National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
1.0.0-ballot - STU1 Ballot United States of America flag

This page is part of the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: Full Submission Bundle Example 1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="submission-full-example1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-measurereport-bundle"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2022-11-15T21:04:29.481+00:00"/>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Organization/organization-example-submitting-organization"/>
    <resource>
      <Organization>
        <id value="organization-example-submitting-organization"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-example-submitting-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name="organization-example-submitting-organization"> </a><a name="hcorganization-example-submitting-organization"> </a><a name="organization-example-submitting-organization-en-US"> </a><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>
        </text>
        <identifier>
          <system value="https://www.cdc.gov/nhsn/OrgID"/>
          <value value="ExampleNHSNSubmitterOrgID"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="Example NHSN Submitter"/>
        <telecom>
          <system value="phone"/>
          <value value="5555555551"/>
          <rank value="1"/>
        </telecom>
        <address>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="unknown"/>
          </extension>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Device/device-example-submitting-device"/>
    <resource>
      <Device>
        <id value="device-example-submitting-device"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-submitting-device"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name="device-example-submitting-device"> </a><a name="hcdevice-example-submitting-device"> </a><a name="device-example-submitting-device-en-US"> </a><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>
        </text>
        <deviceName>
          <name value="NHSN Link"/>
          <type value="model-name"/>
        </deviceName>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="0.9.0"/>
        </version>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="20230713.1"/>
        </version>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="3f9662a8"/>
        </version>
        <version>
          <component>
            <value value="cqf-ruler"/>
          </component>
          <value value="0.13.0"/>
        </version>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/List/list-example-patients-of-interest"/>
    <resource>
      <List>
        <id value="list-example-patients-of-interest"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_list-example-patients-of-interest"> </a><p class="res-header-id"><b>Generated Narrative: List list-example-patients-of-interest</b></p><a name="list-example-patients-of-interest"> </a><a name="hclist-example-patients-of-interest"> </a><a name="list-example-patients-of-interest-en-US"> </a><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-sameresultdiffday.html">Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))</a></td></tr></table></div>
        </text>
        <identifier>
          <system value="http://example.com/Identifier"/>
          <value value="NHSNdQMAcuteCareHospitalInitialPopulation"/>
        </identifier>
        <status value="current"/>
        <mode value="changes"/>
        <date value="2021-07-28T00:00:00Z"/>
        <entry>
          <item>🔗 
            <reference value="Patient/patient-example-sameresultdiffday"/>
          </item>
        </entry>
      </List>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MeasureReport/measurereport-example-ach-subjectlist1"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-ach-subjectlist1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-ach-subjectlist1"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-ach-subjectlist1</b></p><a name="measurereport-example-ach-subjectlist1"> </a><a name="hcmeasurereport-example-ach-subjectlist1"> </a><a name="measurereport-example-ach-subjectlist1-en-US"> </a><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</p><p><b>measure</b>: <a href="Measure-NHSNdQMAcuteCareHospitalInitialPopulation.html">NHSN dQM Acute Care Hospital Initial Population</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>: 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>3</td><td><a href="List-list-example-ach-individual-measurereport-list.html">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table><p><b>measureScore</b>: </p></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="cohort"/>
              <display value="Cohort"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="complete"/>
        <type value="subject-list"/>
        <measure
                 value="http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation"/>
        <date value="2024-02-05T21:04:29.481+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2022-08-01T00:00:00+00:00"/>
          <end value="2022-08-31T23:59:59+00:00"/>
        </period>
        <group>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="3"/>
            <subjectResults>🔗 
              <reference
                         value="List/list-example-ach-individual-measurereport-list"/>
            </subjectResults>
          </population>
          <measureScore>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
              <valueCode value="unknown"/>
            </extension>
          </measureScore>
        </group>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Patient/patient-example-sameresultdiffday"/>
    <resource>
      <Patient>
        <id value="patient-example-sameresultdiffday"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-sameresultdiffday"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-sameresultdiffday</b></p><a name="patient-example-sameresultdiffday"> </a><a name="hcpatient-example-sameresultdiffday"> </a><a name="patient-example-sameresultdiffday-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Sameresultdiffday Hypo(Official)</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>5678 Sesame Lansing MI 48864 US (old)</li><li>5678 Sesame Lansing MI 48864 US (home)</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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</a> 2186-5: Not Hispanic or Latino</li><li>text: Not 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). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/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#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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White or Caucasian</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White or Caucasian"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="MRN"/>
          </type>
          <system value="urn:oid:1.2.5.8.2.7"/>
          <value value="100000889"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Sameresultdiffday Hypo"/>
          <family value="Hypo"/>
          <given value="Sameresultdiffday"/>
        </name>
        <name>
          <use value="usual"/>
          <text value="Sameresultdiffday Hypo"/>
          <family value="Hypo"/>
          <given value="Sameresultdiffday"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="999-999-9999"/>
          <use value="home"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="1952-12-31"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="old"/>
          <line value="5678 Sesame"/>
          <city value="Lansing"/>
          <district value="INGHAM"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
        <address>
          <use value="home"/>
          <line value="5678 Sesame"/>
          <city value="Lansing"/>
          <district value="INGHAM"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass1"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-individual-ach-ach-pass1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-individual-ach-ach-pass1"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass1</b></p><a name="measurereport-example-individual-ach-ach-pass1"> </a><a name="hcmeasurereport-example-individual-ach-ach-pass1"> </a><a name="measurereport-example-individual-ach-ach-pass1-en-US"> </a><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-NHSNdQMAcuteCareHospitalInitialPopulation.html">NHSN dQM Acute Care Hospital Initial Population</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href="Organization-organization-example-submitting-organization.html">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: <a href="Specimen-specimen-example-ach-ach-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 = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="cohort"/>
              <display value="Cohort"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <system value="http://example.org/fhir/measurereport/id"/>
          <value value="123456789-pass1"/>
        </identifier>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation"/>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
        </subject>
        <date value="2024-02-05T21:04:29.481+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2024-01-05T00:00:00.000+00:00"/>
          <end value="2024-02-04T00:00:00.000+00:00"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
        </group>
        <evaluatedResource>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass1-csf"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Patient/patient-example-ach-ach-pass1"/>
    <resource>
      <Patient>
        <id value="patient-example-ach-ach-pass1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ach-ach-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-ach-pass1</b></p><a name="patient-example-ach-ach-pass1"> </a><a name="hcpatient-example-ach-ach-pass1"> </a><a name="patient-example-ach-ach-pass1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 999-999-9999(Home)</li><li>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-US}">English (United States)</span></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-Kin">Next-of-Kin:</td><td colspan="3"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: 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). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/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#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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2054-5">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2054-5"/>
              <display value="Black or African American"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Black or African American"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="MRN"/>
          </type>
          <system value="urn:oid:1.2.5.8.2.7"/>
          <value value="1601191901010308"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Pass1 ACH"/>
          <family value="ACH"/>
          <given value="Pass1"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="999-999-9999"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="2024-02-01"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <line value="456 Alphabet Street"/>
          <city value="Lansing"/>
          <district value="Ingham County"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
              <code value="N"/>
              <display value="Next-of-Kin"/>
            </coding>
          </relationship>
          <name>
            <text value="Mom Parent"/>
            <family value="Parent"/>
            <given value="Mom"/>
          </name>
          <address>
            <line value="456 Alphabet Street"/>
            <city value="Lansing"/>
            <state value="MI"/>
            <postalCode value="48864"/>
          </address>
        </contact>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (United States)"/>
            </coding>
          </language>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Encounter/encounter-example-ach-ach-pass1"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ach-ach-pass1"/>
        <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"><a name="Encounter_encounter-example-ach-ach-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass1</b></p><a name="encounter-example-ach-ach-pass1"> </a><a name="hcencounter-example-ach-ach-pass1"> </a><a name="encounter-example-ach-ach-pass1-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251 (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE">ActCode</a> ACUTE: inpatient acute</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-ach-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-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-nicu-level-iii.html">ACH Neonatal critical care</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 16:02:00-0500 --&gt; 2024-02-02 16:02:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104251"/>
        </identifier>
        <status value="in-progress"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="ACUTE"/>
          <display value="inpatient acute"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="32485007"/>
            <display value="Hospital admission (procedure)"/>
          </coding>
          <text value="Hospital Admission"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <period>
          <start value="2024-02-01T16:02:00-05:00"/>
          <end value="2024-02-04T19:00:00-05:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="R50.9"/>
            <display value="Fever, unspecified"/>
          </coding>
          <text value="Fever"/>
        </reasonCode>
        <diagnosis>
          <condition>🔗 
            <reference
                       value="Condition/condition-example-diagnosis-ach-pass1"/>
            <display value="Thrombophlebitis"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="born"/>
              <display value="Born in hospital"/>
            </coding>
            <text value="Born in hospital"/>
          </admitSource>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="oth"/>
              <display value="Other"/>
            </coding>
            <text value="Other"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location-example-ach-nicu-level-iii"/>
            <display value="ACH Neonatal critical care"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-01T16:02:00-05:00"/>
            <end value="2024-02-02T16:02:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Coverage/coverage-example-ach-pass1"/>
    <resource>
      <Coverage>
        <id value="coverage-example-ach-pass1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-example-ach-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-pass1</b></p><a name="coverage-example-ach-pass1"> </a><a name="hccoverage-example-ach-pass1"> </a><a name="coverage-example-ach-pass1-en-US"> </a><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 SUBSUPP}">subsidized supplemental health program</span></p><p><b>policyHolder</b>: Mom Parent</p><p><b>subscriberId</b>: 98435938934</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}">Child</span></p><p><b>period</b>: 2020-08-01 --&gt; (ongoing)</p><p><b>payor</b>: Medicaid</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
              <display value="Member Number"/>
            </coding>
          </type>
          <system value="http://example.org/fhir/memberidentifier"/>
          <value value="084536836"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="SUBSUPP"/>
            <display value="subsidized supplemental health program"/>
          </coding>
        </type>
        <policyHolder>
          <display value="Mom Parent"/>
        </policyHolder>
        <subscriberId value="98435938934"/>
        <beneficiary>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="child"/>
            <display value="Child"/>
          </coding>
          <text value="Child"/>
        </relationship>
        <period>
