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 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "submission-full-example1",
      "meta" : {
        "profile" : [
          🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle"
        ]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9"
      },
      "type" : "collection",
      "timestamp" : "2022-11-15T21:04:29.481+00:00",
      "entry" : [
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "organization-example-submitting-organization",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "https://www.cdc.gov/nhsn/OrgID",
                "value" : "ExampleNHSNSubmitterOrgID"
              }
            ],
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                    "code" : "prov",
                    "display" : "Healthcare Provider"
                  }
                ]
              }
            ],
            "name" : "Example NHSN Submitter",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "5555555551",
                "rank" : 1
              }
            ],
            "address" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "unknown"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-submitting-device",
          "resource" : {
            "resourceType" : "Device",
            "id" : "device-example-submitting-device",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "deviceName" : [
              {
                "name" : "NHSN Link",
                "type" : "model-name"
              }
            ],
            "version" : [
              {
                "component" : {
                  "value" : "api"
                },
                "value" : "0.9.0"
              },
              {
                "component" : {
                  "value" : "api"
                },
                "value" : "20230713.1"
              },
              {
                "component" : {
                  "value" : "api"
                },
                "value" : "3f9662a8"
              },
              {
                "component" : {
                  "value" : "cqf-ruler"
                },
                "value" : "0.13.0"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest",
          "resource" : {
            "resourceType" : "List",
            "id" : "list-example-ach-monthly-patients-of-interest",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr></table></div>"
            },
            "extension" : [
              {
                "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension",
                "valuePeriod" : {
                  "start" : "2021-07-28T00:00:00Z",
                  "end" : "2021-08-28T00:00:00Z"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "https://nhsnlink.org",
                "value" : "NHSNdQMAcuteCareHospitalMonthlyInitialPopulation"
              }
            ],
            "status" : "current",
            "mode" : "changes",
            "date" : "2021-07-28T00:00:00Z",
            "entry" : [
              {
                "item" : {
                  🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
                }
              },
              {
                "item" : {
                  🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
                }
              },
              {
                "item" : {
                  🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "measurereport-example-ach-monthly-subjectlist1",
            "meta" : {
              "extension" : [
                {
                  "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension",
                  "valueDateTime" : "2023-05-23T06:07:08Z"
                }
              ],
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0)),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); type = Central venous catheter, device (physical object),-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0)),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); type = Intermittent venous compression system pump (physical object),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0)),-&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>"
            },
            "contained" : [
              {
                "resourceType" : "List",
                "id" : "list-example-ach-monthly-individual-measurereport-list",
                "meta" : {
                  "profile" : [
                    🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"
                  ]
                },
                "status" : "current",
                "mode" : "snapshot",
                "entry" : [
                  {
                    "item" : {
                      🔗 "reference" : "MeasureReport/measurereport-example-individual-ach-monthly-pass1"
                    }
                  },
                  {
                    "item" : {
                      🔗 "reference" : "MeasureReport/measurereport-example-individual-ach-monthly-pass2"
                    }
                  },
                  {
                    "item" : {
                      🔗 "reference" : "MeasureReport/measurereport-example-individual-ach-monthly-pass3"
                    }
                  }
                ]
              }
            ],
            "status" : "complete",
            "type" : "subject-list",
            "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
            "period" : {
              "start" : "2022-08-01T00:00:00+00:00",
              "end" : "2022-08-31T23:59:59+00:00"
            },
            "group" : [
              {
                "population" : [
                  {
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
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                    "count" : 1,
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        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "measurereport-example-individual-ach-monthly-pass1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
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            },
            "text" : {
              "status" : "extensions",
              "div" : "<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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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; 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              },
              {
                "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" : "sde-observation-vital-signs-category"
                    }
                  ],
                  "reference" : "Observation/observation-example-ach-monthly-pass1-vitals-weight"
                }
              },
              {
                "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" : "sde-procedure"
                    }
                  ],
                  "reference" : "Procedure/procedure-example-ach-monthly-pass1-central-line"
                }
              },
              {
                "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" : "sde-procedure"
                    }
                  ],
                  "reference" : "Procedure/procedure-example-ach-monthly-pass1-lumbar"
                }
              },
              {
                "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" : "sde-service-request"
                    }
                  ],
                  "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
                }
              },
              {
                "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" : "sde-service-request"
                    }
                  ],
                  "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
                }
              },
              {
                "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" : "sde-specimen"
                    }
                  ],
                  "reference" : "Specimen/specimen-example-ach-monthly-pass1-blood"
                }
              },
              {
                "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" : "sde-specimen"
                    }
                  ],
                  "reference" : "Specimen/specimen-example-ach-monthly-pass1-csf"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "http://example.org/fhir/measurereport/id",
                "value" : "123456789-pass1"
              }
            ],
            "status" : "complete",
            "type" : "individual",
            "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
            },
            "date" : "2024-02-05T21:04:29.481+00:00",
            "reporter" : {
              🔗 "reference" : "Organization/organization-example-submitting-organization"
            },
            "period" : {
              "start" : "2024-01-05T00:00:00.000+00:00",
              "end" : "2024-02-04T00:00:00.000+00:00"
            },
            "improvementNotation" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                  "code" : "increase"
                }
              ]
            },
            "group" : [
              {
                "population" : [
                  {
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
                        }
                      ]
                    },
                    "count" : 1
                  }
                ]
              }
            ],
            "evaluatedResource" : [
              {
                🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
              },
              {
                🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1"
              },
              {
                🔗 "reference" : "Coverage/coverage-example-ach-monthly-pass1"
              },
              {
                🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass1"
              },
              {
                🔗 "reference" : "Device/device-example-ach-monthly-pass1-central-line"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass1-blood"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass1-csf"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass1-gestational-age"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass1-vitals-weight"
              },
              {
                🔗 "reference" : "Procedure/procedure-example-ach-monthly-pass1-central-line"
              },
              {
                🔗 "reference" : "Procedure/procedure-example-ach-monthly-pass1-lumbar"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
              },
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-blood"
              },
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-csf"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass1",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "patient-example-ach-monthly-pass1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2054-5",
                      "display" : "Black or African American"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Black or African American"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
              },
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2135-2",
                      "display" : "Hispanic or Latino"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Hispanic or Latino"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
              },
              {
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                "valueCode" : "M"
              }
            ],
