Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Additional Supplemental Data Example - Patient Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "sde-example-patient-data-bundle",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:050deac6-0544-43df-bff9-7506f8687469",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient04",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient04\"> </a></p><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\">Resource Patient &quot;patient04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: American Indian or Alaska Native (Details: urn:oid:2.16.840.1.113883.6.238 code 1002-5 = '1002-5', stated as 'American Indian or Alaska Native')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Shoshone (Details: urn:oid:2.16.840.1.113883.6.238 code 1586-7 = '1586-7', stated as 'Shoshone')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Filipino (Details: urn:oid:2.16.840.1.113883.6.238 code 2036-2 = '2036-2', stated as 'Filipino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Dominican (Details: urn:oid:2.16.840.1.113883.6.238 code 2184-0 = '2184-0', stated as 'Dominican')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Mexican (Details: urn:oid:2.16.840.1.113883.6.238 code 2148-5 = '2148-5', stated as 'Mexican')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: id:\u00a0patient04</p><p><b>active</b>: true</p><p><b>name</b>: Jane E. Doe </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-19</p></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" : "patient04"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Doe",
            "given" : [
              "Jane",
              "E."
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1987-02-19"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Patient/patient04"
      }
    },
    {
      "fullUrl" : "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter04",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"encounter04\"> </a></p><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\">Resource Encounter &quot;encounter04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Encounter for problem (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#185347001)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Patient/patient01</a> &quot; WEBSTER&quot;</p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-nhsn-iip-con101.html\">Condition/nhsn-iip-con101</a></td><td>Chief complaint <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a>#CC)</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td>home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#home)</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location01.html\">Location/location01</a> &quot;DaVinciClinic01&quot;</td></tr></table></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "185347001",
                "display" : "Encounter for problem (procedure)"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/patient01"
        },
        "period" : {
          "start" : "2022-01-01",
          "end" : "2022-01-31"
        },
        "diagnosis" : [
          {
            "condition" : {
              "reference" : "Condition/nhsn-iip-con101"
            },
            "use" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                  "code" : "CC"
                }
              ]
            }
          }
        ],
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "home"
              }
            ]
          }
        },
        "location" : [
          {
            "location" : {
              "reference" : "Location/location01"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Encounter/encounter04"
      }
    },
    {
      "fullUrl" : "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "nhsn-iip-add101",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101\"> </a></p><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\">Resource MedicationRequest &quot;nhsn-iip-add101&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Jane E. Doe</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p></div>"
        },
        "status" : "active",
        "intent" : "proposal",
        "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",
          "display" : "Jane E. Doe"
        },
        "encounter" : {
          "reference" : "Encounter/nhsn-iip-en101"
        },
        "authoredOn" : "2022-01-01",
        "requester" : {
          "reference" : "Practitioner/practitioner01"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/nhsn-iip-add101"
      }
    },
    {
      "fullUrl" : "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "nhsn-iip-add101-10",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2022-06-30T06:15:09.030+00:00",
          "source" : "#04ea320cd2709af0"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101-10\"> </a></p><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\">Resource MedicationRequest &quot;nhsn-iip-add101-10&quot; Version &quot;1&quot; Updated &quot;2022-06-30 06:15:09+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #04ea320cd2709af0!</p></div><p><b>identifier</b>: id:\u00a0336609269\u00a0(use:\u00a0USUAL)</p><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#inpatient)</span></p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner/practitioner02</a> &quot; ZIEME&quot;</p><p><b>courseOfTherapyType</b>: Short course (acute) therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-medicationrequest-course-of-therapy.html\">MedicationRequest Course of Therapy Codes</a>#acute)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code: PRN, Starting 2021-02-15 16:43:55+0000, Once per 1 days, Until 2021-02-22 21:32:24+0000</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p></blockquote><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:oid:1.2.840.114350.1.13.310.3.7.2.798268",
            "value" : "336609269"
          }
        ],
        "status" : "active",
        "intent" : "proposal",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code" : "inpatient",
                "display" : "Inpatient"
              }
            ],
            "text" : "Inpatient"
          }
        ],
        "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",
          "display" : "Amy Shaw"
        },