          <start value="2020-08-01"/>
        </period>
        <payor>
          <display value="Medicaid"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass1"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ach-pass1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-pass1"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass1</b></p><a name="condition-example-diagnosis-ach-pass1"> </a><a name="hccondition-example-diagnosis-ach-pass1"> </a><a name="condition-example-diagnosis-ach-pass1-en-US"> </a><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-ach-pass1.html">Pass1 ACH</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.0"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Encounter Diagnosis"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="5758002"/>
            <display value="Bacteremia (finding)"/>
          </coding>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="R78.81"/>
            <display value="Bacteremia"/>
          </coding>
          <text value="Bacteremia"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Device/device-example-ach-ach-pass1-central-line"/>
    <resource>
      <Device>
        <id value="device-example-ach-ach-pass1-central-line"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-ach-ach-pass1-central-line"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-ach-pass1-central-line</b></p><a name="device-example-ach-ach-pass1-central-line"> </a><a name="hcdevice-example-ach-ach-pass1-central-line"> </a><a name="device-example-ach-ach-pass1-central-line-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510341 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 52124006}">Central venous catheter, device</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="1000510341"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="52124006"/>
            <display
                     value="Central venous catheter, device (physical object)"/>
          </coding>
          <text value="Central venous catheter, device"/>
        </type>
        <patient>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </patient>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass1-vancomycin"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-example-ach-pass1-vancomycin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass1-vancomycin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass1-vancomycin</b></p><a name="medicationadministration-example-ach-pass1-vancomycin"> </a><a name="hcmedicationadministration-example-ach-pass1-vancomycin"> </a><a name="medicationadministration-example-ach-pass1-vancomycin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888111 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-vancomycin-15.html">vancomycin Injectable Solution 50MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass1-vancomycin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>15mg/kg</td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>15 mg/kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/kg = 'mg/kg')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888111"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-vancomycin-15"/>
          <display value="vancomycin Injectable Solution 50MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <context>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-02T14:34:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass1-vancomycin"/>
        </request>
        <dosage>
          <text value="15mg/kg"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="15"/>
            <unit value="mg/kg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg/kg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass1-vancomycin"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass1-vancomycin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass1-vancomycin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass1-vancomycin</b></p><a name="medicationrequest-example-ach-pass1-vancomycin"> </a><a name="hcmedicationrequest-example-ach-pass1-vancomycin"> </a><a name="medicationrequest-example-ach-pass1-vancomycin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888811 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient</span></p><p><b>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-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888811"/>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-vancomycin-15"/>
          <display value="vancomycin Injectable Solution 50MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <authoredOn value="2024-02-02T13:43:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
        </requester>
        <dosageInstruction>
          <text value="15mg/kg every 12 hours"/>
          <timing>
            <repeat>
              <period value="12"/>
              <periodUnit value="h"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="15"/>
              <unit value="mg/kg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg/kg"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass1-blood"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass1-blood"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass1-blood</b></p><a name="observation-example-ach-pass1-blood"> </a><a name="hcobservation-example-ach-pass1-blood"> </a><a name="observation-example-ach-pass1-blood-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-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 = Blood venous; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass1-blood"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="600-7"/>
            <display value="Bacteria identified in Blood by Culture"/>
          </coding>
          <text value="Bacteria identified in Blood by Culture"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-02T18:12:00-05:00"/>
        <issued value="2024-02-03T11:42:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="113962001"/>
            <display value="Staphylococcus capitis ss capitis (organism)"/>
          </coding>
          <text value="Staphylococcus capitis"/>
        </valueCodeableConcept>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass1-blood"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass1-csf"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass1-csf"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass1-csf</b></p><a name="observation-example-ach-pass1-csf"> </a><a name="hcobservation-example-ach-pass1-csf"> </a><a name="observation-example-ach-pass1-csf-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-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 = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass1-csf"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61402-4"/>
            <display
                     value="Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection"/>
          </coding>
          <text value="Serratia marcescens DNA"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-02T18:13:00-05:00"/>
        <issued value="2024-02-03T11:47:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="260373001"/>
            <display value="Detected (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass1-csf"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass1-gestational-age"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass1-gestational-age"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass1-gestational-age"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass1-gestational-age</b></p><a name="observation-example-ach-pass1-gestational-age"> </a><a name="hcobservation-example-ach-pass1-gestational-age"> </a><a name="observation-example-ach-pass1-gestational-age-en-US"> </a><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 76516-4}">Gestational age at birth</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 164 day<span style="background: LightGoldenRodYellow"> (Details: UCUM  coded = 'd')</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="76516-4"/>
            <display value="Gestational age--at birth"/>
          </coding>
          <text value="Gestational age at birth"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T16:02:00-05:00"/>
        <issued value="2024-02-01T16:02:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="164"/>
          <unit value="day"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass1-vitals-weight"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass1-vitals-weight"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass1-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass1-vitals-weight</b></p><a name="observation-example-ach-pass1-vitals-weight"> </a><a name="hcobservation-example-ach-pass1-vitals-weight"> </a><a name="observation-example-ach-pass1-vitals-weight-en-US"> </a><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 8339-4}">Birth Weight</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 0.58 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
          <text value="Vital Signs"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8339-4"/>
            <display value="Birth weight Measured"/>
          </coding>
          <text value="Birth Weight"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T16:02:00-05:00"/>
        <issued value="2024-02-01T16:02:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="0.58"/>
          <unit value="kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-central-line"/>
    <resource>
      <Procedure>
        <id value="procedure-example-ach-ach-pass1-central-line"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-ach-pass1-central-line"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass1-central-line</b></p><a name="procedure-example-ach-ach-pass1-central-line"> </a><a name="hcprocedure-example-ach-ach-pass1-central-line"> </a><a name="procedure-example-ach-ach-pass1-central-line-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 312052002}">Placement procedure (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-pass1.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:12:00-0500</p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="1000510352"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="312052002"/>
            <display value="Placement procedure (procedure)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <performedDateTime value="2024-02-02T18:12:00-05:00"/>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-lumbar"/>
    <resource>
      <Procedure>
        <id value="procedure-example-ach-ach-pass1-lumbar"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-ach-pass1-lumbar"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass1-lumbar</b></p><a name="procedure-example-ach-ach-pass1-lumbar"> </a><a name="hcprocedure-example-ach-ach-pass1-lumbar"> </a><a name="procedure-example-ach-ach-pass1-lumbar-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/1000510352 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://www.cms.gov/Medicare/Coding/ICD10 009U3ZX}">Drainage of Spinal Canal, Percutaneous Approach, Diagnostic</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-pass1.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-02 18:56:00-0500</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 272005}">Structure of superior articular process of lumbar vertebra</span></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="1000510352"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://www.cms.gov/Medicare/Coding/ICD10"/>
            <code value="009U3ZX"/>
            <display
                     value="Drainage of Spinal Canal, Percutaneous Approach, Diagnostic"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <performedDateTime value="2024-02-02T18:56:00-05:00"/>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272005"/>
            <display
                     value="Structure of superior articular process of lumbar vertebra (body structure)"/>
          </coding>
          <text
                value="Structure of superior articular process of lumbar vertebra"/>
        </bodySite>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-blood"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass1-blood"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-blood</b></p><a name="servicerequest-example-ach-ach-pass1-blood"> </a><a name="hcservicerequest-example-ach-ach-pass1-blood"> </a><a name="servicerequest-example-ach-ach-pass1-blood-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631821 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 600-7}">Bacteria identified in Blood by Culture</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-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 = Blood venous; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631821"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="600-7"/>
            <display value="Bacteria identified in Blood by Culture"/>
          </coding>
          <text value="Bacteria identified in Blood by Culture"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-02-02T17:22:00-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-02-02T17:22:00-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass1-blood"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-csf"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass1-csf"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-csf</b></p><a name="servicerequest-example-ach-ach-pass1-csf"> </a><a name="hcservicerequest-example-ach-ach-pass1-csf"> </a><a name="servicerequest-example-ach-ach-pass1-csf-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631822 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29584-0}">Differential panel - Cerebral spinal fluid</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-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 = Cerebral spinal fluid; receivedTime = 2024-02-02 18:20:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631822"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29584-0"/>
            <display value="Differential panel - Cerebral spinal fluid"/>
          </coding>
          <text value="Differential panel - Cerebral spinal fluid"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass1"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-02-02T17:22:30-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-02-02T17:22:30-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass1-csf"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-blood"/>
    <resource>
      <Specimen>
        <id value="specimen-example-ach-ach-pass1-blood"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-ach-pass1-blood"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass1-blood</b></p><a name="specimen-example-ach-ach-pass1-blood"> </a><a name="hcspecimen-example-ach-ach-pass1-blood"> </a><a name="specimen-example-ach-ach-pass1-blood-en-US"> </a><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://terminology.hl7.org/CodeSystem/v2-0487 BLDV}">Blood venous</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-02 18:12:00-0500</td><td><span title="Codes:{http://snomed.info/sct 76853006}">Heel structure</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
          <value value="C104082901"/>
          <assigner>
            <display value="LIS"/>
          </assigner>
        </identifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
          <value value="C10408290:41"/>
        </identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
            <code value="BLDV"/>
            <display value="Blood venous"/>
          </coding>
          <text value="Blood venous"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <receivedTime value="2024-02-02T18:20:00-05:00"/>
        <collection>
          <collectedDateTime value="2024-02-02T18:12:00-05:00"/>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="76853006"/>
              <display value="Heel structure (body structure)"/>
            </coding>
            <text value="Heel structure"/>
          </bodySite>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-csf"/>