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MR",
                      "display" : "Medical record number"
                    }
                  ],
                  "text" : "MRN"
                },
                "system" : "urn:oid:1.2.5.8.2.7",
                "value" : "1601191901010308"
              }
            ],
            "active" : true,
            "name" : [
              {
                "use" : "official",
                "text" : "Pass1 ACH",
                "family" : "ACH",
                "given" : [
                  "Pass1"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "999-999-9999",
                "use" : "home"
              }
            ],
            "gender" : "female",
            "birthDate" : "2024-02-01",
            "deceasedBoolean" : false,
            "address" : [
              {
                "use" : "home",
                "type" : "both",
                "line" : [
                  "456 Alphabet Street"
                ],
                "city" : "Lansing",
                "district" : "Ingham County",
                "state" : "MI",
                "postalCode" : "48864",
                "country" : "US"
              }
            ],
            "contact" : [
              {
                "relationship" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                        "code" : "N",
                        "display" : "Next-of-Kin"
                      }
                    ]
                  }
                ],
                "name" : {
                  "text" : "Mom Parent",
                  "family" : "Parent",
                  "given" : [
                    "Mom"
                  ]
                },
                "address" : {
                  "line" : [
                    "456 Alphabet Street"
                  ],
                  "city" : "Lansing",
                  "state" : "MI",
                  "postalCode" : "48864"
                }
              }
            ],
            "communication" : [
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "en-US",
                      "display" : "English (United States)"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass1",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter-example-ach-monthly-pass1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005104251"
              }
            ],
            "status" : "in-progress",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "ACUTE",
              "display" : "inpatient acute"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "32485007",
                    "display" : "Hospital admission (procedure)"
                  }
                ],
                "text" : "Hospital Admission"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "period" : {
              "start" : "2024-02-01T16:02:00-05:00",
              "end" : "2024-02-04T19:00:00-05:00"
            },
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                    "code" : "R50.9",
                    "display" : "Fever, unspecified"
                  }
                ],
                "text" : "Fever"
              }
            ],
            "diagnosis" : [
              {
                "condition" : {
                  🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass1",
                  "display" : "Thrombophlebitis"
                }
              }
            ],
            "hospitalization" : {
              "admitSource" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                    "code" : "born",
                    "display" : "Born in hospital"
                  }
                ],
                "text" : "Born in hospital"
              },
              "dischargeDisposition" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code" : "oth",
                    "display" : "Other"
                  }
                ],
                "text" : "Other"
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location-example-ach-monthly-nicu-level-iii",
                  "display" : "ACH Monthly Neonatal critical care"
                },
                "physicalType" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                      "code" : "wa",
                      "display" : "Ward"
                    }
                  ]
                },
                "period" : {
                  "start" : "2024-02-01T16:02:00-05:00",
                  "end" : "2024-02-02T16:02:00-05:00"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass1",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "coverage-example-ach-monthly-pass1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB",
                      "display" : "Member Number"
                    }
                  ]
                },
                "system" : "http://example.org/fhir/memberidentifier",
                "value" : "084536836"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "version" : "9.0.0",
                  "code" : "SUBSIDIZ",
                  "display" : "subsidized health program"
                }
              ]
            },
            "policyHolder" : {
              "reference" : "http://example.org/fhir/RelatedPerson/exampleMom",
              "display" : "Mom Parent"
            },
            "subscriberId" : "98435938934",
            "beneficiary" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code" : "child",
                  "display" : "Child"
                }
              ],
              "text" : "Child"
            },
            "period" : {
              "start" : "2020-08-01"
            },
            "payor" : [
              {
                "reference" : "http://example.org/fhir/Organization/Medicaid",
                "display" : "Medicaid"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass1",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition-example-diagnosis-ach-monthly-pass1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "version" : "4.0.0",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  }
                ],
                "text" : "Encounter Diagnosis"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "5758002",
                  "display" : "Bacteremia (finding)"
                },
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "R78.81",
                  "display" : "Bacteremia"
                }
              ],
              "text" : "Bacteremia"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass1-central-line",
          "resource" : {
            "resourceType" : "Device",
            "id" : "device-example-ach-monthly-pass1-central-line",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "1000510341"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "52124006",
                  "display" : "Central venous catheter, device (physical object)"
                }
              ],
              "text" : "Central venous catheter, device"
            },
            "patient" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass1-vancomycin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888111"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-vancomycin-15",
              "display" : "vancomycin Injectable Solution 50MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T14:34:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin"
            },
            "dosage" : {
              "text" : "15mg/kg",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 15,
                "unit" : "mg/kg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg/kg"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass1-vancomycin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888811"
              }
            ],
            "status" : "completed",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient"
              }
            ],
            "reportedBoolean" : false,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-vancomycin-15",
              "display" : "vancomycin Injectable Solution 50MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "authoredOn" : "2024-02-02T13:43:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
            },
            "dosageInstruction" : [
              {
                "text" : "15mg/kg every 12 hours",
                "timing" : {
                  "repeat" : {
                    "period" : 12,
                    "periodUnit" : "h"
                  }
                },
                "asNeededBoolean" : false,
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "47625008",
                      "display" : "Intravenous route"
                    }
                  ],
                  "text" : "IV"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 15,
                      "unit" : "mg/kg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg/kg"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-blood",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass1-blood",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "600-7",
                  "display" : "Bacteria identified in Blood by Culture"
                }
              ],
              "text" : "Bacteria identified in Blood by Culture"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T18:12:00-05:00",
            "issued" : "2024-02-03T11:42:00-05:00",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "113962001",
                  "display" : "Staphylococcus capitis ss capitis (organism)"
                }
              ],
              "text" : "Staphylococcus capitis"
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-blood"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-csf",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass1-csf",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "61402-4",
                  "display" : "Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"
                }
              ],
              "text" : "Serratia marcescens DNA"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T18:13:00-05:00",
            "issued" : "2024-02-03T11:47:00-05:00",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "260373001",
                  "display" : "Detected (qualifier value)"
                }
              ]
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-csf"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-gestational-age",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass1-gestational-age",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "exam",
                    "display" : "exam"
                  }
                ],
                "text" : "Exam"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "76516-4",
                  "display" : "Gestational age--at birth"
                }
              ],
              "text" : "Gestational age at birth"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T16:02:00-05:00",
            "issued" : "2024-02-01T16:02:00-05:00",
            "valueQuantity" : {
              "value" : 164,
              "unit" : "day",
              "system" : "http://unitsofmeasure.org",
              "code" : "d"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-vitals-weight",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass1-vitals-weight",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29463-7",
                  "display" : "Body weight"
                }
              ],
              "text" : "Weight"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T16:02:00-05:00",
            "issued" : "2024-02-01T16:02:00-05:00",
