Data Exchange For Quality Measures Implementation Guide
5.0.0-ballot - STU5 Ballot
Data Exchange For Quality Measures Implementation Guide
5.0.0-ballot - STU5 Ballot
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "MeasureReport",
"id" : "sde-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport sde-example</b></p><a name=\"sde-example\"> </a><a name=\"hcsde-example\"> </a><a name=\"sde-example-en-US\"> </a><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>date</b>: 2022-10-24 11:36:58-0600</p><p><b>period</b>: 2022-01-01 00:00:00-0700 --> 2022-01-31 23:59:59-0700</p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population-01</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Location-nhsn-iip-loc101.html\">Location: type = Medical oncology clinic</a></li><li><a href=\"MedicationRequest-nhsn-iip-add101.html\">MedicationRequest: status = completed; intent = original-order; medication[x] = metFORMIN Oral Liquid Product</a></li><li><a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000</a></li><li><a href=\"MedicationRequest-nhsn-iip-add101-10.html\">MedicationRequest: status = active; intent = order; medication[x] = metFORMIN Oral Liquid Product</a></li></ul><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #nhsn-iip-ip101</b></p><a name=\"sde-example/nhsn-iip-ip101\"> </a><a name=\"hcsde-example/nhsn-iip-ip101\"> </a><a name=\"sde-example/nhsn-iip-ip101-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</p><hr/><table class=\"grid\"><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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2184-0\">CDC Race and Ethnicity</a> 2184-0: Dominican</li><li>detailed: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2148-5\">CDC Race and Ethnicity</a> 2148-5: Mexican</li><li>text: Hispanic or Latino</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 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#3) 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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity</a> 2106-3: White</li><li>ombCategory: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>ombCategory: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>detailed: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7\">CDC Race and Ethnicity</a> 1586-7: Shoshone</li><li>detailed: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2\">CDC Race and Ethnicity</a> 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #nhsn-iip-add101</b></p><a name=\"sde-example/nhsn-iip-add101\"> </a><a name=\"hcsde-example/nhsn-iip-add101\"> </a><a name=\"sde-example/nhsn-iip-add101-en-US\"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #nhsn-iip-add101-10</b></p><a name=\"sde-example/nhsn-iip-add101-10\"> </a><a name=\"hcsde-example/nhsn-iip-add101-10\"> </a><a name=\"sde-example/nhsn-iip-add101-10-en-US\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #791eebdb-ee7d-464f-bd21-12fe2b4c0dd3</b></p><a name=\"sde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3\"> </a><a name=\"hcsde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3\"> </a><a name=\"sde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2148-5}\">Mexican</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c</b></p><a name=\"sde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c\"> </a><a name=\"hcsde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c\"> </a><a name=\"sde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2135-2}\">Hispanic or Latino</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #5d85b278-443a-4a0f-9778-bdac6223f8fd</b></p><a name=\"sde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd\"> </a><a name=\"hcsde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd\"> </a><a name=\"sde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2184-0}\">Dominican</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #57f8ba34-88c0-4152-8a8c-74aa2a508353</b></p><a name=\"sde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353\"> </a><a name=\"hcsde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353\"> </a><a name=\"sde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #16f76e4f-86de-4ff1-b54c-19507069044b</b></p><a name=\"sde-example/16f76e4f-86de-4ff1-b54c-19507069044b\"> </a><a name=\"hcsde-example/16f76e4f-86de-4ff1-b54c-19507069044b\"> </a><a name=\"sde-example/16f76e4f-86de-4ff1-b54c-19507069044b-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 1002-5}\">American Indian or Alaska Native</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8</b></p><a name=\"sde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8\"> </a><a name=\"hcsde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8\"> </a><a name=\"sde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2036-2}\">Filipino</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #bd705f82-80d1-4a50-8dec-686f5f0a02bd</b></p><a name=\"sde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd\"> </a><a name=\"hcsde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd\"> </a><a name=\"sde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 1586-7}\">Shoshone</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #8c9e0819-2eb4-470b-abbb-ac4fa4b707b1</b></p><a name=\"sde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1\"> </a><a name=\"hcsde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1\"> </a><a name=\"sde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --> (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2028-9}\">Asian</span></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "nhsn-iip-ip101",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>nhsn-iip-ip101</td></tr><tr><td>Date of birth</td><td><span>19 February 1987</span></td></tr></tbody></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
],
"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" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1000",
"value" : "nhsn-iip-ip101"
}
],
"gender" : "female",
"birthDate" : "1987-02-19"
},
{
"resourceType" : "MedicationRequest",
"id" : "nhsn-iip-add101",
"status" : "completed",
"intent" : "original-order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1161609",
"display" : "metFORMIN Oral Liquid Product"
}
],
"text" : "metFORMIN Oral Liquid Product"
},
"subject" : {
🔗 "reference" : "Patient/nhsn-iip-ip101"
}
},
{
"resourceType" : "MedicationRequest",
"id" : "nhsn-iip-add101-10",
"status" : "active",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1161609",
"display" : "metFORMIN Oral Liquid Product"
}
],
"text" : "metFORMIN Oral Liquid Product"
},
"subject" : {
🔗 "reference" : "Patient/nhsn-iip-ip101"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2021-02-15T16:43:55Z",
"end" : "2021-02-22T21:32:24Z"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
},
"code" : {
"text" : "PRN"
}
},
"asNeededBoolean" : true,
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "78421000",
"display" : "Intramuscular use"
}
],
"text" : "Intramuscular use"
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/dose-rate-type",
"code" : "calculated",
"display" : "calculated"
}
],
"text" : "calculated"
},
"doseQuantity" : {
"value" : 1,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/dose-rate-type",
"code" : "admin-amount",
"display" : "admin-amount"
}
],
"text" : "admin-amount"
},
"doseQuantity" : {
"value" : 1,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "ordered"
}
],
"text" : "ordered"
},
"doseQuantity" : {
"value" : 1,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
]
}
]
},
{
"resourceType" : "Observation",
"id" : "791eebdb-ee7d-464f-bd21-12fe2b4c0dd3",
"extension" : [
{
"extension" : [
{
"url" : "measure",
"valueCanonical" : "http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
},
"subject" : {
🔗 "reference" : "Patient/nhsn-iip-ip101"
},
"effectivePeriod" : {
"start" : "2022-01-01T09:30:10+01:00"
},
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{
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IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-27
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