specimen (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 11:26:00-0500</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 11:24:00-0500</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</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="122555007"/>
                <display value="Venous blood specimen (specimen)"/>
              </coding>
              <text value="Venous blood specimen (specimen)"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass2"/>
              <display value="Pass1 ACH"/>
            </subject>
            <receivedTime value="2024-02-02T11:26:00-05:00"/>
            <collection>
              <collectedDateTime value="2024-02-02T11:24:00-05:00"/>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1255295007"/>
                  <display
                           value="Structure of blood vessel of left upper arm (body structure)"/>
                </coding>
              </bodySite>
            </collection>
          </Specimen>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3"/>
        <resource>
          <MeasureReport>
            <id value="measurereport-example-individual-ach-monthly-pass3"/>
            <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-pass3"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass3</b></p><a name="measurereport-example-individual-ach-monthly-pass3"> </a><a name="hcmeasurereport-example-individual-ach-monthly-pass3"> </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="Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html">Condition Acute sinusitis (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass3.html">Condition Enterocolitis due to Clostridium difficile</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Coverage-coverage-example-ach-monthly-pass3.html">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Device-device-example-ach-monthly-pass3-ivcs-pump.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-acute.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass3-cdiff.html">Observation Clostridioides difficile (organism)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass3-vitals-height.html">Observation Body height</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass3-vitals-weight.html">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Procedure-procedure-example-ach-monthly-pass3-transfusion.html">Procedure Transfusion of red blood cells (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass3</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="Condition-condition-example-diagnosis-ach-monthly-pass3-problem.html">Condition Acute sinusitis (disorder)</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass3.html">Condition Enterocolitis due to Clostridium difficile</a></li><li><a href="Coverage-coverage-example-ach-monthly-pass3.html">Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self</a></li><li><a href="Device-device-example-ach-monthly-pass3-ivcs-pump.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object)</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass3-acute.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-enoxaparin.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-cipro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></li><li><a href="Observation-observation-example-ach-monthly-pass3-cdiff.html">Observation Clostridioides difficile (organism)</a></li><li><a href="Observation-observation-example-ach-monthly-pass3-vitals-height.html">Observation Body height</a></li><li><a href="Observation-observation-example-ach-monthly-pass3-vitals-weight.html">Observation Body weight</a></li><li><a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></li><li><a href="Procedure-procedure-example-ach-monthly-pass3-transfusion.html">Procedure Transfusion of red blood cells (procedure)</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff.html">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</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-condition"/>
                </extension>
                <reference
                           value="Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
              </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-pass3"/>
              </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-pass3"/>
              </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-pass3-ivcs-pump"/>
              </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-pass3-acute"/>
              </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-pass3-short-stay"/>
              </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-pass3-enoxaparin"/>
              </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-pass3-metronidazole-1"/>
              </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-pass3-metronidazole-2"/>
              </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-pass3-metronidazole-3"/>
              </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-pass3-cipro"/>
              </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-pass3-enoxaparin"/>
              </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-pass3-metronidazole"/>
              </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-pass3-cdiff"/>
              </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"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass3-vitals-height"/>
              </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"/>
                </extension>
                <reference
                           value="Observation/observation-example-ach-monthly-pass3-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-minimal-patient"/>
                </extension>
                <reference value="Patient/patient-example-ach-monthly-pass3"/>
              </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-pass3-transfusion"/>
              </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-servicerequest"/>
                </extension>
                <reference
                           value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
              </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-pass3-stool"/>
              </valueReference>
            </extension>
            <identifier>
              <system value="http://example.org/fhir/measurereport/id"/>
              <value value="123456789-pass3"/>
            </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="Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Condition/condition-example-diagnosis-ach-monthly-pass3"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Coverage/coverage-example-ach-monthly-pass3"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Device/device-example-ach-monthly-pass3-ivcs-pump"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass3-cdiff"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass3-vitals-height"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Observation/observation-example-ach-monthly-pass3-vitals-weight"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Procedure/procedure-example-ach-monthly-pass3-transfusion"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3"/>
