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

: MedicationRequest - Example ACH Pass2 Insulin Lispro - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "medicationrequest-example-ach-pass2-insulin-lispro",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest|6.0.0"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medicationrequest.html\">QICore MedicationRequestversion: null6.0.0)</a></p></div><p><b>identifier</b>: <code>http://example.org/identifiers/798</code>/101888894\u00a0(use:\u00a0usual,\u00a0)</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:\u00a01601191902010308\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 5 units before breakfast</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 4 units before dinner</p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: false</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 1255295007}\">Structure of blood vessel of left upper arm (body structure)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">IV</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>4</td></tr></table></blockquote></div>"
  },
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://example.org/identifiers/798",
      "value" : "101888894"
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "inpatient",
          "display" : "Inpatient"
        }
      ],
      "text" : "Inpatient Medication"
    }
  ],
  "medicationReference" : {
    🔗 "reference" : "Medication/medication-example-insulin-lispro",
    "display" : "Insulin Lispro"
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-example-ach-ach-pass2",
    "display" : "Pass2 ACH"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/encounter-example-ach-ach-pass2-inpatient",
    "display" : "Hospital Admission"
  },
  "authoredOn" : "2024-02-01T12:00:00-05:00",
  "requester" : {
    🔗 "reference" : "Patient/patient-example-ach-ach-pass2"
  },
  "dosageInstruction" : [
    {
      "text" : "Give 5 units before breakfast",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
              "code" : "AM"
            }
          ]
        }
      },
      "asNeededBoolean" : false,
      "site" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1255295007",
            "display" : "Structure of blood vessel of left upper arm (body structure)"
          }
        ]
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route"
          }
        ],
        "text" : "IV"
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 5
          }
        }
      ]
    },
    {
      "text" : "Give 4 units before dinner",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
              "code" : "BED"
            }
          ]
        }
      },
      "asNeededBoolean" : false,
      "site" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1255295007",
            "display" : "Structure of blood vessel of left upper arm (body structure)"
          }
        ]
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "47625008",
            "display" : "Intravenous route"
          }
        ],
        "text" : "IV"
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 4
          }
        }
      ]
    }
  ]
}