    <resource>
      <Specimen>
        <id value="specimen-example-ach-ach-pass1-csf"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-ach-pass1-csf"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass1-csf</b></p><a name="specimen-example-ach-ach-pass1-csf"> </a><a name="hcspecimen-example-ach-ach-pass1-csf"> </a><a name="specimen-example-ach-ach-pass1-csf-en-US"> </a><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://terminology.hl7.org/CodeSystem/v2-0487 CSF}">Cerebral spinal fluid</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 18:20:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-02 18:13:00-0500</td><td><span title="Codes:{http://snomed.info/sct 272005}">Structure of superior articular process of lumbar vertebra</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
          <value value="C104082902"/>
          <assigner>
            <display value="LIS"/>
          </assigner>
        </identifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
          <value value="C10408290:42"/>
        </identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
            <code value="CSF"/>
            <display value="Cerebral spinal fluid"/>
          </coding>
          <text value="Cerebral spinal fluid"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
          <display value="Pass1 ACH"/>
        </subject>
        <receivedTime value="2024-02-02T18:20:00-05:00"/>
        <collection>
          <collectedDateTime value="2024-02-02T18:13:00-05:00"/>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="272005"/>
              <display
                       value="Structure of superior articular process of lumbar vertebra (body structure)"/>
            </coding>
            <text
                  value="Structure of superior articular process of lumbar vertebra"/>
          </bodySite>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass2"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-individual-ach-ach-pass2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-individual-ach-ach-pass2"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass2</b></p><a name="measurereport-example-individual-ach-ach-pass2"> </a><a name="hcmeasurereport-example-individual-ach-ach-pass2"> </a><a name="measurereport-example-individual-ach-ach-pass2-en-US"> </a><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-NHSNdQMAcuteCareHospitalInitialPopulation.html">NHSN dQM Acute Care Hospital Initial Population</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href="Organization-organization-example-submitting-organization.html">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: <a href="Specimen-specimen-example-ach-ach-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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="cohort"/>
              <display value="Cohort"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <system value="http://example.org/fhir/measurereport/id"/>
          <value value="123456789-pass2"/>
        </identifier>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation"/>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
        </subject>
        <date value="2024-02-05T21:04:29.481+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2024-01-05T00:00:00.000+00:00"/>
          <end value="2024-02-04T00:00:00.000+00:00"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
        </group>
        <evaluatedResource>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-2"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Patient/patient-example-ach-ach-pass2"/>
    <resource>
      <Patient>
        <id value="patient-example-ach-ach-pass2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ach-ach-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-ach-pass2</b></p><a name="patient-example-ach-ach-pass2"> </a><a name="hcpatient-example-ach-ach-pass2"> </a><a name="patient-example-ach-ach-pass2-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">2024-02-02 16:22:00-0500</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 999-999-9999(Home)</li><li>123 Sesame Street Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</a> 2186-5: 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). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/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#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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Non Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="MRN"/>
          </type>
          <system value="urn:oid:1.2.5.8.2.7"/>
          <value value="1601191902010308"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Pass2 ACH"/>
          <family value="ACH"/>
          <given value="Pass2"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="999-999-9999"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1965-12-22"/>
        <deceasedDateTime value="2024-02-02T16:22:00-05:00"/>
        <address>
          <line value="123 Sesame Street Lansing"/>
          <city value="Lansing"/>
          <district value="Ingham County"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-emergency"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ach-ach-pass2-emergency"/>
        <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"><a name="Encounter_encounter-example-ach-ach-pass2-emergency"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass2-emergency</b></p><a name="encounter-example-ach-ach-pass2-emergency"> </a><a name="hcencounter-example-ach-ach-pass2-emergency"> </a><a name="encounter-example-ach-ach-pass2-emergency-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104252a (use: usual, )</p><p><b>status</b>: Triaged</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode</a> EMER: emergency</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-ach-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-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-emergency.html">ACH Emergency Department</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-01-31 02:35:00-0500 --&gt; 2024-02-01 01:02:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104252a"/>
        </identifier>
        <status value="triaged"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="EMER"/>
          <display value="emergency"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="4525004"/>
            <display value="Emergency department patient visit"/>
          </coding>
          <text value="Emergency department patient visit"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <period>
          <start value="2024-01-31T02:35:00-05:00"/>
          <end value="2024-01-31T22:02:00-05:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="M79.661"/>
            <display value="Pain in right lower leg"/>
          </coding>
          <text value="Leg pain, lower right"/>
        </reasonCode>
        <diagnosis>
          <condition>🔗 
            <reference
                       value="Condition/condition-example-diagnosis-ach-pass2"/>
            <display value="Thrombophlebitis"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="other"/>
              <display value="Other"/>
            </coding>
            <text value="Walk-in"/>
          </admitSource>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location-example-ach-emergency"/>
            <display value="ACH Emergency Department"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-01-31T02:35:00-05:00"/>
            <end value="2024-02-01T01:02:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-inpatient"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ach-ach-pass2-inpatient"/>
        <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"><a name="Encounter_encounter-example-ach-ach-pass2-inpatient"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass2-inpatient</b></p><a name="encounter-example-ach-ach-pass2-inpatient"> </a><a name="hcencounter-example-ach-ach-pass2-inpatient"> </a><a name="encounter-example-ach-ach-pass2-inpatient-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104252b (use: usual, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode</a> IMP: inpatient encounter</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-ach-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-inpatient.html">ACH Inpatient Hospital Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 01:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104252b"/>
        </identifier>
        <status value="finished"/>
        <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="32485007"/>
            <display value="Hospital admission (procedure)"/>
          </coding>
          <text value="Hospital Admission"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <period>
          <start value="2024-01-31T22:02:00-05:00"/>
          <end value="2024-02-02T16:22:00-05:00"/>
        </period>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="emd"/>
              <display value="From accident/emergency department"/>
            </coding>
            <text value="Emergency Department"/>
          </admitSource>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="exp"/>
              <display value="expired"/>
            </coding>
            <text value="Expired"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location-example-ach-inpatient"/>
            <display value="ACH Inpatient Hospital Ward"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-01T01:02:00-05:00"/>
            <end value="2024-02-02T16:22:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Coverage/coverage-example-ach-pass2"/>
    <resource>
      <Coverage>
        <id value="coverage-example-ach-pass2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-example-ach-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-pass2</b></p><a name="coverage-example-ach-pass2"> </a><a name="hccoverage-example-ach-pass2"> </a><a name="coverage-example-ach-pass2-en-US"> </a><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-ach-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: PayerComm</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
              <display value="Member Number"/>
            </coding>
          </type>
          <system value="http://example.org/fhir/memberidentifier"/>
          <value value="93565936"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="HMO"/>
            <display value="health maintenance organization policy"/>
          </coding>
        </type>
        <subscriberId value="89345743"/>
        <beneficiary>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
            <display value="Self"/>
          </coding>
        </relationship>
        <payor>
          <display value="PayerComm"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2-problem"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ach-pass2-problem"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-pass2-problem"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass2-problem</b></p><a name="condition-example-diagnosis-ach-pass2-problem"> </a><a name="hccondition-example-diagnosis-ach-pass2-problem"> </a><a name="condition-example-diagnosis-ach-pass2-problem-en-US"> </a><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 111552007}, {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-ach-pass2.html">Pass2 ACH</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.0"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="problem-list-item"/>
            <display value="Problem List Item"/>
          </coding>
          <text value="Problem List Item"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="111552007"/>
            <display
                     value="Diabetes mellitus without complication (disorder)"/>
          </coding>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="E11.9"/>
            <display value="Type 2 diabetes mellitus without complications"/>
          </coding>
          <text value="Diabetes mellitus without complication"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ach-pass2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-pass2"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass2</b></p><a name="condition-example-diagnosis-ach-pass2"> </a><a name="hccondition-example-diagnosis-ach-pass2"> </a><a name="condition-example-diagnosis-ach-pass2-en-US"> </a><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-ach-pass2.html">Pass2 ACH</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.0"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Encounter Diagnosis"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1748006"/>
            <display
                     value="Thrombophlebitis of deep femoral vein (disorder)"/>
          </coding>
          <text value="Thrombophlebitis"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Device/device-example-ach-ach-pass2-compress-hose"/>
    <resource>
      <Device>
        <id value="device-example-ach-ach-pass2-compress-hose"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-ach-ach-pass2-compress-hose"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-ach-pass2-compress-hose</b></p><a name="device-example-ach-ach-pass2-compress-hose"> </a><a name="hcdevice-example-ach-ach-pass2-compress-hose"> </a><a name="device-example-ach-ach-pass2-compress-hose-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051034 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 348681001}">Graduated compression elastic hosiery</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="100051034"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="348681001"/>
            <display
                     value="Graduated compression elastic hosiery (physical object)"/>
          </coding>
          <text value="Graduated compression elastic hosiery"/>
        </type>
        <patient>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </patient>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/DiagnosticReport/diagnosticreport-example-ach-ach-pass2-radiology"/>
    <resource>
      <DiagnosticReport>
        <id value="diagnosticreport-example-ach-ach-pass2-radiology"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_diagnosticreport-example-ach-ach-pass2-radiology"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport diagnosticreport-example-ach-ach-pass2-radiology</b></p><a name="diagnosticreport-example-ach-ach-pass2-radiology"> </a><a name="hcdiagnosticreport-example-ach-ach-pass2-radiology"> </a><a name="diagnosticreport-example-ach-ach-pass2-radiology-en-US"> </a><h2><span title="Codes:{http://snomed.info/sct 14331000087103}">ultrasonography of right lower limb</span> (<span title="Codes:{http://loinc.org LP29684-5}">Radiology</span>) </h2><table class="grid"><tr><td>Subject</td><td>Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</td></tr><tr><td>When For</td><td>2024-02-01 23:14:00-0500</td></tr><tr><td>Reported</td><td>2024-02-02 08:52:00-0500</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 128053003}">Deep venous thrombosis (disorder)</span></li></ul></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LP29684-5"/>
            <display value="Radiology"/>
          </coding>
          <text value="Radiology"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="14331000087103"/>
            <display
                     value="Doppler ultrasonography of vascular structure of right lower limb (procedure)"/>
          </coding>
          <text value="ultrasonography of right lower limb"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T23:14:00-05:00"/>
        <issued value="2024-02-02T08:52:00-05:00"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="128053003"/>