        <resource>
          <Patient>
            <id value="patient-example-ach-monthly-pass3"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"/>
              <security>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                <code value="R"/>
                <display value="Restricted"/>
              </security>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ach-monthly-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-monthly-pass3</b></p><a name="patient-example-ach-monthly-pass3"> </a><a name="hcpatient-example-ach-monthly-pass3"> </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><p style="margin-bottom: 0px">Security Label: Restricted (Details: Confidentiality code R = 'Restricted')</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="mailto:ACHtestcase@testcase.com">ACHtestcase@testcase.com</a></li><li>5678 Sesame Lansing Lansing MI 48864 US </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 zh}">Chinese</span></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-2186-5">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Non 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-2028-9">Race &amp; Ethnicity - CDC 2028-9</a>: Asian</li><li>text: White</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="2028-9"/>
                  <display value="Asian"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="White"/>
              </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="2186-5"/>
                  <display value="Not Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Non 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="1601191903010308"/>
            </identifier>
            <active value="true"/>
            <name>
              <use value="official"/>
              <text value="Pass3 ACH"/>
              <family value="ACH"/>
              <given value="Pass3"/>
            </name>
            <telecom>
              <system value="email"/>
              <value value="ACHtestcase@testcase.com"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="2007-10-08"/>
            <address>
              <line value="5678 Sesame Lansing"/>
              <city value="Lansing"/>
              <state value="MI"/>
              <postalCode value="48864"/>
              <country value="US"/>
            </address>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="zh"/>
                  <display value="Chinese"/>
                </coding>
              </language>
            </communication>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute"/>
        <resource>
          <Encounter>
            <id value="encounter-example-ach-monthly-pass3-acute"/>
            <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-pass3-acute"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-acute</b></p><a name="encounter-example-ach-monthly-pass3-acute"> </a><a name="hcencounter-example-ach-monthly-pass3-acute"> </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>/10005104253a (use: usual, )</p><p><b>status</b>: Finished</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 453701000124103}">Critical care visit</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>period</b>: 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500</p><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 other}">From Short Stay</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}">Home</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-crit-part.html">ACH Monthly Medical Critical Care</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-02 16:43:00-0500 --&gt; 2024-03-02 19:58:00-0500</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="10005104253a"/>
            </identifier>
            <status value="finished"/>
            <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="453701000124103"/>
                <display value="In-person encounter"/>
              </coding>
              <text value="Critical care visit"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <period>
              <start value="2024-02-02T16:43:00-05:00"/>
              <end value="2024-02-03T19:58:00-05:00"/>
            </period>
            <hospitalization>
              <admitSource>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/admit-source"/>
                  <code value="other"/>
                  <display value="Other"/>
                </coding>
                <text value="From Short Stay"/>
              </admitSource>
              <dischargeDisposition>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
                  <code value="home"/>
                  <display value="Home"/>
                </coding>
                <text value="Home"/>
              </dischargeDisposition>
            </hospitalization>
            <location>
              <location>🔗
                <reference
                           value="Location/location-example-ach-monthly-crit-part"/>
                <display value="ACH Monthly Medical 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="2024-02-02T16:43:00-05:00"/>
                <end value="2024-03-02T19:58:00-05:00"/>
              </period>
            </location>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
        <resource>
          <Encounter>
            <id value="encounter-example-ach-monthly-pass3-short-stay"/>
            <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-pass3-short-stay"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-monthly-pass3-short-stay</b></p><a name="encounter-example-ach-monthly-pass3-short-stay"> </a><a name="hcencounter-example-ach-monthly-pass3-short-stay"> </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>/10005104253a (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-SS">ActCode SS</a>: short stay (version = 9.0.0 )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 8715000}">Hospital Admission, Elective Procedure</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>period</b>: 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm R19.7}">Diarrhea</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-pass3.html">Enterocolitis due to Clostridium difficile</a></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>AdmitSource</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/admit-source outp}">Outpatient</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-medsurg.html">ACH Monthly Medical-Surgical Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</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="10005104253a"/>
            </identifier>
            <status value="in-progress"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <version value="9.0.0"/>
              <code value="SS"/>
              <display value="short stay"/>
            </class>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="8715000"/>
                <display value="Hospital admission, elective (procedure)"/>
              </coding>