            "valueQuantity" : {
              "value" : 0.58,
              "unit" : "kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-central-line",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "procedure-example-ach-monthly-pass1-central-line",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "1000510352"
              }
            ],
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "312052002",
                  "display" : "Placement procedure (procedure)"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "performedDateTime" : "2024-02-02T18:12:00-05:00"
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-lumbar",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "procedure-example-ach-monthly-pass1-lumbar",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "1000510352"
              }
            ],
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://www.cms.gov/Medicare/Coding/ICD10",
                  "code" : "009U3ZX",
                  "display" : "Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "performedDateTime" : "2024-02-02T18:56:00-05:00",
            "bodySite" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "272005",
                    "display" : "Structure of superior articular process of lumbar vertebra (body structure)"
                  }
                ],
                "text" : "Structure of superior articular process of lumbar vertebra"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-blood",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass1-blood",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631821"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "600-7",
                  "display" : "Bacteria identified in Blood by Culture"
                }
              ],
              "text" : "Bacteria identified in Blood by Culture"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-02-02T17:22:00-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-02-02T17:22:00-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-blood"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-csf",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass1-csf",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631822"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29584-0",
                  "display" : "Differential panel - Cerebral spinal fluid"
                }
              ],
              "text" : "Differential panel - Cerebral spinal fluid"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass1",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-02-02T17:22:30-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-02-02T17:22:30-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass1-csf"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-blood",
          "resource" : {
            "resourceType" : "Specimen",
            "id" : "specimen-example-ach-monthly-pass1-blood",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
                "value" : "C104082901",
                "assigner" : {
                  "display" : "LIS"
                }
              },
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
                "value" : "C10408290:41"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "122555007",
                  "display" : "Venous blood specimen (specimen)"
                }
              ],
              "text" : "Venous blood specimen (specimen)"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "receivedTime" : "2024-02-02T18:20:00-05:00",
            "collection" : {
              "collectedDateTime" : "2024-02-02T18:12:00-05:00",
              "bodySite" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "76853006",
                    "display" : "Heel structure (body structure)"
                  }
                ],
                "text" : "Heel structure"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-csf",
          "resource" : {
            "resourceType" : "Specimen",
            "id" : "specimen-example-ach-monthly-pass1-csf",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
                "value" : "C104082902",
                "assigner" : {
                  "display" : "LIS"
                }
              },
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
                "value" : "C10408290:42"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "258450006",
                  "display" : "Cerebrospinal fluid specimen (specimen)"
                }
              ],
              "text" : "Cerebrospinal fluid specimen (specimen)"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1",
              "display" : "Pass1 ACH"
            },
            "receivedTime" : "2024-02-02T18:20:00-05:00",
            "collection" : {
              "collectedDateTime" : "2024-02-02T18:13:00-05:00",
              "bodySite" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "272005",
                    "display" : "Structure of superior articular process of lumbar vertebra (body structure)"
                  }
                ],
                "text" : "Structure of superior articular process of lumbar vertebra"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass2",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "measurereport-example-individual-ach-monthly-pass2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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; 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                  🔗 "extension" : [
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                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                      "valueString" : "sde-specimen"
                    }
                  ],
                  "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "http://example.org/fhir/measurereport/id",
                "value" : "123456789-pass2"
              }
            ],
            "status" : "complete",
            "type" : "individual",
            "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
            },
            "date" : "2024-02-05T21:04:29.481+00:00",
            "reporter" : {
              🔗 "reference" : "Organization/organization-example-submitting-organization"
            },
            "period" : {
              "start" : "2024-01-05T00:00:00.000+00:00",
              "end" : "2024-02-04T00:00:00.000+00:00"
            },
            "improvementNotation" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                  "code" : "increase"
                }
              ]
            },
            "group" : [
              {
                "population" : [
                  {
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
                        }
                      ]
                    },
                    "count" : 1
                  }
                ]
              }
            ],
            "evaluatedResource" : [
              {
                🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
              },
              {
                🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency"
              },
              {
                🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient"
              },
              {
                🔗 "reference" : "Coverage/coverage-example-ach-monthly-pass2"
              },
              {
                🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2-problem"
              },
              {
                🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2"
              },
              {
                🔗 "reference" : "Device/device-example-ach-monthly-pass2-compress-hose"
              },
              {
                🔗 "reference" : "DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-aptt"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-poc-1"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-poc-2"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-hemo-a1c"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-hemo"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass2-vitals-weight"
              },
              {
                🔗 "reference" : "Procedure/procedure-example-ach-monthly-pass2-ivcf"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"
              },
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1"
              },
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass2",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "patient-example-ach-monthly-pass2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2106-3",
                      "display" : "White"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "White"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
              },
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2186-5",
                      "display" : "Not Hispanic or Latino"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Non Hispanic or Latino"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
              },
              {
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                "valueCode" : "F"
              }
            ],
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MR",
                      "display" : "Medical record number"
                    }
                  ],
                  "text" : "MRN"
                },
                "system" : "urn:oid:1.2.5.8.2.7",
                "value" : "1601191902010308"
              }
            ],
            "active" : true,
            "name" : [
              {
                "use" : "official",
                "text" : "Pass2 ACH",
                "family" : "ACH",
                "given" : [
                  "Pass2"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "999-999-9999",
                "use" : "home"
              }
            ],
            "gender" : "female",
            "birthDate" : "1965-12-22",
            "deceasedDateTime" : "2024-02-02T16:22:00-05:00",
            "address" : [
              {
                "line" : [
                  "123 Sesame Street Lansing"
                ],
                "city" : "Lansing",
                "district" : "Ingham County",
                "state" : "MI",
                "postalCode" : "48864",
                "country" : "US"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-emergency",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter-example-ach-monthly-pass2-emergency",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005104252a"
              }
            ],
            "status" : "triaged",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "EMER",
              "display" : "emergency"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "4525004",
                    "display" : "Emergency department patient visit"
                  }
                ],
                "text" : "Emergency department patient visit"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "period" : {
              "start" : "2024-01-31T02:35:00-05:00",
              "end" : "2024-01-31T22:02:00-05:00"
            },
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                    "code" : "M79.661",
                    "display" : "Pain in right lower leg"
                  }
                ],
                "text" : "Leg pain, lower right"
              }
            ],
            "diagnosis" : [
              {
                "condition" : {
                  🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass2",