            <display value="Deep venous thrombosis (disorder)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-dex4"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-example-ach-pass2-dex4"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-dex4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-dex4</b></p><a name="medicationadministration-example-ach-pass2-dex4"> </a><a name="hcmedicationadministration-example-ach-pass2-dex4"> </a><a name="medicationadministration-example-ach-pass2-dex4-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888893 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>medication</b>: <a href="Medication-medication-example-dex4-tablet.html">Dex4 4 gm chewable tablet X1</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>4 gm chewable tablet X1</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>4 g<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg = 'g')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888893"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="outpatient"/>
            <display value="Outpatient"/>
          </coding>
          <text value="Outpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-dex4-tablet"/>
          <display value="Dex4 4 gm chewable tablet X1"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-emergency"/>
          <display value="Emergency Encounter"/>
        </context>
        <effectiveDateTime value="2024-01-31T04:54:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-dex4-tablet"/>
        </request>
        <dosage>
          <text value="4 gm chewable tablet X1"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="4"/>
            <unit value="g"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-1"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-example-ach-pass2-heparin-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-heparin-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-1</b></p><a name="medicationadministration-example-ach-pass2-heparin-1"> </a><a name="hcmedicationadministration-example-ach-pass2-heparin-1"> </a><a name="medicationadministration-example-ach-pass2-heparin-1-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888895 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-heparin.html">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.5 mL</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888895"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-heparin"/>
          <display
                   value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-01T12:22:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-heparin"/>
        </request>
        <dosage>
          <text value="0.5 mL"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="5000"/>
            <unit value="uL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="uL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-2"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-example-ach-pass2-heparin-2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-heparin-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-2</b></p><a name="medicationadministration-example-ach-pass2-heparin-2"> </a><a name="hcmedicationadministration-example-ach-pass2-heparin-2"> </a><a name="medicationadministration-example-ach-pass2-heparin-2-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888895 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-heparin.html">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.5 mL</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888895"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-heparin"/>
          <display
                   value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-02T13:26:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-heparin"/>
        </request>
        <dosage>
          <text value="0.5 mL"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="5000"/>
            <unit value="uL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="uL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-1"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass2-insulin-lispro-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-insulin-lispro-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-1</b></p><a name="medicationadministration-example-ach-pass2-insulin-lispro-1"> </a><a name="hcmedicationadministration-example-ach-pass2-insulin-lispro-1"> </a><a name="medicationadministration-example-ach-pass2-insulin-lispro-1-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888942 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before breakfast</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888942"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-insulin-lispro"/>
          <display value="Insulin Lispro"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-01T12:00:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro"/>
        </request>
        <dosage>
          <text value="Give 5 units before breakfast"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="5"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-2"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass2-insulin-lispro-2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-insulin-lispro-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-2</b></p><a name="medicationadministration-example-ach-pass2-insulin-lispro-2"> </a><a name="hcmedicationadministration-example-ach-pass2-insulin-lispro-2"> </a><a name="medicationadministration-example-ach-pass2-insulin-lispro-2-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888943 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before dinner</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>4</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888943"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-insulin-lispro"/>
          <display value="Insulin Lispro"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-01T19:00:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro"/>
        </request>
        <dosage>
          <text value="Give 5 units before dinner"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="4"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-3"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass2-insulin-lispro-3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-insulin-lispro-3"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-3</b></p><a name="medicationadministration-example-ach-pass2-insulin-lispro-3"> </a><a name="hcmedicationadministration-example-ach-pass2-insulin-lispro-3"> </a><a name="medicationadministration-example-ach-pass2-insulin-lispro-3-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888944 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before breakfast</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>5</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888944"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-insulin-lispro"/>
          <display value="Insulin Lispro"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-02T07:00:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro"/>
        </request>
        <dosage>
          <text value="Give 5 units before breakfast"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="5"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-4"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass2-insulin-lispro-4"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass2-insulin-lispro-4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-4</b></p><a name="medicationadministration-example-ach-pass2-insulin-lispro-4"> </a><a name="hcmedicationadministration-example-ach-pass2-insulin-lispro-4"> </a><a name="medicationadministration-example-ach-pass2-insulin-lispro-4-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888945 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Give 5 units before dinner</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 47625008}">IV</span></td><td>4</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888945"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-insulin-lispro"/>
          <display value="Insulin Lispro"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </context>
        <effectiveDateTime value="2024-02-02T15:00:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro"/>
        </request>
        <dosage>
          <text value="Give 5 units before dinner"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <dose>
            <value value="4"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-dex4-tablet"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass2-dex4-tablet"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass2-dex4-tablet"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-dex4-tablet</b></p><a name="medicationrequest-example-ach-pass2-dex4-tablet"> </a><a name="hcmedicationrequest-example-ach-pass2-dex4-tablet"> </a><a name="medicationrequest-example-ach-pass2-dex4-tablet-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}">Outpatient</span></p><p><b>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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888892"/>
        </identifier>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="outpatient"/>
            <display value="Outpatient"/>
          </coding>
          <text value="Outpatient"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-dex4-tablet"/>
          <display value="Dex4 4 gm chewable tablet X1"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-emergency"/>
          <display value="Emergency Encounter"/>
        </encounter>
        <authoredOn value="2024-01-31T04:46:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
        </requester>
        <dosageInstruction>
          <text value="4 gm chewable tablet X1"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="4"/>
              <unit value="g"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-heparin"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass2-heparin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass2-heparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-heparin</b></p><a name="medicationrequest-example-ach-pass2-heparin"> </a><a name="hcmedicationrequest-example-ach-pass2-heparin"> </a><a name="medicationrequest-example-ach-pass2-heparin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888895 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888895"/>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-heparin"/>
          <display
                   value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <authoredOn value="2024-02-01T12:00:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
        </requester>
        <dosageInstruction>
          <text value="0.5 mL"/>
          <timing>
            <repeat>
              <frequency value="2"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="5000"/>
              <unit value="uL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="uL"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass2-insulin-lispro"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass2-insulin-lispro"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-insulin-lispro</b></p><a name="medicationrequest-example-ach-pass2-insulin-lispro"> </a><a name="hcmedicationrequest-example-ach-pass2-insulin-lispro"> </a><a name="medicationrequest-example-ach-pass2-insulin-lispro-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888894 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-insulin-lispro.html">Insulin Lispro</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888894"/>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-insulin-lispro"/>
          <display value="Insulin Lispro"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <authoredOn value="2024-02-01T12:00:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
        </requester>
        <dosageInstruction>
          <text value="Give 5 units before breakfast"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
                <code value="AM"/>
              </coding>
            </code>
          </timing>
          <asNeededBoolean value="false"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="5"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
        <dosageInstruction>
          <text value="Give 4 units before dinner"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
                <code value="BED"/>
              </coding>
            </code>
          </timing>
          <asNeededBoolean value="false"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route"/>
            </coding>
            <text value="IV"/>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="4"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-metformin"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass2-metformin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass2-metformin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-metformin</b></p><a name="medicationrequest-example-ach-pass2-metformin"> </a><a name="hcmedicationrequest-example-ach-pass2-metformin"> </a><a name="medicationrequest-example-ach-pass2-metformin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Home Medication</span></p><p><b>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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888892"/>
        </identifier>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="community"/>
            <display value="Community"/>
          </coding>
          <text value="Home Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-metformin-1000"/>
          <display value="Metformin hydrochloride 1000 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-emergency"/>
          <display value="Emergency Encounter"/>
        </encounter>
        <authoredOn value="2024-01-31T04:22:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
        </requester>
        <recorder>
          <display value="Patient Identified"/>
        </recorder>
        <dosageInstruction>
          <text value="1000 mg tablet by mouth twice daily"/>
          <timing>
            <repeat>
              <frequency value="2"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="1000"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-aptt"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-aptt"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-aptt"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-aptt</b></p><a name="observation-example-ach-pass2-aptt"> </a><a name="hcobservation-example-ach-pass2-aptt"> </a><a name="observation-example-ach-pass2-aptt-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass2-aptt"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="3173-2"/>
            <display value="aPTT in Blood by Coagulation assay"/>
          </coding>
          <text value="aPTT"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-02T11:24:00-05:00"/>
        <issued value="2024-02-02T11:29:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="8"/>
          <unit value="s"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-1"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-poc-1"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-poc-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-poc-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-poc-1</b></p><a name="observation-example-ach-pass2-poc-1"> </a><a name="hcobservation-example-ach-pass2-poc-1"> </a><a name="observation-example-ach-pass2-poc-1-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 53 d/gL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg/dL = 'g/dL')</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass2-glucose"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41653-7"/>
            <display
                     value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
          </coding>
          <text value="Glucose"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-01-31T23:01:00-05:00"/>
        <issued value="2024-01-31T23:02:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="53"/>