              <text value="Hospital Admission, Elective Procedure"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <period>
              <start value="2024-02-01T14:12:00-05:00"/>
              <end value="2024-02-02T16:43:00-05:00"/>
            </period>
            <reasonCode>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="R19.7"/>
                <display value="Diarrhea, unspecified"/>
              </coding>
              <text value="Diarrhea"/>
            </reasonCode>
            <diagnosis>
              <condition>🔗
                <reference
                           value="Condition/condition-example-diagnosis-ach-monthly-pass3"/>
                <display value="Enterocolitis due to Clostridium difficile"/>
              </condition>
            </diagnosis>
            <hospitalization>
              <admitSource>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/admit-source"/>
                  <code value="outp"/>
                  <display value="From outpatient department"/>
                </coding>
                <text value="Outpatient"/>
              </admitSource>
            </hospitalization>
            <location>
              <location>🔗
                <reference value="Location/location-example-ach-monthly-medsurg"/>
                <display value="ACH Monthly Medical-Surgical Ward"/>
              </location>
              <physicalType>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                  <code value="wa"/>
                  <display value="Ward"/>
                </coding>
              </physicalType>
              <period>
                <start value="2024-02-01T14:12:00-05:00"/>
                <end value="2024-02-02T16:43:00-05:00"/>
              </period>
            </location>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3"/>
        <resource>
          <Coverage>
            <id value="coverage-example-ach-monthly-pass3"/>
            <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-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass3</b></p><a name="coverage-example-ach-monthly-pass3"> </a><a name="hccoverage-example-ach-monthly-pass3"> </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/0945345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}">preferred provider organization policy</span></p><p><b>subscriberId</b>: 7843574536</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="http://example.org/fhir/Organization/NationFirst">Nation First Health Care</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="0945345"/>
            </identifier>
            <status value="active"/>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <version value="9.0.0"/>
                <code value="PPO"/>
                <display value="preferred provider organization policy"/>
              </coding>
            </type>
            <subscriberId value="7843574536"/>
            <beneficiary>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
            </beneficiary>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
                <code value="self"/>
                <display value="Self"/>
              </coding>
            </relationship>
            <payor>
              <reference
                         value="http://example.org/fhir/Organization/NationFirst"/>
              <display value="Nation First Health Care"/>
            </payor>
          </Coverage>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem"/>
        <resource>
          <Condition>
            <id value="condition-example-diagnosis-ach-monthly-pass3-problem"/>
            <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-pass3-problem"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3-problem</b></p><a name="condition-example-diagnosis-ach-monthly-pass3-problem"> </a><a name="hccondition-example-diagnosis-ach-monthly-pass3-problem"> </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 resolved}">Resolved</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 problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 15805002}, {http://hl7.org/fhir/sid/icd-10-cm J01.90}">Acute sinusitis</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>onset</b>: 2024-01-21 07:32:00-0500</p><p><b>abatement</b>: 2024-02-02 16:43:00-0500</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="resolved"/>
                <display value="Resolved"/>
              </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="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
              <text value="Problem List Item"/>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="15805002"/>
                <display value="Acute sinusitis (disorder)"/>
              </coding>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="J01.90"/>
                <display value="Acute sinusitis, unspecified"/>
              </coding>
              <text value="Acute sinusitis"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <onsetDateTime value="2024-01-21T07:32:00-05:00"/>
            <abatementDateTime value="2024-02-02T16:43:00-05:00"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3"/>
        <resource>
          <Condition>
            <id value="condition-example-diagnosis-ach-monthly-pass3"/>
            <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-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3</b></p><a name="condition-example-diagnosis-ach-monthly-pass3"> </a><a name="hccondition-example-diagnosis-ach-monthly-pass3"> </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://hl7.org/fhir/sid/icd-10-cm A04.7}">Enterocolitis due to Clostridium difficile</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 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://hl7.org/fhir/sid/icd-10-cm"/>
                <code value="A04.7"/>
                <display value="Enterocolitis due to Clostridium difficile"/>
              </coding>
              <text value="Enterocolitis due to Clostridium difficile"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump"/>
        <resource>
          <Device>
            <id value="device-example-ach-monthly-pass3-ivcs-pump"/>
            <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-pass3-ivcs-pump"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-monthly-pass3-ivcs-pump</b></p><a name="device-example-ach-monthly-pass3-ivcs-pump"> </a><a name="hcdevice-example-ach-monthly-pass3-ivcs-pump"> </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>/100051035 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 469317002}">Intermittent venous compression system pump</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 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="100051035"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="469317002"/>
                <display
                         value="Intermittent venous compression system pump (physical object)"/>
              </coding>
              <text value="Intermittent venous compression system pump"/>
            </type>
            <patient>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </patient>