                  "display" : "Thrombophlebitis"
                }
              }
            ],
            "hospitalization" : {
              "admitSource" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                    "code" : "other",
                    "display" : "Other"
                  }
                ],
                "text" : "Walk-in"
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location-example-ach-monthly-emergency",
                  "display" : "ACH Monthly Emergency Department"
                },
                "physicalType" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                      "code" : "wa",
                      "display" : "Ward"
                    }
                  ]
                },
                "period" : {
                  "start" : "2024-01-31T02:35:00-05:00",
                  "end" : "2024-02-01T01:02:00-05:00"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-inpatient",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter-example-ach-monthly-pass2-inpatient",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "extension" : [
              {
                "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension",
                "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3"
              }
            ],
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005104252b"
              }
            ],
            "status" : "finished",
            "_status" : {
              "extension" : [
                {
                  "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension",
                  "valueString" : "COMPLETED"
                }
              ]
            },
            "class" : {
              "extension" : [
                {
                  "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-mapped-concept-extension",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://www.example.com/prorpietary",
                        "code" : "I",
                        "display" : "Inpatient"
                      }
                    ]
                  }
                }
              ],
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "IMP",
              "display" : "inpatient encounter"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "32485007",
                    "display" : "Hospital admission (procedure)"
                  }
                ],
                "text" : "Hospital Admission"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "period" : {
              "start" : "2024-01-31T22:02:00-05:00",
              "end" : "2024-02-02T16:22:00-05:00"
            },
            "hospitalization" : {
              "admitSource" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                    "code" : "emd",
                    "display" : "From accident/emergency department"
                  }
                ],
                "text" : "Emergency Department"
              },
              "dischargeDisposition" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code" : "exp",
                    "display" : "expired"
                  }
                ],
                "text" : "Expired"
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location-example-ach-monthly-inpatient",
                  "display" : "ACH Monthly Inpatient Hospital Ward"
                },
                "physicalType" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                      "code" : "wa",
                      "display" : "Ward"
                    }
                  ]
                },
                "period" : {
                  "start" : "2024-02-01T01:02:00-05:00",
                  "end" : "2024-02-02T16:22:00-05:00"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass2",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "coverage-example-ach-monthly-pass2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB",
                      "display" : "Member Number"
                    }
                  ]
                },
                "system" : "http://example.org/fhir/memberidentifier",
                "value" : "93565936"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "version" : "9.0.0",
                  "code" : "HMO",
                  "display" : "health maintenance organization policy"
                }
              ]
            },
            "subscriberId" : "89345743",
            "beneficiary" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code" : "self",
                  "display" : "Self"
                }
              ]
            },
            "payor" : [
              {
                "reference" : "http://example.org/fhir/Organization/PayerComm",
                "display" : "PayerComm"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2-problem",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition-example-diagnosis-ach-monthly-pass2-problem",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "version" : "4.0.0",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "problem-list-item",
                    "display" : "Problem List Item"
                  }
                ],
                "text" : "Problem List Item"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "44054006",
                  "display" : "Diabetes mellitus type 2 (disorder)"
                },
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "E11.9",
                  "display" : "Type 2 diabetes mellitus without complications"
                }
              ],
              "text" : "Diabetes mellitus without complication"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition-example-diagnosis-ach-monthly-pass2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "version" : "4.0.0",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  }
                ],
                "text" : "Encounter Diagnosis"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1748006",
                  "display" : "Thrombophlebitis of deep femoral vein (disorder)"
                }
              ],
              "text" : "Thrombophlebitis"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass2-compress-hose",
          "resource" : {
            "resourceType" : "Device",
            "id" : "device-example-ach-monthly-pass2-compress-hose",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "100051034"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "348681001",
                  "display" : "Graduated compression elastic hosiery (physical object)"
                }
              ],
              "text" : "Graduated compression elastic hosiery"
            },
            "patient" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology",
          "resource" : {
            "resourceType" : "DiagnosticReport",
            "id" : "diagnosticreport-example-ach-monthly-pass2-radiology",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "LP29684-5",
                    "display" : "Radiology"
                  }
                ],
                "text" : "Radiology"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "14331000087103",
                  "display" : "Doppler ultrasonography of vascular structure of right lower limb (procedure)"
                }
              ],
              "text" : "ultrasonography of right lower limb"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T23:14:00-05:00",
            "issued" : "2024-02-02T08:52:00-05:00",
            "conclusionCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "128053003",
                    "display" : "Deep venous thrombosis (disorder)"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-dex4",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888893"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "outpatient",
                  "display" : "Outpatient"
                }
              ],
              "text" : "Outpatient"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-dex4-tablet",
              "display" : "Dex4 4 gm chewable tablet X1"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency",
              "display" : "Emergency Encounter"
            },
            "effectiveDateTime" : "2024-01-31T04:54:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"
            },
            "dosage" : {
              "text" : "4 gm chewable tablet X1",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral Use"
                  }
                ],
                "text" : "Oral"
              },
              "dose" : {
                "value" : 4,
                "unit" : "g",
                "system" : "http://unitsofmeasure.org",
                "code" : "g"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-heparin-1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888895"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-heparin",
              "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T12:22:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
            },
            "dosage" : {
              "text" : "0.5 mL",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 5000,
                "unit" : "uL",
                "system" : "http://unitsofmeasure.org",
                "code" : "uL"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-heparin-2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888895"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-heparin",
              "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T13:26:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"
            },
            "dosage" : {
              "text" : "0.5 mL",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 5000,
                "unit" : "uL",
                "system" : "http://unitsofmeasure.org",
                "code" : "uL"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888942"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-insulin-lispro",
              "display" : "Insulin Lispro"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T12:00:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
            },
            "dosage" : {
              "text" : "Give 5 units before breakfast",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 5
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888943"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-insulin-lispro",
              "display" : "Insulin Lispro"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-01T19:00:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
            },
            "dosage" : {
              "text" : "Give 5 units before dinner",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 4
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-3",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888944"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-insulin-lispro",
              "display" : "Insulin Lispro"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T07:00:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
            },
            "dosage" : {
              "text" : "Give 5 units before breakfast",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 5
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass2-insulin-lispro-4",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888945"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-insulin-lispro",
              "display" : "Insulin Lispro"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T15:00:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"
