Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="sde-example-patient-data-bundle"/>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:050deac6-0544-43df-bff9-7506f8687469"/>
<resource>
<Patient>
<id value="patient04"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="extensions"/>
<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 "patient04" </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: patient04</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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.6.1000"/>
<value value="patient04"/>
</identifier>
<active value="true"/>
<name>
<family value="Doe"/>
<given value="Jane"/>
<given value="E."/>
</name>
<gender value="female"/>
<birthDate value="1987-02-19"/>
</Patient>
</resource>
<request>
<method value="PUT"/>
<url value="Patient/patient04"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369"/>
<resource>
<Encounter>
<id value="encounter04"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
</meta>
<text>
<status value="generated"/>
<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 "encounter04" </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> " WEBSTER"</p><p><b>period</b>: 2022-01-01 --> 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> "DaVinciClinic01"</td></tr></table></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="185347001"/>
<display value="Encounter for problem (procedure)"/>
</coding>
</type>
<subject>
<reference value="Patient/patient01"/>
</subject>
<period>
<start value="2022-01-01"/>
<end value="2022-01-31"/>
</period>
<diagnosis>
<condition>
<reference value="Condition/nhsn-iip-con101"/>
</condition>
<use>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="CC"/>
</coding>
</use>
</diagnosis>
<hospitalization>
<dischargeDisposition>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="home"/>
<display value="home"/>
</coding>
</dischargeDisposition>
</hospitalization>
<location>
<location>
<reference value="Location/location01"/>
</location>
</location>
</Encounter>
</resource>
<request>
<method value="PUT"/>
<url value="Encounter/encounter04"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037"/>
<resource>
<MedicationRequest>
<id value="nhsn-iip-add101"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<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 "nhsn-iip-add101" </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> " BONE"</p></div>
</text>
<status value="active"/>
<intent value="proposal"/>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1161609"/>
<display value="metFORMIN Oral Liquid Product"/>
</coding>
<text value="metFORMIN Oral Liquid Product"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
<display value="Jane E. Doe"/>
</subject>
<encounter>
<reference value="Encounter/nhsn-iip-en101"/>
</encounter>
<authoredOn value="2022-01-01"/>
<requester>
<reference value="Practitioner/practitioner01"/>
</requester>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/nhsn-iip-add101"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c"/>
<resource>
<MedicationRequest>
<id value="nhsn-iip-add101-10"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2022-06-30T06:15:09.030+00:00"/>
<source value="#04ea320cd2709af0"/>
</meta>
<text>
<status value="generated"/>
<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 "nhsn-iip-add101-10" Version "1" Updated "2022-06-30 06:15:09+0000" </p><p style="margin-bottom: 0px">Information Source: #04ea320cd2709af0!</p></div><p><b>identifier</b>: id: 336609269 (use: USUAL)</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> " BONE"</p><p><b>recorder</b>: <a href="Practitioner-practitioner02.html">Practitioner/practitioner02</a> " ZIEME"</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>
</text>
<identifier>
<use value="usual"/>
<system value="urn:oid:1.2.840.114350.1.13.310.3.7.2.798268"/>
<value value="336609269"/>
</identifier>
<status value="active"/>
<intent value="proposal"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient"/>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1161609"/>
<display value="metFORMIN Oral Liquid Product"/>
</coding>
<text value="metFORMIN Oral Liquid Product"/>
</medicationCodeableConcept>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
<display value="Amy Shaw"/>
</subject>
<encounter>
<reference value="Encounter/nhsn-iip-en101"/>
</encounter>
<authoredOn value="2022-01-15T16:50:26Z"/>
<requester>
<reference value="Practitioner/practitioner01"/>
</requester>
<recorder>
<reference value="Practitioner/practitioner02"/>
</recorder>
<courseOfTherapyType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
<code value="acute"/>
<display value="Short course (acute) therapy"/>
</coding>
<text value="Short course (acute) therapy"/>
</courseOfTherapyType>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2021-02-15T16:43:55Z"/>
<end value="2021-02-22T21:32:24Z"/>
</boundsPeriod>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
<code>
<text value="PRN"/>
</code>
</timing>
<asNeededBoolean value="true"/>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="calculated"/>
<display value="calculated"/>
</coding>
<text value="calculated"/>
</type>
<doseQuantity>
<value value="1"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="ordered"/>
</coding>
<text value="ordered"/>
</type>
<doseQuantity>
<value value="1"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/nhsn-iip-add101-10"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc"/>
<resource>
<ServiceRequest>
<id value="nhsn-iip-sr-sde"/>
<text>
<status value="generated"/>
<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 "nhsn-iip-sr-sde" </p></div><p><b>identifier</b>: Placer: 2345234234234</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 --> (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization/organization01</a> "DaVinciHospital01"</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: 20150107-0012</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 --> (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization/organization01</a> "DaVinciHospital01"</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: 20150107-0012</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>
</text>
<contained>
<Observation>
<id value="fasting"/>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="49541-6"/>
<display value="Fasting status - Reported"/>
</coding>
</code>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
</subject>
<effectivePeriod>
<start value="2022-01-01T09:30:10+01:00"/>
</effectivePeriod>
<performer>
<reference value="Organization/organization01"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</contained>
<contained>
<Specimen>
<id value="serum"/>
<identifier>
<system value="http://acme.org/specimens"/>
<value value="20150107-0012"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119364003"/>
<display value="Serum sample"/>
</coding>
</type>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
</subject>
<collection>
<collectedDateTime value="2015-08-16T06:40:17Z"/>
</collection>
</Specimen>
</contained>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
<text value="Placer"/>
</type>
<system value="urn:oid:1.3.4.5.6.7"/>
<value value="2345234234234"/>
</identifier>
<status value="active"/>
<intent value="original-order"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57698-3"/>
</coding>
<text value="Lipid Panel"/>
</code>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
</subject>
<encounter>
<reference value="Encounter/nhsn-iip-en101"/>
</encounter>
<occurrenceDateTime value="2013-05-02T16:16:00-07:00"/>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-9"/>
<code value="V173"/>
<display value="Fam hx-ischem heart dis"/>
</coding>
</reasonCode>
<supportingInfo>
<reference value="#fasting"/>
<display value="Fasting status"/>
</supportingInfo>
<specimen>
<reference value="#serum"/>
<display value="Serum specimen"/>
</specimen>
<note>
<text value="patient is afraid of needles"/>
</note>
</ServiceRequest>
</resource>
<request>
<method value="PUT"/>
<url value="ServiceRequest/nhsn-iip-sr-sde"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b7075a17-98a5-429b-a464-3da906001492"/>
<resource>
<Location>
<id value="nhsn-iip-loc101"/>
<text>
<status value="generated"/>
<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 "nhsn-iip-loc101" </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>
</text>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="RADO"/>
<display value="Radiation oncology unit"/>
</coding>
</type>
</Location>
</resource>
<request>
<method value="PUT"/>
<url value="Location/nhsn-iip-loc101"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69"/>
<resource>
<Condition>
<id value="condition04"/>
<text>
<status value="generated"/>
<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 "condition04" </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 "Diagnosis")</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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="439401001"/>
<display value="Diagnosis"/>
</coding>
</category>
<subject>
<reference value="Patient/nhsn-iip-ip101"/>
</subject>
<onsetDateTime value="2022-01-08"/>
</Condition>
</resource>
<request>
<method value="PUT"/>
<url value="Condition/condition04"/>
</request>
</entry>
</Bundle>
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2023-10-03
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