          <unit value="d/gL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/dL"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-poc-2"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-poc-2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-poc-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-poc-2</b></p><a name="observation-example-ach-pass2-poc-2"> </a><a name="hcobservation-example-ach-pass2-poc-2"> </a><a name="observation-example-ach-pass2-poc-2-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 105 d/gL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeg/dL = 'g/dL')</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass2-glucose"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41653-7"/>
            <display
                     value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
          </coding>
          <text value="Glucose"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-02T10:14:00-05:00"/>
        <issued value="2024-02-02T10:15:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="105"/>
          <unit value="d/gL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/dL"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-hemo-a1c"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-hemo-a1c"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-hemo-a1c"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-hemo-a1c</b></p><a name="observation-example-ach-pass2-hemo-a1c"> </a><a name="hcobservation-example-ach-pass2-hemo-a1c"> </a><a name="observation-example-ach-pass2-hemo-a1c-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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 41653-7}">Glucose</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass2-hemo-a1c"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41653-7"/>
            <display
                     value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
          </coding>
          <text value="Glucose"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-01-31T23:01:00-05:00"/>
        <issued value="2024-01-31T23:52:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="7.5"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </valueQuantity>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-1"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-hemo"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-hemo"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-hemo"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-hemo</b></p><a name="observation-example-ach-pass2-hemo"> </a><a name="hcobservation-example-ach-pass2-hemo"> </a><a name="observation-example-ach-pass2-hemo-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass2-hemo"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="600-7"/>
            <display value="Bacteria identified in Blood by Culture"/>
          </coding>
          <text value="Bacteria identified in Blood by Culture"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <effectiveDateTime value="2024-02-02T11:24:00-05:00"/>
        <issued value="2024-02-02T11:29:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="8"/>
          <unit value="d/gL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/dL"/>
        </valueQuantity>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-2"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass2-vitals-weight"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass2-vitals-weight"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass2-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass2-vitals-weight</b></p><a name="observation-example-ach-pass2-vitals-weight"> </a><a name="hcobservation-example-ach-pass2-vitals-weight"> </a><a name="observation-example-ach-pass2-vitals-weight-en-US"> </a><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-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 113.4 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
          <text value="Vital Signs"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29463-7"/>
            <display value="Body weight"/>
          </coding>
          <text value="Weight"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-emergency"/>
          <display value="Emergency Encounter"/>
        </encounter>
        <effectiveDateTime value="2024-01-31T01:42:00-05:00"/>
        <issued value="2024-01-31T01:42:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="113.4"/>
          <unit value="kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Procedure/procedure-example-ach-ach-pass2-ivcf"/>
    <resource>
      <Procedure>
        <id value="procedure-example-ach-ach-pass2-ivcf"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-ach-pass2-ivcf"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass2-ivcf</b></p><a name="procedure-example-ach-ach-pass2-ivcf"> </a><a name="hcprocedure-example-ach-ach-pass2-ivcf"> </a><a name="procedure-example-ach-ach-pass2-ivcf-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005103526 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 397913009}">Percutaneous insertion of inferior vena cava filter (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-pass2-inpatient.html">Hospital Admission</a></p><p><b>performed</b>: 2024-02-01 05:02:00-0500</p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005103526"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397913009"/>
            <display
                     value="Percutaneous insertion of inferior vena cava filter (procedure)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <performedDateTime value="2024-02-01T05:02:00-05:00"/>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-aptt"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass2-aptt"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass2-aptt"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-aptt</b></p><a name="servicerequest-example-ach-ach-pass2-aptt"> </a><a name="hcservicerequest-example-ach-ach-pass2-aptt"> </a><a name="servicerequest-example-ach-ach-pass2-aptt-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631824 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 3173-2}">aPTT</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631824"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <priority value="stat"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="3173-2"/>
            <display value="aPTT in Blood by Coagulation assay"/>
          </coding>
          <text value="aPTT"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-01-31T22:21:00-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-01-31T22:21:00-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-1"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-glucose"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass2-glucose"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass2-glucose"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-glucose</b></p><a name="servicerequest-example-ach-ach-pass2-glucose"> </a><a name="hcservicerequest-example-ach-ach-pass2-glucose"> </a><a name="servicerequest-example-ach-ach-pass2-glucose-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631824 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 41653-7}">Glucose</span></p><p><b>quantity</b>: 2</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-pass2-inpatient.html">Hospital Admission</a></p><p><b>occurrence</b>: Code , Count 2  times, Once per1 days</p><p><b>authoredOn</b>: 2024-01-31 22:21:00-0500</p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631824"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41653-7"/>
            <display
                     value="Glucose [Mass/volume] in Capillary blood by Glucometer"/>
          </coding>
          <text value="Glucose"/>
        </code>
        <quantityQuantity>
          <value value="2"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <repeat>
            <count value="2"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
              <code value="BID"/>
            </coding>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-01-31T22:21:00-05:00"/>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo-a1c"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass2-hemo-a1c"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass2-hemo-a1c"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo-a1c</b></p><a name="servicerequest-example-ach-ach-pass2-hemo-a1c"> </a><a name="hcservicerequest-example-ach-ach-pass2-hemo-a1c"> </a><a name="servicerequest-example-ach-ach-pass2-hemo-a1c-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631823 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 41995-2}">Hemoglobin A1c</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-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 = Blood venous; receivedTime = 2024-01-31 22:50:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631823"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41995-2"/>
            <display value="Hemoglobin A1c [Mass/volume] in Blood"/>
          </coding>
          <text value="Hemoglobin A1c"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-01-31T22:21:00-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-01-31T22:21:00-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-1"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass2-hemo"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass2-hemo"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo</b></p><a name="servicerequest-example-ach-ach-pass2-hemo"> </a><a name="hcservicerequest-example-ach-ach-pass2-hemo"> </a><a name="servicerequest-example-ach-ach-pass2-hemo-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631824 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 30350-3}">Hemoglobin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-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 = Blood venous; receivedTime = 2024-02-02 11:26:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631824"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <priority value="stat"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30350-3"/>
            <display value="Hemoglobin [Mass/volume] in Venous blood"/>
          </coding>
          <text value="Hemoglobin"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass2-inpatient"/>
          <display value="Hospital Admission"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-02-02T11:22:00-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-02-02T11:22:00-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass2-blood-2"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-1"/>
    <resource>
      <Specimen>
        <id value="specimen-example-ach-ach-pass2-blood-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-ach-pass2-blood-1"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-1</b></p><a name="specimen-example-ach-ach-pass2-blood-1"> </a><a name="hcspecimen-example-ach-ach-pass2-blood-1"> </a><a name="specimen-example-ach-ach-pass2-blood-1-en-US"> </a><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://terminology.hl7.org/CodeSystem/v2-0487 BLDV}">Blood venous</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-01-31 22:50:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-01-31 22:42:00-0500</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
          <value value="C104082902"/>
          <assigner>
            <display value="LIS"/>
          </assigner>
        </identifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
          <value value="C10408290:42"/>
        </identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
            <code value="BLDV"/>
            <display value="Blood venous"/>
          </coding>
          <text value="Blood venous"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass1 ACH"/>
        </subject>
        <receivedTime value="2024-01-31T22:50:00-05:00"/>
        <collection>
          <collectedDateTime value="2024-01-31T22:42:00-05:00"/>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </bodySite>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-2"/>
    <resource>
      <Specimen>
        <id value="specimen-example-ach-ach-pass2-blood-2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-ach-pass2-blood-2"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-2</b></p><a name="specimen-example-ach-ach-pass2-blood-2"> </a><a name="hcspecimen-example-ach-ach-pass2-blood-2"> </a><a name="specimen-example-ach-ach-pass2-blood-2-en-US"> </a><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://terminology.hl7.org/CodeSystem/v2-0487 BLDV}">Blood venous</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass2.html">Pass1 ACH</a></p><p><b>receivedTime</b>: 2024-02-02 11:26:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-02 11:24:00-0500</td><td><span title="Codes:{http://snomed.info/sct 1255295007}">Structure of blood vessel of left upper arm (body structure)</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
          <value value="C104082902"/>
          <assigner>
            <display value="LIS"/>
          </assigner>
        </identifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
          <value value="C10408290:42"/>
        </identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
            <code value="BLDV"/>
            <display value="Blood venous"/>
          </coding>
          <text value="Blood venous"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass2"/>
          <display value="Pass1 ACH"/>
        </subject>
        <receivedTime value="2024-02-02T11:26:00-05:00"/>
        <collection>
          <collectedDateTime value="2024-02-02T11:24:00-05:00"/>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1255295007"/>
              <display
                       value="Structure of blood vessel of left upper arm (body structure)"/>
            </coding>
          </bodySite>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass3"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-individual-ach-ach-pass3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-individual-ach-ach-pass3"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass3</b></p><a name="measurereport-example-individual-ach-ach-pass3"> </a><a name="hcmeasurereport-example-individual-ach-ach-pass3"> </a><a name="measurereport-example-individual-ach-ach-pass3-en-US"> </a><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-NHSNdQMAcuteCareHospitalInitialPopulation.html">NHSN dQM Acute Care Hospital Initial Population</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href="Organization-organization-example-submitting-organization.html">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: <a href="Specimen-specimen-example-ach-ach-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="cohort"/>
              <display value="Cohort"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <system value="http://example.org/fhir/measurereport/id"/>
          <value value="123456789-pass3"/>
        </identifier>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation"/>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass1"/>
        </subject>
        <date value="2024-02-05T21:04:29.481+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2024-01-05T00:00:00.000+00:00"/>
          <end value="2024-02-04T00:00:00.000+00:00"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
        </group>
        <evaluatedResource>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass3-stool"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Patient/patient-example-ach-ach-pass3"/>
    <resource>
      <Patient>
        <id value="patient-example-ach-ach-pass3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
          <security>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
            <code value="R"/>
            <display value="Restricted"/>