            },
            "dosage" : {
              "text" : "Give 5 units before dinner",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "47625008",
                    "display" : "Intravenous route"
                  }
                ],
                "text" : "IV"
              },
              "dose" : {
                "value" : 4
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass2-dex4-tablet",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888892"
              }
            ],
            "status" : "active",
            "intent" : "plan",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "outpatient",
                    "display" : "Outpatient"
                  }
                ],
                "text" : "Outpatient"
              }
            ],
            "reportedBoolean" : true,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-dex4-tablet",
              "display" : "Dex4 4 gm chewable tablet X1"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency",
              "display" : "Emergency Encounter"
            },
            "authoredOn" : "2024-01-31T04:46:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
            },
            "dosageInstruction" : [
              {
                "text" : "4 gm chewable tablet X1",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral Use"
                    }
                  ],
                  "text" : "Oral"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 4,
                      "unit" : "g",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "g"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass2-heparin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888895"
              }
            ],
            "status" : "completed",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient Medication"
              }
            ],
            "reportedBoolean" : false,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-heparin",
              "display" : "0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "authoredOn" : "2024-02-01T12:00:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
            },
            "dosageInstruction" : [
              {
                "text" : "0.5 mL",
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "site" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "1255295007",
                      "display" : "Structure of blood vessel of left upper arm (body structure)"
                    }
                  ]
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "47625008",
                      "display" : "Intravenous route"
                    }
                  ],
                  "text" : "IV"
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 5000,
                      "unit" : "uL",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "uL"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass2-insulin-lispro",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888894"
              }
            ],
            "status" : "completed",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient Medication"
              }
            ],
            "reportedBoolean" : false,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-insulin-lispro",
              "display" : "Insulin Lispro"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "authoredOn" : "2024-02-01T12:00:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
            },
            "dosageInstruction" : [
              {
                "text" : "Give 5 units before breakfast",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  },
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
                        "code" : "AM"
                      }
                    ]
                  }
                },
                "asNeededBoolean" : false,
                "site" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "1255295007",
                      "display" : "Structure of blood vessel of left upper arm (body structure)"
                    }
                  ]
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "47625008",
                      "display" : "Intravenous route"
                    }
                  ],
                  "text" : "IV"
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 5
                    }
                  }
                ]
              },
              {
                "text" : "Give 4 units before dinner",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  },
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
                        "code" : "BED"
                      }
                    ]
                  }
                },
                "asNeededBoolean" : false,
                "site" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "1255295007",
                      "display" : "Structure of blood vessel of left upper arm (body structure)"
                    }
                  ]
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "47625008",
                      "display" : "Intravenous route"
                    }
                  ],
                  "text" : "IV"
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 4
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass2-metformin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888892"
              }
            ],
            "status" : "active",
            "intent" : "plan",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "community",
                    "display" : "Community"
                  }
                ],
                "text" : "Home Medication"
              }
            ],
            "reportedBoolean" : true,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-metformin-1000",
              "display" : "Metformin hydrochloride 1000 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency",
              "display" : "Emergency Encounter"
            },
            "authoredOn" : "2024-01-31T04:22:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2"
            },
            "recorder" : {
              "display" : "Patient Identified"
            },
            "dosageInstruction" : [
              {
                "text" : "1000 mg tablet by mouth twice daily",
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral Use"
                    }
                  ],
                  "text" : "Oral"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 1000,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-aptt",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-aptt",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "3173-2",
                  "display" : "aPTT in Blood by Coagulation assay"
                }
              ],
              "text" : "aPTT"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T11:24:00-05:00",
            "issued" : "2024-02-02T11:29:00-05:00",
            "valueQuantity" : {
              "value" : 8,
              "unit" : "s",
              "system" : "http://unitsofmeasure.org",
              "code" : "s"
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-poc-1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "41653-7",
                  "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer"
                }
              ],
              "text" : "Glucose"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-01-31T23:01:00-05:00",
            "issued" : "2024-01-31T23:02:00-05:00",
            "valueQuantity" : {
              "value" : 53,
              "unit" : "d/gL",
              "system" : "http://unitsofmeasure.org",
              "code" : "g/dL"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-poc-2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "41653-7",
                  "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer"
                }
              ],
              "text" : "Glucose"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T10:14:00-05:00",
            "issued" : "2024-02-02T10:15:00-05:00",
            "valueQuantity" : {
              "value" : 105,
              "unit" : "d/gL",
              "system" : "http://unitsofmeasure.org",
              "code" : "g/dL"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo-a1c",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-hemo-a1c",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "4548-4",
                  "display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ],
              "text" : "Hemoglobin A1c"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-01-31T23:01:00-05:00",
            "issued" : "2024-01-31T23:52:00-05:00",
            "valueQuantity" : {
              "value" : 7.5,
              "unit" : "%",
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-hemo",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "600-7",
                  "display" : "Bacteria identified in Blood by Culture"
                }
              ],
              "text" : "Bacteria identified in Blood by Culture"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "effectiveDateTime" : "2024-02-02T11:24:00-05:00",
            "issued" : "2024-02-02T11:29:00-05:00",
            "valueQuantity" : {
              "value" : 8,
              "unit" : "d/gL",
              "system" : "http://unitsofmeasure.org",
              "code" : "g/dL"
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-vitals-weight",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass2-vitals-weight",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29463-7",
                  "display" : "Body weight"
                }
              ],
              "text" : "Weight"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-emergency",
              "display" : "Emergency Encounter"
            },
            "effectiveDateTime" : "2024-01-31T01:42:00-05:00",
            "issued" : "2024-01-31T01:42:00-05:00",
            "valueQuantity" : {
              "value" : 113.4,
              "unit" : "kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass2-ivcf",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "procedure-example-ach-monthly-pass2-ivcf",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005103526"
              }
            ],
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "397913009",
                  "display" : "Percutaneous insertion of inferior vena cava filter (procedure)"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "performedDateTime" : "2024-02-01T05:02:00-05:00"
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass2-aptt",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631824"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "priority" : "stat",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "3173-2",
                  "display" : "aPTT in Blood by Coagulation assay"
                }
              ],
              "text" : "aPTT"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-01-31T22:21:00-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-01-31T22:21:00-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass2-glucose",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631824"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "41653-7",
                  "display" : "Glucose [Mass/volume] in Capillary blood by Glucometer"
                }
              ],
              "text" : "Glucose"
            },
            "quantityQuantity" : {
              "value" : 2
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "repeat" : {