          </Device>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass3-enoxaparin"/>
            <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-pass3-enoxaparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-enoxaparin</b></p><a name="medadmin-example-ach-monthly-pass3-enoxaparin"> </a><a name="hcmedadmin-example-ach-monthly-pass3-enoxaparin"> </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>/101888833 (use: usual, )</p><p><b>status</b>: Not Done</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-enoxaparin.html">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-acute.html">Critical care visit</a></p><p><b>effective</b>: 2024-02-02 21:04:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-enoxaparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title="Codes:{http://snomed.info/sct 42972002}">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>4000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
              <value value="101888833"/>
            </identifier>
            <status value="not-done"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-enoxaparin"/>
              <display
                       value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
              <display value="Critical care visit"/>
            </context>
            <effectiveDateTime value="2024-02-02T21:04:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
            </request>
            <dosage>
              <text value="0.4ml subcutaneous once daily in abdomen"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="42972002"/>
                  <display
                           value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <dose>
                <value value="4000"/>
                <unit value="uL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="uL"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass3-metronidazole-1"/>
            <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-pass3-metronidazole-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-1</b></p><a name="medadmin-example-ach-monthly-pass3-metronidazole-1"> </a><a name="hcmedadmin-example-ach-monthly-pass3-metronidazole-1"> </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>/1018888321 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>effective</b>: 2024-02-01 21:02:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="1018888321"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-metronidazole"/>
              <display value="Metronidazole 500 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </context>
            <effectiveDateTime value="2024-02-01T21:02:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
            </request>
            <dosage>
              <text value="5mg tablet by mouth twice daily"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <dose>
                <value value="5"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass3-metronidazole-2"/>
            <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-pass3-metronidazole-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-2</b></p><a name="medadmin-example-ach-monthly-pass3-metronidazole-2"> </a><a name="hcmedadmin-example-ach-monthly-pass3-metronidazole-2"> </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>/1018888322 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>effective</b>: 2024-02-02 21:09:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="1018888322"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-metronidazole"/>
              <display value="Metronidazole 500 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </context>
            <effectiveDateTime value="2024-02-02T21:09:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
            </request>
            <dosage>
              <text value="5mg tablet by mouth twice daily"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <dose>
                <value value="5"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"/>
        <resource>
          <MedicationAdministration>
            <id value="medadmin-example-ach-monthly-pass3-metronidazole-3"/>
            <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-pass3-metronidazole-3"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-3</b></p><a name="medadmin-example-ach-monthly-pass3-metronidazole-3"> </a><a name="hcmedadmin-example-ach-monthly-pass3-metronidazole-3"> </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>/1018888323 (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 Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>effective</b>: 2024-02-03 09:09:00-0500</p><p><b>request</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</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>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="1018888323"/>
            </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 Medication"/>
            </category>
            <medicationReference>🔗
              <reference value="Medication/medication-example-metronidazole"/>
              <display value="Metronidazole 500 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <context>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </context>
            <effectiveDateTime value="2024-02-03T09:09:00-05:00"/>
            <request>🔗
              <reference
                         value="MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
            </request>
            <dosage>
              <text value="5mg tablet by mouth twice daily"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <dose>
                <value value="5"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass3-cipro"/>
            <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-pass3-cipro"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-cipro</b></p><a name="medicationrequest-example-ach-monthly-pass3-cipro"> </a><a name="hcmedicationrequest-example-ach-monthly-pass3-cipro"> </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>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Home Medication</span></p><p><b>reported</b>: true</p><p><b>medication</b>: <a href="Medication-medication-example-cipro-500.html">Ciprofloxacin 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 19:15:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 500mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral</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>500 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="101888892"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="community"/>
                <display value="Community"/>
              </coding>
              <text value="Home Medication"/>
            </category>
            <reportedBoolean value="true"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-cipro-500"/>
              <display value="Ciprofloxacin 500 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </encounter>
            <authoredOn value="2024-02-01T19:15:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
            </requester>
            <recorder>