          </security>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-example-ach-ach-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-ach-pass3</b></p><a name="patient-example-ach-ach-pass3"> </a><a name="hcpatient-example-ach-ach-pass3"> </a><a name="patient-example-ach-ach-pass3-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="mailto:ACHtestcase@testcase.com">ACHtestcase@testcase.com</a></li><li>5678 Sesame Lansing Lansing MI 48864 US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 zh}">Chinese</span></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</a> 2186-5: 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). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/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#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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>text: White</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Non Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="MRN"/>
          </type>
          <system value="urn:oid:1.2.5.8.2.7"/>
          <value value="1601191903010308"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Pass3 ACH"/>
          <family value="ACH"/>
          <given value="Pass3"/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="ACHtestcase@testcase.com"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="2007-10-08"/>
        <address>
          <line value="5678 Sesame Lansing"/>
          <city value="Lansing"/>
          <state value="MI"/>
          <postalCode value="48864"/>
          <country value="US"/>
        </address>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="zh"/>
              <display value="Chinese"/>
            </coding>
          </language>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-acute"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ach-ach-pass3-acute"/>
        <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"><a name="Encounter_encounter-example-ach-ach-pass3-acute"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass3-acute</b></p><a name="encounter-example-ach-ach-pass3-acute"> </a><a name="hcencounter-example-ach-ach-pass3-acute"> </a><a name="encounter-example-ach-ach-pass3-acute-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a (use: usual, )</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE">ActCode</a> ACUTE: inpatient acute</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-ach-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-crit.html">ACH Medical Critical Care</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-02 16:43:00-0500 --&gt; 2024-03-02 19:58:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104253a"/>
        </identifier>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="ACUTE"/>
          <display value="inpatient acute"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="453701000124103"/>
            <display value="In-person encounter"/>
          </coding>
          <text value="Critical care visit"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <period>
          <start value="2024-02-02T16:43:00-05:00"/>
          <end value="2024-02-03T19:58:00-05:00"/>
        </period>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="other"/>
              <display value="Other"/>
            </coding>
            <text value="From Short Stay"/>
          </admitSource>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Home"/>
            </coding>
            <text value="Home"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location-example-ach-crit"/>
            <display value="ACH Medical Critical Care"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-02T16:43:00-05:00"/>
            <end value="2024-03-02T19:58:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-short-stay"/>
    <resource>
      <Encounter>
        <id value="encounter-example-ach-ach-pass3-short-stay"/>
        <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"><a name="Encounter_encounter-example-ach-ach-pass3-short-stay"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass3-short-stay</b></p><a name="encounter-example-ach-ach-pass3-short-stay"> </a><a name="hcencounter-example-ach-ach-pass3-short-stay"> </a><a name="encounter-example-ach-ach-pass3-short-stay-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104253a (use: usual, )</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS">ActCode</a> SS: short stay</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-ach-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-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-medsurg.html">ACH Medical-Surgical Ward</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td><td>2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500</td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="10005104253a"/>
        </identifier>
        <status value="in-progress"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="SS"/>
          <display value="short stay"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="8715000"/>
            <display value="Hospital admission, elective (procedure)"/>
          </coding>
          <text value="Hospital Admission, Elective Procedure"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <period>
          <start value="2024-02-01T14:12:00-05:00"/>
          <end value="2024-02-02T16:43:00-05:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="R19.7"/>
            <display value="Diarrhea, unspecified"/>
          </coding>
          <text value="Diarrhea"/>
        </reasonCode>
        <diagnosis>
          <condition>🔗 
            <reference
                       value="Condition/condition-example-diagnosis-ach-pass3"/>
            <display value="Enterocolitis due to Clostridium difficile"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <admitSource>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/admit-source"/>
              <code value="outp"/>
              <display value="From outpatient department"/>
            </coding>
            <text value="Outpatient"/>
          </admitSource>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/location-example-ach-medsurg"/>
            <display value="ACH Medical-Surgical Ward"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
          <period>
            <start value="2024-02-01T14:12:00-05:00"/>
            <end value="2024-02-02T16:43:00-05:00"/>
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Coverage/coverage-example-ach-pass3"/>
    <resource>
      <Coverage>
        <id value="coverage-example-ach-pass3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-example-ach-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-pass3</b></p><a name="coverage-example-ach-pass3"> </a><a name="hccoverage-example-ach-pass3"> </a><a name="coverage-example-ach-pass3-en-US"> </a><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-ach-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: Nation First Health Care</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
              <display value="Member Number"/>
            </coding>
          </type>
          <system value="http://example.org/fhir/memberidentifier"/>
          <value value="0945345"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="PPO"/>
            <display value="preferred provider organization policy"/>
          </coding>
        </type>
        <subscriberId value="7843574536"/>
        <beneficiary>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
            <display value="Self"/>
          </coding>
        </relationship>
        <payor>
          <display value="Nation First Health Care"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3-problem"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ach-pass3-problem"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-pass3-problem"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass3-problem</b></p><a name="condition-example-diagnosis-ach-pass3-problem"> </a><a name="hccondition-example-diagnosis-ach-pass3-problem"> </a><a name="condition-example-diagnosis-ach-pass3-problem-en-US"> </a><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-ach-pass3.html">Pass3 ACH</a></p><p><b>onset</b>: 2024-01-21 07:32:00-0500</p><p><b>abatement</b>: 2024-02-02 16:43:00-0500</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="resolved"/>
            <display value="Resolved"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.0"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="problem-list-item"/>
            <display value="Problem List Item"/>
          </coding>
          <text value="Problem List Item"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="15805002"/>
            <display value="Acute sinusitis (disorder)"/>
          </coding>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J01.90"/>
            <display value="Acute sinusitis, unspecified"/>
          </coding>
          <text value="Acute sinusitis"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <onsetDateTime value="2024-01-21T07:32:00-05:00"/>
        <abatementDateTime value="2024-02-02T16:43:00-05:00"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3"/>
    <resource>
      <Condition>
        <id value="condition-example-diagnosis-ach-pass3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-example-diagnosis-ach-pass3"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-example-diagnosis-ach-pass3</b></p><a name="condition-example-diagnosis-ach-pass3"> </a><a name="hccondition-example-diagnosis-ach-pass3"> </a><a name="condition-example-diagnosis-ach-pass3-en-US"> </a><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-ach-pass3.html">Pass3 ACH</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <version value="4.0.0"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Encounter Diagnosis"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="A04.7"/>
            <display value="Enterocolitis due to Clostridium difficile"/>
          </coding>
          <text value="Enterocolitis due to Clostridium difficile"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Device/device-example-ach-ach-pass3-ivcs-pump"/>
    <resource>
      <Device>
        <id value="device-example-ach-ach-pass3-ivcs-pump"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-ach-ach-pass3-ivcs-pump"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-ach-ach-pass3-ivcs-pump</b></p><a name="device-example-ach-ach-pass3-ivcs-pump"> </a><a name="hcdevice-example-ach-ach-pass3-ivcs-pump"> </a><a name="device-example-ach-ach-pass3-ivcs-pump-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035 (use: usual, )</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 469317002}">Intermittent venous compression system pump</span></p><p><b>patient</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass3 ACH</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="100051035"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="469317002"/>
            <display
                     value="Intermittent venous compression system pump (physical object)"/>
          </coding>
          <text value="Intermittent venous compression system pump"/>
        </type>
        <patient>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </patient>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-enoxaparin"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-example-ach-pass3-enoxaparin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministrationnotdone"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass3-enoxaparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-enoxaparin</b></p><a name="medicationadministration-example-ach-pass3-enoxaparin"> </a><a name="hcmedicationadministration-example-ach-pass3-enoxaparin"> </a><a name="medicationadministration-example-ach-pass3-enoxaparin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833 (use: usual, )</p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title="Codes:{http://snomed.info/sct 182903008}">Drug declined by patient - reason unknown (situation)</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 854235}">Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass3-enoxaparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>0.4ml subcutaneous once daily in abdomen</td><td><span title="Codes:{http://snomed.info/sct 42972002}">Subcutaneous tissue structure of anterior abdominal wall (body structure)</span></td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>4000 uL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeuL = 'uL')</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
          <valueDateTime value="2024-02-02T21:04:00-05:00"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888833"/>
        </identifier>
        <status value="not-done"/>
        <statusReason>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="182903008"/>
            <display
                     value="Drug declined by patient - reason unknown (situation)"/>
          </coding>
        </statusReason>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="854235"/>
            <display
                     value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
          </coding>
          <text
                value="Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe"/>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass3-acute"/>
          <display value="Critical care visit"/>
        </context>
        <effectiveDateTime value="2024-02-02T21:04:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin"/>
        </request>
        <dosage>
          <text value="0.4ml subcutaneous once daily in abdomen"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42972002"/>
              <display
                       value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="4000"/>
            <unit value="uL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="uL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-1"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass3-metronidazole-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass3-metronidazole-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-1</b></p><a name="medicationadministration-example-ach-pass3-metronidazole-1"> </a><a name="hcmedicationadministration-example-ach-pass3-metronidazole-1"> </a><a name="medicationadministration-example-ach-pass3-metronidazole-1-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888321 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888321"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-metronidazole"/>
          <display value="Metronidazole 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </context>
        <effectiveDateTime value="2024-02-01T21:02:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass3-metronidazole"/>
        </request>
        <dosage>
          <text value="5mg tablet by mouth twice daily"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="5"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-2"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass3-metronidazole-2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass3-metronidazole-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-2</b></p><a name="medicationadministration-example-ach-pass3-metronidazole-2"> </a><a name="hcmedicationadministration-example-ach-pass3-metronidazole-2"> </a><a name="medicationadministration-example-ach-pass3-metronidazole-2-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888322 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888322"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-metronidazole"/>
          <display value="Metronidazole 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </context>
        <effectiveDateTime value="2024-02-02T21:09:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass3-metronidazole"/>
        </request>
        <dosage>
          <text value="5mg tablet by mouth twice daily"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="5"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-3"/>
    <resource>
      <MedicationAdministration>
        <id