                "count" : 2,
                "period" : 1,
                "periodUnit" : "d"
              },
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
                    "code" : "BID",
                    "display" : "BID"
                  }
                ]
              }
            },
            "authoredOn" : "2024-01-31T22:21:00-05:00"
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass2-hemo-a1c",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631823"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "41995-2",
                  "display" : "Hemoglobin A1c [Mass/volume] in Blood"
                }
              ],
              "text" : "Hemoglobin A1c"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-01-31T22:21:00-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-01-31T22:21:00-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-1"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass2-hemo",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631824"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "priority" : "stat",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "30350-3",
                  "display" : "Hemoglobin [Mass/volume] in Venous blood"
                }
              ],
              "text" : "Hemoglobin"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass2-inpatient",
              "display" : "Hospital Admission"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-02-02T11:22:00-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-02-02T11:22:00-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass2-blood-2"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-1",
          "resource" : {
            "resourceType" : "Specimen",
            "id" : "specimen-example-ach-monthly-pass2-blood-1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
                "value" : "C104082902",
                "assigner" : {
                  "display" : "LIS"
                }
              },
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
                "value" : "C10408290:42"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "122555007",
                  "display" : "Venous blood specimen (specimen)"
                }
              ],
              "text" : "Venous blood specimen (specimen)"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass1 ACH"
            },
            "receivedTime" : "2024-01-31T22:50:00-05:00",
            "collection" : {
              "collectedDateTime" : "2024-01-31T22:42:00-05:00",
              "bodySite" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-2",
          "resource" : {
            "resourceType" : "Specimen",
            "id" : "specimen-example-ach-monthly-pass2-blood-2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
                "value" : "C104082902",
                "assigner" : {
                  "display" : "LIS"
                }
              },
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
                "value" : "C10408290:42"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "122555007",
                  "display" : "Venous blood specimen (specimen)"
                }
              ],
              "text" : "Venous blood specimen (specimen)"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass2",
              "display" : "Pass1 ACH"
            },
            "receivedTime" : "2024-02-02T11:26:00-05:00",
            "collection" : {
              "collectedDateTime" : "2024-02-02T11:24:00-05:00",
              "bodySite" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1255295007",
                    "display" : "Structure of blood vessel of left upper arm (body structure)"
                  }
                ]
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "measurereport-example-individual-ach-monthly-pass3",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))</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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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\u00a0(use:\u00a0usual,\u00a0); 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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                      "code" : "cohort"
                    }
                  ]
                }
              },
              {
                "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" : "sde-condition"
                    }
                  ],
                  "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
                }
              },
              {
                "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" : "sde-condition"
                    }
                  ],
                  "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
                }
              },
              {
                "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" : "sde-coverage"
                    }
                  ],
                  "reference" : "Coverage/coverage-example-ach-monthly-pass3"
                }
              },
              {
                "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" : "sde-device"
                    }
                  ],
                  "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
                }
              },
              {
                "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" : "sde-encounter"
                    }
                  ],
                  "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
                }
              },
              {
                "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" : "sde-encounter"
                    }
                  ],
                  "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
                }
              },
              {
                "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" : "sde-medication-administration"
                    }
                  ],
                  "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
                }
              },
              {
                "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" : "sde-medication-administration"
                    }
                  ],
                  "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
                }
              },
              {
                "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" : "sde-medication-administration"
                    }
                  ],
                  "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
                }
              },
              {
                "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" : "sde-medication-administration"
                    }
                  ],
                  "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
                }
              },
              {
                "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" : "sde-medication-request"
                    }
                  ],
                  "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
                }
              },
              {
                "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" : "sde-medication-request"
                    }
                  ],
                  "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
                }
              },
              {
                "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" : "sde-medication-request"
                    }
                  ],
                  "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
                }
              },
              {
                "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" : "sde-observation-lab-category"
                    }
                  ],
                  "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
                }
              },
              {
                "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" : "sde-observation-vital-signs"
                    }
                  ],
                  "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
                }
              },
              {
                "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" : "sde-observation-vital-signs"
                    }
                  ],
                  "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
                }
              },
              {
                "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" : "sde-minimal-patient"
                    }
                  ],
                  "reference" : "Patient/patient-example-ach-monthly-pass3"
                }
              },
              {
                "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" : "sde-procedure"
                    }
                  ],
                  "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
                }
              },
              {
                "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" : "sde-servicerequest"
                    }
                  ],
                  "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
                }
              },
              {
                "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" : "sde-specimen"
                    }
                  ],
                  "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "http://example.org/fhir/measurereport/id",
                "value" : "123456789-pass3"
              }
            ],
            "status" : "complete",
            "type" : "individual",
            "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild",
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass1"
            },
            "date" : "2024-02-05T21:04:29.481+00:00",
            "reporter" : {
              🔗 "reference" : "Organization/organization-example-submitting-organization"
            },
            "period" : {
              "start" : "2024-01-05T00:00:00.000+00:00",
              "end" : "2024-02-04T00:00:00.000+00:00"
            },
            "improvementNotation" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                  "code" : "increase"
                }
              ]
            },
            "group" : [
              {
                "population" : [
                  {
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
                        }
                      ]
                    },
                    "count" : 1
                  }
                ]
              }
            ],
            "evaluatedResource" : [
              {
                🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3-problem"
              },
              {
                🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3"
              },
              {
                🔗 "reference" : "Coverage/coverage-example-ach-monthly-pass3"
              },
              {
                🔗 "reference" : "Device/device-example-ach-monthly-pass3-ivcs-pump"
              },
              {
                🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute"
              },
              {
                🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2"
              },
              {
                🔗 "reference" : "MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
              },