              <display value="Patient Identified"/>
            </recorder>
            <dosageInstruction>
              <text value="500mg tablet by mouth twice daily"/>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </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="500"/>
                  <unit value="mg"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-example-ach-monthly-pass3-enoxaparin"/>
            <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-pass3-enoxaparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-enoxaparin</b></p><a name="medicationrequest-example-ach-monthly-pass3-enoxaparin"> </a><a name="hcmedicationrequest-example-ach-monthly-pass3-enoxaparin"> </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>/101888833 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="Medication-medication-example-enoxaparin.html">0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-acute.html">Critical care visit</a></p><p><b>authoredOn</b>: 2024-02-02 12:21:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 0.4ml subcutaneous once daily in abdomen</p><p><b>timing</b>: Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 42972002}">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral</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>4000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</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="101888833"/>
            </identifier>
            <status value="active"/>
            <intent value="order"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient Medication"/>
            </category>
            <reportedBoolean value="false"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-enoxaparin"/>
              <display
                       value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
              <display value="Critical care visit"/>
            </encounter>
            <authoredOn value="2024-02-02T12:21:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
            </requester>
            <dosageInstruction>
              <text value="0.4ml subcutaneous once daily in abdomen"/>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <site>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="42972002"/>
                  <display
                           value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
                </coding>
              </site>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </route>
              <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="4000"/>
                  <unit value="uL"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="uL"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"/>
        <resource>
          <MedicationRequest>
            <id
                value="medicationrequest-example-ach-monthly-pass3-metronidazole"/>
            <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-pass3-metronidazole"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-metronidazole</b></p><a name="medicationrequest-example-ach-monthly-pass3-metronidazole"> </a><a name="hcmedicationrequest-example-ach-monthly-pass3-metronidazole"> </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>/101888832 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>authoredOn</b>: 2024-02-01 20:33:00-0500</p><p><b>requester</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 5mg tablet by mouth twice daily</p><p><b>timing</b>: 2 per 1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral</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>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</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="101888832"/>
            </identifier>
            <status value="active"/>
            <intent value="order"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient Medication"/>
            </category>
            <reportedBoolean value="false"/>
            <medicationReference>🔗
              <reference value="Medication/medication-example-metronidazole"/>
              <display value="Metronidazole 500 MG"/>
            </medicationReference>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass2 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </encounter>
            <authoredOn value="2024-02-01T20:33:00-05:00"/>
            <requester>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
            </requester>
            <dosageInstruction>
              <text value="5mg tablet by mouth twice daily"/>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <asNeededBoolean value="false"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral Use"/>
                </coding>
                <text value="Oral"/>
              </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="5"/>
                  <unit value="mg"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass3-cdiff"/>
            <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-pass3-cdiff"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-cdiff</b></p><a name="observation-example-ach-monthly-pass3-cdiff"> </a><a name="hcobservation-example-ach-monthly-pass3-cdiff"> </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-pass3-cdiff.html">ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay</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://snomed.info/sct 5933001}">C. Diff.</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Hospital Admission, Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:02:00-0500</p><p><b>issued</b>: 2024-02-02 15:30:00-0500</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 10828004}">Positive (qualifier value)</span></p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>
            </text>
            <basedOn>🔗
              <reference
                         value="ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
            </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://snomed.info/sct"/>
                <code value="5933001"/>
                <display value="Clostridioides difficile (organism)"/>
              </coding>
              <text value="C. Diff."/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Hospital Admission, Short Stay"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T19:02:00-05:00"/>
            <issued value="2024-02-02T15:30:00-05:00"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="10828004"/>
                <display value="Positive (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
            </specimen>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass3-vitals-height"/>
            <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-pass3-vitals-height"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-height</b></p><a name="observation-example-ach-monthly-pass3-vitals-height"> </a><a name="hcobservation-example-ach-monthly-pass3-vitals-height"> </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 8302-2}">Height</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 176.8 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecm = 'cm')</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