            value="medicationadministration-example-ach-pass3-metronidazole-3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-example-ach-pass3-metronidazole-3"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-3</b></p><a name="medicationadministration-example-ach-pass3-metronidazole-3"> </a><a name="hcmedicationadministration-example-ach-pass3-metronidazole-3"> </a><a name="medicationadministration-example-ach-pass3-metronidazole-3-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/1018888323 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass2 ACH</a></p><p><b>context</b>: <a href="Encounter-encounter-example-ach-ach-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-pass3-metronidazole.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>5mg tablet by mouth twice daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral</span></td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1018888323"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-metronidazole"/>
          <display value="Metronidazole 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <context>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </context>
        <effectiveDateTime value="2024-02-03T09:09:00-05:00"/>
        <request>🔗 
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-pass3-metronidazole"/>
        </request>
        <dosage>
          <text value="5mg tablet by mouth twice daily"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <dose>
            <value value="5"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-cipro"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass3-cipro"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass3-cipro"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-cipro</b></p><a name="medicationrequest-example-ach-pass3-cipro"> </a><a name="hcmedicationrequest-example-ach-pass3-cipro"> </a><a name="medicationrequest-example-ach-pass3-cipro-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888892 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Home Medication</span></p><p><b>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-ach-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><p><b>recorder</b>: Patient Identified</p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888892"/>
        </identifier>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="community"/>
            <display value="Community"/>
          </coding>
          <text value="Home Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-cipro-500"/>
          <display value="Ciprofloxacin 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </encounter>
        <authoredOn value="2024-02-01T19:15:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
        </requester>
        <recorder>
          <display value="Patient Identified"/>
        </recorder>
        <dosageInstruction>
          <text value="500mg tablet by mouth twice daily"/>
          <timing>
            <repeat>
              <frequency value="2"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="500"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass3-enoxaparin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass3-enoxaparin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-enoxaparin</b></p><a name="medicationrequest-example-ach-pass3-enoxaparin"> </a><a name="hcmedicationrequest-example-ach-pass3-enoxaparin"> </a><a name="medicationrequest-example-ach-pass3-enoxaparin-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888833 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>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-ach-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888833"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-enoxaparin"/>
          <display
                   value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass3-acute"/>
          <display value="Critical care visit"/>
        </encounter>
        <authoredOn value="2024-02-02T12:21:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
        </requester>
        <dosageInstruction>
          <text value="0.4ml subcutaneous once daily in abdomen"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="42972002"/>
              <display
                       value="Subcutaneous tissue structure of anterior abdominal wall (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="4000"/>
              <unit value="uL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="uL"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-metronidazole"/>
    <resource>
      <MedicationRequest>
        <id value="medicationrequest-example-ach-pass3-metronidazole"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-example-ach-pass3-metronidazole"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-metronidazole</b></p><a name="medicationrequest-example-ach-pass3-metronidazole"> </a><a name="hcmedicationrequest-example-ach-pass3-metronidazole"> </a><a name="medicationrequest-example-ach-pass3-metronidazole-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.798</code>/101888832 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}">Inpatient Medication</span></p><p><b>medication</b>: <a href="Medication-medication-example-metronidazole.html">Metronidazole 500 MG</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass2 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass3.html">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="101888832"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
          </coding>
          <text value="Inpatient Medication"/>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/medication-example-metronidazole"/>
          <display value="Metronidazole 500 MG"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass2 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </encounter>
        <authoredOn value="2024-02-01T20:33:00-05:00"/>
        <requester>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
        </requester>
        <dosageInstruction>
          <text value="5mg tablet by mouth twice daily"/>
          <timing>
            <repeat>
              <frequency value="2"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Use"/>
            </coding>
            <text value="Oral"/>
          </route>
          <doseAndRate>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="calculated"/>
                <display value="Calculated"/>
              </coding>
              <text value="calculated"/>
            </type>
            <doseQuantity>
              <value value="5"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass3-cdiff"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass3-cdiff"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass3-cdiff"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass3-cdiff</b></p><a name="observation-example-ach-pass3-cdiff"> </a><a name="hcobservation-example-ach-pass3-cdiff"> </a><a name="observation-example-ach-pass3-cdiff-en-US"> </a><p><b>basedOn</b>: <a href="ServiceRequest-servicerequest-example-ach-ach-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-ach-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></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-ach-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="ServiceRequest/servicerequest-example-ach-ach-pass3-cdiff"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="5933001"/>
            <display value="Clostridioides difficile (organism)"/>
          </coding>
          <text value="C. Diff."/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Hospital Admission, Short Stay"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T19:02:00-05:00"/>
        <issued value="2024-02-02T15:30:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="10828004"/>
            <display value="Positive (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass3-stool"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-height"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass3-vitals-height"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass3-vitals-height"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass3-vitals-height</b></p><a name="observation-example-ach-pass3-vitals-height"> </a><a name="hcobservation-example-ach-pass3-vitals-height"> </a><a name="observation-example-ach-pass3-vitals-height-en-US"> </a><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-ach-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 176.8 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecm = 'cm')</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
          <text value="Vital Signs"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8302-2"/>
            <display value="Body height"/>
          </coding>
          <text value="Height"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
        <issued value="2024-02-01T19:21:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="176.8"/>
          <unit value="cm"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="cm"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-weight"/>
    <resource>
      <Observation>
        <id value="observation-example-ach-pass3-vitals-weight"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-example-ach-pass3-vitals-weight"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-example-ach-pass3-vitals-weight</b></p><a name="observation-example-ach-pass3-vitals-weight"> </a><a name="hcobservation-example-ach-pass3-vitals-weight"> </a><a name="observation-example-ach-pass3-vitals-weight-en-US"> </a><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-ach-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>value</b>: 54.4 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
          <text value="Vital Signs"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29463-7"/>
            <display value="Body weight"/>
          </coding>
          <text value="Weight"/>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Short Stay"/>
        </encounter>
        <effectiveDateTime value="2024-02-01T19:21:00-05:00"/>
        <issued value="2024-02-01T19:21:00-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/practitioner-example"/>
        </performer>
        <valueQuantity>
          <value value="54.4"/>
          <unit value="kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Procedure/procedure-example-ach-ach-pass3-transfusion"/>
    <resource>
      <Procedure>
        <id value="procedure-example-ach-ach-pass3-transfusion"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_procedure-example-ach-ach-pass3-transfusion"> </a><p class="res-header-id"><b>Generated Narrative: Procedure procedure-example-ach-ach-pass3-transfusion</b></p><a name="procedure-example-ach-ach-pass3-transfusion"> </a><a name="hcprocedure-example-ach-ach-pass3-transfusion"> </a><a name="procedure-example-ach-ach-pass3-transfusion-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/100051035264 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 116863004}">Transfusion of red blood cells (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-pass3-acute.html">Critical care visit</a></p><p><b>performed</b>: 2024-02-02 20:43:00-0500</p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.698.8"/>
          <value value="100051035264"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116863004"/>
            <display value="Transfusion of red blood cells (procedure)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/encounter-example-ach-ach-pass3-acute"/>
          <display value="Critical care visit"/>
        </encounter>
        <performedDateTime value="2024-02-02T20:43:00-05:00"/>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass3-cdiff"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest-example-ach-ach-pass3-cdiff"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-example-ach-ach-pass3-cdiff"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass3-cdiff</b></p><a name="servicerequest-example-ach-ach-pass3-cdiff"> </a><a name="hcservicerequest-example-ach-ach-pass3-cdiff"> </a><a name="servicerequest-example-ach-ach-pass3-cdiff-en-US"> </a><p><b>identifier</b>: Placer Identifier/1019631826 (use: usual, )</p><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 13957-6}">C. Diff. toxin</span></p><p><b>quantity</b>: 1</p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass3 ACH</a></p><p><b>encounter</b>: <a href="Encounter-encounter-example-ach-ach-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-ach-pass3-stool.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500</a></p></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Placer Identifier"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798"/>
          <value value="1019631826"/>
        </identifier>
        <status value="completed"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
          <text value="Laboratory procedure"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="13957-6"/>
            <display
                     value="Clostridioides difficile toxin A [Presence] in Stool by Immunoassay"/>
          </coding>
          <text value="C. Diff. toxin"/>
        </code>
        <quantityQuantity>
          <value value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <encounter>🔗 
          <reference
                     value="Encounter/encounter-example-ach-ach-pass3-short-stay"/>
          <display value="Hospital Admission, Short Stay"/>
        </encounter>
        <occurrenceTiming>
          <event value="2024-02-01T18:12:00-05:00"/>
          <repeat>
            <count value="1"/>
          </repeat>
          <code>
            <text value="Once"/>
          </code>
        </occurrenceTiming>
        <authoredOn value="2024-02-01T18:12:00-05:00"/>
        <specimen>🔗 
          <reference value="Specimen/specimen-example-ach-ach-pass3-stool"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Specimen/specimen-example-ach-ach-pass3-stool"/>
    <resource>
      <Specimen>
        <id value="specimen-example-ach-ach-pass3-stool"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-example-ach-ach-pass3-stool"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-example-ach-ach-pass3-stool</b></p><a name="specimen-example-ach-ach-pass3-stool"> </a><a name="hcspecimen-example-ach-ach-pass3-stool"> </a><a name="specimen-example-ach-ach-pass3-stool-en-US"> </a><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</span></p><p><b>subject</b>: <a href="Patient-patient-example-ach-ach-pass3.html">Pass3 ACH</a></p><p><b>receivedTime</b>: 2024-02-01 19:12:00-0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2024-02-01 19:02:00-0500</td><td><span title="Codes:{http://snomed.info/sct 181261002}">Entire rectum (body structure)</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.32"/>
          <value value="C104082905"/>
          <assigner>
            <display value="LIS"/>
          </assigner>
        </identifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.1.798.800"/>
          <value value="C10408290:45"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="429901000124102"/>
            <display value="Bloody stool specimen (specimen)"/>
          </coding>
          <text value="Bloody stool"/>
        </type>
        <subject>🔗 
          <reference value="Patient/patient-example-ach-ach-pass3"/>
          <display value="Pass3 ACH"/>
        </subject>
        <receivedTime value="2024-02-01T19:12:00-05:00"/>
        <collection>
          <collectedDateTime value="2024-02-01T19:02:00-05:00"/>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="181261002"/>
              <display value="Entire rectum (body structure)"/>
            </coding>
          </bodySite>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-vancomycin-15"/>
    <resource>
      <Medication>
        <id value="medication-example-vancomycin-15"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-vancomycin-15"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-vancomycin-15</b></p><a name="medication-example-vancomycin-15"> </a><a name="hcmedication-example-vancomycin-15"> </a><a name="medication-example-vancomycin-15-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 375983}">Vancomycin Injectable Solution</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385219001}">Injection solution</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="375983"/>