              {
                🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-cdiff"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-height"
              },
              {
                🔗 "reference" : "Observation/observation-example-ach-monthly-pass3-vitals-weight"
              },
              {
                🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
              },
              {
                🔗 "reference" : "Procedure/procedure-example-ach-monthly-pass3-transfusion"
              },
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
              },
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "patient-example-ach-monthly-pass3",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"
              ],
              "security" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                  "code" : "R",
                  "display" : "Restricted"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2028-9",
                      "display" : "Asian"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "White"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
              },
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2186-5",
                      "display" : "Not Hispanic or Latino"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Non Hispanic or Latino"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
              },
              {
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                "valueCode" : "M"
              }
            ],
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MR",
                      "display" : "Medical record number"
                    }
                  ],
                  "text" : "MRN"
                },
                "system" : "urn:oid:1.2.5.8.2.7",
                "value" : "1601191903010308"
              }
            ],
            "active" : true,
            "name" : [
              {
                "use" : "official",
                "text" : "Pass3 ACH",
                "family" : "ACH",
                "given" : [
                  "Pass3"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "email",
                "value" : "ACHtestcase@testcase.com",
                "use" : "home"
              }
            ],
            "gender" : "female",
            "birthDate" : "2007-10-08",
            "address" : [
              {
                "line" : [
                  "5678 Sesame Lansing"
                ],
                "city" : "Lansing",
                "state" : "MI",
                "postalCode" : "48864",
                "country" : "US"
              }
            ],
            "communication" : [
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "zh",
                      "display" : "Chinese"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter-example-ach-monthly-pass3-acute",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005104253a"
              }
            ],
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "ACUTE",
              "display" : "inpatient acute"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "453701000124103",
                    "display" : "In-person encounter"
                  }
                ],
                "text" : "Critical care visit"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "period" : {
              "start" : "2024-02-02T16:43:00-05:00",
              "end" : "2024-02-03T19:58:00-05:00"
            },
            "hospitalization" : {
              "admitSource" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                    "code" : "other",
                    "display" : "Other"
                  }
                ],
                "text" : "From Short Stay"
              },
              "dischargeDisposition" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code" : "home",
                    "display" : "Home"
                  }
                ],
                "text" : "Home"
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location-example-ach-monthly-crit-part",
                  "display" : "ACH Monthly Medical Critical Care"
                },
                "physicalType" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                      "code" : "wa",
                      "display" : "Ward"
                    }
                  ]
                },
                "period" : {
                  "start" : "2024-02-02T16:43:00-05:00",
                  "end" : "2024-03-02T19:58:00-05:00"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter-example-ach-monthly-pass3-short-stay",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "10005104253a"
              }
            ],
            "status" : "in-progress",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "version" : "9.0.0",
              "code" : "SS",
              "display" : "short stay"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "8715000",
                    "display" : "Hospital admission, elective (procedure)"
                  }
                ],
                "text" : "Hospital Admission, Elective Procedure"
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "period" : {
              "start" : "2024-02-01T14:12:00-05:00",
              "end" : "2024-02-02T16:43:00-05:00"
            },
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                    "code" : "R19.7",
                    "display" : "Diarrhea, unspecified"
                  }
                ],
                "text" : "Diarrhea"
              }
            ],
            "diagnosis" : [
              {
                "condition" : {
                  🔗 "reference" : "Condition/condition-example-diagnosis-ach-monthly-pass3",
                  "display" : "Enterocolitis due to Clostridium difficile"
                }
              }
            ],
            "hospitalization" : {
              "admitSource" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
                    "code" : "outp",
                    "display" : "From outpatient department"
                  }
                ],
                "text" : "Outpatient"
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location-example-ach-monthly-medsurg",
                  "display" : "ACH Monthly Medical-Surgical Ward"
                },
                "physicalType" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                      "code" : "wa",
                      "display" : "Ward"
                    }
                  ]
                },
                "period" : {
                  "start" : "2024-02-01T14:12:00-05:00",
                  "end" : "2024-02-02T16:43:00-05:00"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "coverage-example-ach-monthly-pass3",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB",
                      "display" : "Member Number"
                    }
                  ]
                },
                "system" : "http://example.org/fhir/memberidentifier",
                "value" : "0945345"
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "version" : "9.0.0",
                  "code" : "PPO",
                  "display" : "preferred provider organization policy"
                }
              ]
            },
            "subscriberId" : "7843574536",
            "beneficiary" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code" : "self",
                  "display" : "Self"
                }
              ]
            },
            "payor" : [
              {
                "reference" : "http://example.org/fhir/Organization/NationFirst",
                "display" : "Nation First Health Care"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition-example-diagnosis-ach-monthly-pass3-problem",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "resolved",
                  "display" : "Resolved"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "version" : "4.0.0",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "problem-list-item",
                    "display" : "Problem List Item"
                  }
                ],
                "text" : "Problem List Item"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "15805002",
                  "display" : "Acute sinusitis (disorder)"
                },
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "J01.90",
                  "display" : "Acute sinusitis, unspecified"
                }
              ],
              "text" : "Acute sinusitis"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "onsetDateTime" : "2024-01-21T07:32:00-05:00",
            "abatementDateTime" : "2024-02-02T16:43:00-05:00"
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition-example-diagnosis-ach-monthly-pass3",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "version" : "4.0.0",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  }
                ],
                "text" : "Encounter Diagnosis"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "A04.7",
                  "display" : "Enterocolitis due to Clostridium difficile"
                }
              ],
              "text" : "Enterocolitis due to Clostridium difficile"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump",
          "resource" : {
            "resourceType" : "Device",
            "id" : "device-example-ach-monthly-pass3-ivcs-pump",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "100051035"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "469317002",
                  "display" : "Intermittent venous compression system pump (physical object)"
                }
              ],
              "text" : "Intermittent venous compression system pump"
            },
            "patient" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass3-enoxaparin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888833"
              }
            ],
            "status" : "not-done",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-enoxaparin",
              "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
              "display" : "Critical care visit"
            },
            "effectiveDateTime" : "2024-02-02T21:04:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin"
            },
            "dosage" : {
              "text" : "0.4ml subcutaneous once daily in abdomen",
              "site" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "42972002",
                    "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
                  }
                ]
              },
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral Use"
                  }
                ],
                "text" : "Oral"
              },
              "dose" : {
                "value" : 4000,
                "unit" : "uL",
                "system" : "http://unitsofmeasure.org",
                "code" : "uL"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass3-metronidazole-1",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888321"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-metronidazole",
              "display" : "Metronidazole 500 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "effectiveDateTime" : "2024-02-01T21:02:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
            },
            "dosage" : {
              "text" : "5mg tablet by mouth twice daily",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral Use"
                  }
                ],
                "text" : "Oral"
              },