              <text value="Vital Signs"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="8302-2"/>
                <display value="Body height"/>
              </coding>
              <text value="Height"/>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
            <issued value="2024-02-01T19:21:00-05:00"/>
            <valueQuantity>
              <value value="176.8"/>
              <unit value="cm"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="cm"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight"/>
        <resource>
          <Observation>
            <id value="observation-example-ach-monthly-pass3-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-pass3-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-weight</b></p><a name="observation-example-ach-monthly-pass3-vitals-weight"> </a><a name="hcobservation-example-ach-monthly-pass3-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-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Short Stay</a></p><p><b>effective</b>: 2024-02-01 19:21:00-0500</p><p><b>issued</b>: 2024-02-01 19:21:00-0500</p><p><b>value</b>: 54.4 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-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Short Stay"/>
            </encounter>
            <effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
            <issued value="2024-02-01T19:21:00-05:00"/>
            <valueQuantity>
              <value value="54.4"/>
              <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-pass3-transfusion"/>
        <resource>
          <Procedure>
            <id value="procedure-example-ach-monthly-pass3-transfusion"/>
            <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-pass3-transfusion"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-monthly-pass3-transfusion</b></p><a name="procedure-example-ach-monthly-pass3-transfusion"> </a><a name="hcprocedure-example-ach-monthly-pass3-transfusion"> </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>/100051035264 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 116863004}">Transfusion of red blood cells (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-acute.html">Critical care visit</a></p><p><b>performed</b>: 2024-02-02 20:43:00-0500</p></div>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
              <value value="100051035264"/>
            </identifier>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="116863004"/>
                <display value="Transfusion of red blood cells (procedure)"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-acute"/>
              <display value="Critical care visit"/>
            </encounter>
            <performedDateTime value="2024-02-02T20:43:00-05:00"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"/>
        <resource>
          <ServiceRequest>
            <id value="servicerequest-example-ach-monthly-pass3-cdiff"/>
            <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-pass3-cdiff"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass3-cdiff</b></p><a name="servicerequest-example-ach-monthly-pass3-cdiff"> </a><a name="hcservicerequest-example-ach-monthly-pass3-cdiff"> </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/1019631826 (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 13957-6}">C. Diff. toxin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-monthly-pass3-short-stay.html">Hospital Admission, Short Stay</a></p><p><b>occurrence</b>: Code , Events: 2024-02-01 18:12:00-0500 , Count 1  times, Once</p><p><b>authoredOn</b>: 2024-02-01 18:12:00-0500</p><p><b>specimen</b>: <a href="Specimen-specimen-example-ach-monthly-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</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="1019631826"/>
            </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="13957-6"/>
                <display
                         value="Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"/>
              </coding>
              <text value="C. Diff. toxin"/>
            </code>
            <quantityQuantity>
              <value value="1"/>
            </quantityQuantity>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <encounter>🔗
              <reference
                         value="Encounter/encounter-example-ach-monthly-pass3-short-stay"/>
              <display value="Hospital Admission, Short Stay"/>
            </encounter>
            <occurrenceTiming>
              <event value="2024-02-01T18:12:00-05:00"/>
              <repeat>
                <count value="1"/>
              </repeat>
              <code>
                <text value="Once"/>
              </code>
            </occurrenceTiming>
            <authoredOn value="2024-02-01T18:12:00-05:00"/>
            <specimen>🔗
              <reference
                         value="Specimen/specimen-example-ach-monthly-pass3-stool"/>
            </specimen>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool"/>
        <resource>
          <Specimen>
            <id value="specimen-example-ach-monthly-pass3-stool"/>
            <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-pass3-stool"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-monthly-pass3-stool</b></p><a name="specimen-example-ach-monthly-pass3-stool"> </a><a name="hcspecimen-example-ach-monthly-pass3-stool"> </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>/C104082905, <code>urn:oid:2.16.840.1.113883.19.5.1.798.800</code>/C10408290:45</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 429901000124102}">Bloody stool specimen (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass3.html">Pass3 ACH</a></p><p><b>receivedTime</b>: 2024-02-01 19:12:00-0500</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>2024-02-01 19:02:00-0500</td><td><span title="Codes:{http://snomed.info/sct 181261002}">Entire rectum (body structure)</span></td></tr></table></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
              <value value="C104082905"/>
              <assigner>
                <display value="LIS"/>
              </assigner>
            </identifier>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
              <value value="C10408290:45"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="429901000124102"/>
                <display value="Bloody stool specimen (specimen)"/>
              </coding>
              <text value="Bloody stool specimen (specimen)"/>
            </type>
            <subject>🔗
              <reference value="Patient/patient-example-ach-monthly-pass3"/>
              <display value="Pass3 ACH"/>
            </subject>
            <receivedTime value="2024-02-01T19:12:00-05:00"/>
            <collection>
              <collectedDateTime value="2024-02-01T19:02:00-05:00"/>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="181261002"/>
                  <display value="Entire rectum (body structure)"/>
                </coding>
              </bodySite>
            </collection>
          </Specimen>
        </resource>
      </entry>
    </Bundle>