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

• Narrative Content
• XML
• JSON

: ServiceRequest - Example ACH Pass1 CSF - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <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"><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>