            <display value="vancomycin Injectable Solution"/>
          </coding>
          <text value="Vancomycin Injectable Solution"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385219001"/>
            <display value="Solution for injection"/>
          </coding>
          <text value="Injection solution"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-dex4-tablet"/>
    <resource>
      <Medication>
        <id value="medication-example-dex4-tablet"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-dex4-tablet"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-dex4-tablet</b></p><a name="medication-example-dex4-tablet"> </a><a name="hcmedication-example-dex4-tablet"> </a><a name="medication-example-dex4-tablet-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 860995}">metformin hydrochloride 1000 MG</span></p><p><b>status</b>: Active</p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="860995"/>
            <display value="metformin hydrochloride 1000 MG"/>
          </coding>
          <text value="metformin hydrochloride 1000 MG"/>
        </code>
        <status value="active"/>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-heparin"/>
    <resource>
      <Medication>
        <id value="medication-example-heparin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-heparin"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-heparin</b></p><a name="medication-example-heparin"> </a><a name="hcmedication-example-heparin"> </a><a name="medication-example-heparin-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 2121591}">0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 779438003}">Intravenous solution</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="2121591"/>
            <display
                     value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
          </coding>
          <text
                value="0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="779438003"/>
            <display
                     value="Product containing only heparin in parenteral dose form (medicinal product form)"/>
          </coding>
          <text value="Intravenous solution"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-insulin-lispro"/>
    <resource>
      <Medication>
        <id value="medication-example-insulin-lispro"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-insulin-lispro"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-insulin-lispro</b></p><a name="medication-example-insulin-lispro"> </a><a name="hcmedication-example-insulin-lispro"> </a><a name="medication-example-insulin-lispro-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1157460}">insulin lispro</span></p><p><b>status</b>: Active</p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1157460"/>
            <display
                     value="insulin lispro / insulin lispro protamine, human Injectable Product"/>
          </coding>
          <text value="insulin lispro"/>
        </code>
        <status value="active"/>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-metformin-1000"/>
    <resource>
      <Medication>
        <id value="medication-example-metformin-1000"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-metformin-1000"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-metformin-1000</b></p><a name="medication-example-metformin-1000"> </a><a name="hcmedication-example-metformin-1000"> </a><a name="medication-example-metformin-1000-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 860995}">Metformin hydrochloride 1000 MG</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385060002}">Extended-release tablet</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="860995"/>
            <display value="metFORMIN hydrochloride 1000 MG"/>
          </coding>
          <text value="Metformin hydrochloride 1000 MG"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385060002"/>
            <display value="Prolonged-release oral tablet (dose form)"/>
          </coding>
          <text value="Extended-release tablet"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-metronidazole"/>
    <resource>
      <Medication>
        <id value="medication-example-metronidazole"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-metronidazole"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-metronidazole</b></p><a name="medication-example-metronidazole"> </a><a name="hcmedication-example-metronidazole"> </a><a name="medication-example-metronidazole-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 317428}">Metronidazole 500 MG</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 421026006}">Oral tablet</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="317428"/>
            <display value="metroNIDAZOLE 500 MG"/>
          </coding>
          <text value="Metronidazole 500 MG"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="421026006"/>
            <display value="Oral tablet"/>
          </coding>
          <text value="Oral tablet"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-cipro-500"/>
    <resource>
      <Medication>
        <id value="medication-example-cipro-500"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-cipro-500"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-cipro-500</b></p><a name="medication-example-cipro-500"> </a><a name="hcmedication-example-cipro-500"> </a><a name="medication-example-cipro-500-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 328287}">Ciprofloxacin 500 MG</span></p><p><b>status</b>: Active</p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385060002}">Extended-release tablet</span></p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="328287"/>
            <display value="ciprofloxacin 500 MG"/>
          </coding>
          <text value="Ciprofloxacin 500 MG"/>
        </code>
        <status value="active"/>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385060002"/>
            <display value="Prolonged-release oral tablet (dose form)"/>
          </coding>
          <text value="Extended-release tablet"/>
        </form>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Medication/medication-example-enoxaparin"/>
    <resource>
      <Medication>
        <id value="medication-example-enoxaparin"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-example-enoxaparin"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-example-enoxaparin</b></p><a name="medication-example-enoxaparin"> </a><a name="hcmedication-example-enoxaparin"> </a><a name="medication-example-enoxaparin-en-US"> </a><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 854235}">Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe</span></p><p><b>status</b>: Active</p></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="854235"/>
            <display
                     value="0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe"/>
          </coding>
          <text
                value="Enoxaparin sodium, 0.4 ML,  100 MG/ML Prefilled Syringe"/>
        </code>
        <status value="active"/>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Location/location-example-ach-nicu-level-iii"/>
    <resource>
      <Location>
        <id value="location-example-ach-nicu-level-iii"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ach-nicu-level-iii"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ach-nicu-level-iii</b></p><a name="location-example-ach-nicu-level-iii"> </a><a name="hclocation-example-ach-nicu-level-iii"> </a><a name="location-example-ach-nicu-level-iii-en-US"> </a><p><b>identifier</b>: <code>http://www.example.org/location</code>/2933</p><p><b>name</b>: ACH Neonatal critical care</p><p><b>description</b>: ACH Neonatal critical care</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1040-5}">Neonatal Critical Care (Level III)</span></p><p><b>physicalType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.org/location"/>
          <value value="2933"/>
        </identifier>
        <name value="ACH Neonatal critical care"/>
        <description value="ACH Neonatal critical care"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1040-5"/>
            <display value="Neonatal Critical Care (Level III)"/>
          </coding>
        </type>
        <physicalType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
            <code value="wa"/>
            <display value="Ward"/>
          </coding>
        </physicalType>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Location/location-example-ach-emergency"/>
    <resource>
      <Location>
        <id value="location-example-ach-emergency"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ach-emergency"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ach-emergency</b></p><a name="location-example-ach-emergency"> </a><a name="hclocation-example-ach-emergency"> </a><a name="location-example-ach-emergency-en-US"> </a><p><b>identifier</b>: <code>http://www.example.org/location</code>/2934</p><p><b>status</b>: Active</p><p><b>name</b>: ACH Emergency Department</p><p><b>description</b>: ACH Emergency Department</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1108-0}">Emergency Department</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.org/location"/>
          <value value="2934"/>
        </identifier>
        <status value="active"/>
        <name value="ACH Emergency Department"/>
        <description value="ACH Emergency Department"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1108-0"/>
            <display value="Emergency Department"/>
          </coding>
          <text value="Emergency Department"/>
        </type>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Location/location-example-ach-inpatient"/>
    <resource>
      <Location>
        <id value="location-example-ach-inpatient"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ach-inpatient"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ach-inpatient</b></p><a name="location-example-ach-inpatient"> </a><a name="hclocation-example-ach-inpatient"> </a><a name="location-example-ach-inpatient-en-US"> </a><p><b>identifier</b>: <code>http://www.example.org/location</code>/2935</p><p><b>status</b>: Active</p><p><b>name</b>: ACH Inpatient Hospital Ward</p><p><b>description</b>: ACH Inpatient Hospital Ward</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1060-3}">Medical ward</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.org/location"/>
          <value value="2935"/>
        </identifier>
        <status value="active"/>
        <name value="ACH Inpatient Hospital Ward"/>
        <description value="ACH Inpatient Hospital Ward"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1060-3"/>
            <display value="Medical Ward"/>
          </coding>
          <text value="Medical ward"/>
        </type>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Location/location-example-ach-crit"/>
    <resource>
      <Location>
        <id value="location-example-ach-crit"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ach-crit"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ach-crit</b></p><a name="location-example-ach-crit"> </a><a name="hclocation-example-ach-crit"> </a><a name="location-example-ach-crit-en-US"> </a><p><b>identifier</b>: <code>http://www.example.org/location</code>/2936</p><p><b>status</b>: Active</p><p><b>name</b>: ACH Medical Critical Care</p><p><b>description</b>: ACH Medical Critical Care</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1027-2}">Medical Critical Care</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.org/location"/>
          <value value="2936"/>
        </identifier>
        <status value="active"/>
        <name value="ACH Medical Critical Care"/>
        <description value="ACH Medical Critical Care"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1027-2"/>
            <display value="Medical Critical Care"/>
          </coding>
          <text value="Medical Critical Care"/>
        </type>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Location/location-example-ach-medsurg"/>
    <resource>
      <Location>
        <id value="location-example-ach-medsurg"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location-example-ach-medsurg"> </a><p class="res-header-id"><b>Generated Narrative: Location location-example-ach-medsurg</b></p><a name="location-example-ach-medsurg"> </a><a name="hclocation-example-ach-medsurg"> </a><a name="location-example-ach-medsurg-en-US"> </a><p><b>identifier</b>: <code>http://www.example.org/location</code>/2935</p><p><b>status</b>: Active</p><p><b>name</b>: ACH Medical-Surgical Ward</p><p><b>description</b>: ACH Medical-Surgical Ward</p><p><b>type</b>: <span title="Codes:{https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html 1061-1}">Medical-Surgical Ward</span></p></div>
        </text>
        <identifier>
          <system value="http://www.example.org/location"/>
          <value value="2935"/>
        </identifier>
        <status value="active"/>
        <name value="ACH Medical-Surgical Ward"/>
        <description value="ACH Medical-Surgical Ward"/>
        <type>
          <coding>
            <system
                    value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
            <code value="1061-1"/>
            <display value="Medical-Surgical Ward"/>
          </coding>
          <text value="Medical-Surgical Ward"/>
        </type>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/List/list-example-ach-individual-measurereport-list"/>
    <resource>
      <List>
        <id value="list-example-ach-individual-measurereport-list"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-list"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_list-example-ach-individual-measurereport-list"> </a><p class="res-header-id"><b>Generated Narrative: List list-example-ach-individual-measurereport-list</b></p><a name="list-example-ach-individual-measurereport-list"> </a><a name="hclist-example-ach-individual-measurereport-list"> </a><a name="list-example-ach-individual-measurereport-list-en-US"> </a><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-ach-pass1.html">MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; 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-ach-pass2.html">MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; 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-ach-pass3.html">MeasureReport: extension = Cohort; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation; 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></div>
        </text>
        <status value="current"/>
        <mode value="snapshot"/>
        <entry>
          <item>🔗 
            <reference
                       value="MeasureReport/measurereport-example-individual-ach-ach-pass1"/>
          </item>
        </entry>
        <entry>
          <item>🔗 
            <reference
                       value="MeasureReport/measurereport-example-individual-ach-ach-pass2"/>
          </item>
        </entry>
        <entry>
          <item>🔗 
            <reference
                       value="MeasureReport/measurereport-example-individual-ach-ach-pass3"/>
          </item>
        </entry>
      </List>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.com/fhir/Practitioner/practitioner-example"/>
    <resource>
      <Practitioner>
        <id value="practitioner-example"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_practitioner-example"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner practitioner-example</b></p><a name="practitioner-example"> </a><a name="hcpractitioner-example"> </a><a name="practitioner-example-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: Example Practitioner </p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339100"/>
        </identifier>
        <name>
          <family value="Practitioner"/>
          <given value="Example"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
</Bundle>