              "dose" : {
                "value" : 5,
                "unit" : "mg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass3-metronidazole-2",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888322"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-metronidazole",
              "display" : "Metronidazole 500 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "effectiveDateTime" : "2024-02-02T21:09:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
            },
            "dosage" : {
              "text" : "5mg tablet by mouth twice daily",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral Use"
                  }
                ],
                "text" : "Oral"
              },
              "dose" : {
                "value" : 5,
                "unit" : "mg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "medadmin-example-ach-monthly-pass3-metronidazole-3",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0usual,\u00a0); 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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1018888323"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                  "code" : "inpatient",
                  "display" : "Inpatient"
                }
              ],
              "text" : "Inpatient Medication"
            },
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-metronidazole",
              "display" : "Metronidazole 500 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "context" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "effectiveDateTime" : "2024-02-03T09:09:00-05:00",
            "request" : {
              🔗 "reference" : "MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole"
            },
            "dosage" : {
              "text" : "5mg tablet by mouth twice daily",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral Use"
                  }
                ],
                "text" : "Oral"
              },
              "dose" : {
                "value" : 5,
                "unit" : "mg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg"
              }
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass3-cipro",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888892"
              }
            ],
            "status" : "active",
            "intent" : "plan",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "community",
                    "display" : "Community"
                  }
                ],
                "text" : "Home Medication"
              }
            ],
            "reportedBoolean" : true,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-cipro-500",
              "display" : "Ciprofloxacin 500 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "authoredOn" : "2024-02-01T19:15:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
            },
            "recorder" : {
              "display" : "Patient Identified"
            },
            "dosageInstruction" : [
              {
                "text" : "500mg tablet by mouth twice daily",
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral Use"
                    }
                  ],
                  "text" : "Oral"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 500,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass3-enoxaparin",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888833"
              }
            ],
            "status" : "active",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient Medication"
              }
            ],
            "reportedBoolean" : false,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-enoxaparin",
              "display" : "0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
              "display" : "Critical care visit"
            },
            "authoredOn" : "2024-02-02T12:21:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
            },
            "dosageInstruction" : [
              {
                "text" : "0.4ml subcutaneous once daily in abdomen",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "site" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "42972002",
                      "display" : "Subcutaneous tissue structure of anterior abdominal wall (body structure)"
                    }
                  ]
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral Use"
                    }
                  ],
                  "text" : "Oral"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 4000,
                      "unit" : "uL",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "uL"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "medicationrequest-example-ach-monthly-pass3-metronidazole",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191903010308\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "101888832"
              }
            ],
            "status" : "active",
            "intent" : "order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient Medication"
              }
            ],
            "reportedBoolean" : false,
            "medicationReference" : {
              🔗 "reference" : "Medication/medication-example-metronidazole",
              "display" : "Metronidazole 500 MG"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass2 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "authoredOn" : "2024-02-01T20:33:00-05:00",
            "requester" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3"
            },
            "dosageInstruction" : [
              {
                "text" : "5mg tablet by mouth twice daily",
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "asNeededBoolean" : false,
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "26643006",
                      "display" : "Oral Use"
                    }
                  ],
                  "text" : "Oral"
                },
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "Calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 5,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass3-cdiff",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "basedOn" : [
              {
                🔗 "reference" : "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ],
                "text" : "Laboratory"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "5933001",
                  "display" : "Clostridioides difficile (organism)"
                }
              ],
              "text" : "C. Diff."
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Hospital Admission, Short Stay"
            },
            "effectiveDateTime" : "2024-02-01T19:02:00-05:00",
            "issued" : "2024-02-02T15:30:00-05:00",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "10828004",
                  "display" : "Positive (qualifier value)"
                }
              ]
            },
            "specimen" : {
              🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass3-vitals-height",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "8302-2",
                  "display" : "Body height"
                }
              ],
              "text" : "Height"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
            "issued" : "2024-02-01T19:21:00-05:00",
            "valueQuantity" : {
              "value" : 176.8,
              "unit" : "cm",
              "system" : "http://unitsofmeasure.org",
              "code" : "cm"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "observation-example-ach-monthly-pass3-vitals-weight",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29463-7",
                  "display" : "Body weight"
                }
              ],
              "text" : "Weight"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Short Stay"
            },
            "effectiveDateTime" : "2024-02-01T19:21:00-05:00",
            "issued" : "2024-02-01T19:21:00-05:00",
            "valueQuantity" : {
              "value" : 54.4,
              "unit" : "kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "procedure-example-ach-monthly-pass3-transfusion",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
                "value" : "100051035264"
              }
            ],
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "116863004",
                  "display" : "Transfusion of red blood cells (procedure)"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-acute",
              "display" : "Critical care visit"
            },
            "performedDateTime" : "2024-02-02T20:43:00-05:00"
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "servicerequest-example-ach-monthly-pass3-cdiff",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC",
                      "display" : "Placer Identifier"
                    }
                  ],
                  "text" : "Placer Identifier"
                },
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798",
                "value" : "1019631826"
              }
            ],
            "status" : "completed",
            "intent" : "original-order",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "108252007",
                    "display" : "Laboratory procedure"
                  }
                ],
                "text" : "Laboratory procedure"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "13957-6",
                  "display" : "Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"
                }
              ],
              "text" : "C. Diff. toxin"
            },
            "quantityQuantity" : {
              "value" : 1
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/encounter-example-ach-monthly-pass3-short-stay",
              "display" : "Hospital Admission, Short Stay"
            },
            "occurrenceTiming" : {
              "event" : [
                "2024-02-01T18:12:00-05:00"
              ],
              "repeat" : {
                "count" : 1
              },
              "code" : {
                "text" : "Once"
              }
            },
            "authoredOn" : "2024-02-01T18:12:00-05:00",
            "specimen" : [
              {
                🔗 "reference" : "Specimen/specimen-example-ach-monthly-pass3-stool"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool",
          "resource" : {
            "resourceType" : "Specimen",
            "id" : "specimen-example-ach-monthly-pass3-stool",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.32",
                "value" : "C104082905",
                "assigner" : {
                  "display" : "LIS"
                }
              },
              {
                "system" : "urn:oid:2.16.840.1.113883.19.5.1.798.800",
                "value" : "C10408290:45"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "429901000124102",
                  "display" : "Bloody stool specimen (specimen)"
                }
              ],
              "text" : "Bloody stool specimen (specimen)"
            },
            "subject" : {
              🔗 "reference" : "Patient/patient-example-ach-monthly-pass3",
              "display" : "Pass3 ACH"
            },
            "receivedTime" : "2024-02-01T19:12:00-05:00",
            "collection" : {
              "collectedDateTime" : "2024-02-01T19:02:00-05:00",
              "bodySite" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "181261002",
                    "display" : "Entire rectum (body structure)"
                  }
                ]
              }
            }
          }
        }
      ]
    }