        "encounter" : {
          "reference" : "Encounter/nhsn-iip-en101"
        },
        "authoredOn" : "2022-01-15T16:50:26Z",
        "requester" : {
          "reference" : "Practitioner/practitioner01"
        },
        "recorder" : {
          "reference" : "Practitioner/practitioner02"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "acute",
              "display" : "Short course (acute) therapy"
            }
          ],
          "text" : "Short course (acute) therapy"
        },
        "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,
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.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://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "ordered",
                      "display" : "ordered"
                    }
                  ],
                  "text" : "ordered"
                },
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "mg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mg"
                }
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/nhsn-iip-add101-10"
      }
    },
    {
      "fullUrl" : "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "nhsn-iip-sr-sde",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"nhsn-iip-sr-sde\"> </a></p><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\">Resource ServiceRequest &quot;nhsn-iip-sr-sde&quot; </p></div><p><b>identifier</b>: Placer:\u00a02345234234234</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Lipid Panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#57698-3)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: Fam hx-ischem heart dis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ICD-9#V173)</span></p><p><b>supportingInfo</b>: <a name=\"fasting\"> </a></p><blockquote><p/><p><a name=\"fasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><p><b>specimen</b>: <a name=\"serum\"> </a></p><blockquote><p/><p><a name=\"serum\"> </a></p><p><b>identifier</b>: id:\u00a020150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote><p><b>note</b>: patient is afraid of needles</p><hr/><blockquote><p><b>Generated Narrative: Observation #fasting</b><a name=\"fasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Specimen #serum</b><a name=\"serum\"> </a></p><p><b>identifier</b>: id:\u00a020150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Observation",
            "id" : "fasting",
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "49541-6",
                  "display" : "Fasting status - Reported"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/nhsn-iip-ip101"
            },
            "effectivePeriod" : {
              "start" : "2022-01-01T09:30:10+01:00"
            },
            "performer" : [
              {
                "reference" : "Organization/organization01"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "Y",
                  "display" : "Yes"
                }
              ]
            }
          },
          {
            "resourceType" : "Specimen",
            "id" : "serum",
            "identifier" : [
              {
                "system" : "http://acme.org/specimens",
                "value" : "20150107-0012"
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "119364003",
                  "display" : "Serum sample"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/nhsn-iip-ip101"
            },
            "collection" : {
              "collectedDateTime" : "2015-08-16T06:40:17Z"
            }
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ],
              "text" : "Placer"
            },
            "system" : "urn:oid:1.3.4.5.6.7",
            "value" : "2345234234234"
          }
        ],
        "status" : "active",
        "intent" : "original-order",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "57698-3"
            }
          ],
          "text" : "Lipid Panel"
        },
        "subject" : {
          "reference" : "Patient/nhsn-iip-ip101"
        },
        "encounter" : {
          "reference" : "Encounter/nhsn-iip-en101"
        },
        "occurrenceDateTime" : "2013-05-02T16:16:00-07:00",
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-9",
                "code" : "V173",
                "display" : "Fam hx-ischem heart dis"
              }
            ]
          }
        ],
        "supportingInfo" : [
          {
            "reference" : "#fasting",
            "display" : "Fasting status"
          }
        ],
        "specimen" : [
          {
            "reference" : "#serum",
            "display" : "Serum specimen"
          }
        ],
        "note" : [
          {
            "text" : "patient is afraid of needles"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ServiceRequest/nhsn-iip-sr-sde"
      }
    },
    {
      "fullUrl" : "urn:uuid:b7075a17-98a5-429b-a464-3da906001492",
      "resource" : {
        "resourceType" : "Location",
        "id" : "nhsn-iip-loc101",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"nhsn-iip-loc101\"> </a></p><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\">Resource Location &quot;nhsn-iip-loc101&quot; </p></div><p><b>type</b>: Radiation oncology unit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#RADO)</span></p></div>"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "RADO",
                "display" : "Radiation oncology unit"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Location/nhsn-iip-loc101"
      }
    },
    {
      "fullUrl" : "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition04",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"condition04\"> </a></p><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\">Resource Condition &quot;condition04&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001 &quot;Diagnosis&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>onset</b>: 2022-01-08</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              },
              {
                "system" : "http://snomed.info/sct",
                "code" : "439401001",
                "display" : "Diagnosis"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/nhsn-iip-ip101"
        },
        "onsetDateTime" : "2022-01-08"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Condition/condition04"
      }
    }
  ]
}