NHSN Reporting: Inpatient Medication Administration
1.0.0 - STU 1

This page is part of the NHSN Reporting: Inpatient Medication Administration (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Example of Bundle - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "bundle-document-med-admin-patient-med-admin-1"];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:21759053-6C48-11EB-2236-09173F13E4C5" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2021-02-11T19:04:21.973+10:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Composition/composition-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Composition/composition-med-admin-1>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-med-admin-1>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Encounter/encounter-completed-inpatient-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Encounter/encounter-completed-inpatient-med-admin-1>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Patient/patient-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Patient/patient-med-admin-1>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Practitioner/practitioner-med-admin-henry-seven" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Practitioner/practitioner-med-admin-henry-seven>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-lab-sars-cov-med-admin" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-lab-sars-cov-med-admin>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Condition/condition-suspected-covid-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Condition/condition-suspected-covid-med-admin-1>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationAdministration/medicationadministration-remdesivir-med-admin-1" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/MedicationAdministration/medicationadministration-remdesivir-med-admin-1>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Location/location-salem-medical-center" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Location/location-salem-medical-center>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-salem-medical-center" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-salem-medical-center>
  ].

<http://example.org/fhir/Composition/composition-med-admin-1> a fhir:Composition;
  fhir:Resource.id [ fhir:value "composition-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Composition-inpatient-med-admin";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Composition-inpatient-med-admin>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2eec4326-bf29-4428-8d02-a334a19cfc14</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 87231-7}\">Medication administration.extended Document</span></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-completed-inpatient-med-admin-1\">See above (Encounter/encounter-completed-inpatient-med-admin-1)</a></p><p><b>date</b>: Jan 12, 2021 10:13:23 PM</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-med-admin-henry-seven\">Henry Seven, MD. Generated Summary: id: 9933339108; Seven Henry ; henry.seven@example.com</a></p><p><b>title</b>: Inpatient Medication Administration</p></div>"
  ];
  fhir:Composition.identifier [
     fhir:Identifier.value [ fhir:value "2eec4326-bf29-4428-8d02-a334a19cfc14" ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:87231-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "87231-7" ];
       fhir:Coding.display [ fhir:value "Medication administration.extended Document" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ];
     fhir:Reference.display [ fhir:value "Name: 'masked'" ]
  ];
  fhir:Composition.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter-completed-inpatient-med-admin-1" ]
  ];
  fhir:Composition.date [ fhir:value "2021-01-12T22:13:23Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-med-admin-henry-seven" ];
     fhir:Reference.display [ fhir:value "Henry Seven, MD" ]
  ];
  fhir:Composition.title [ fhir:value "Inpatient Medication Administration"];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Medication Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10160-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10160-0" ];
         fhir:Coding.display [ fhir:value "History of Medication use Narrative" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MedicationAdministration/medicationadministration-azithromycin-med-admin-1" ];
       fhir:Reference.display [ fhir:value "Azithromycin 500 MG Oral Tablet" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "MedicationAdministration/medicationadministration-remdesivir-med-admin-1" ];
       fhir:Reference.display [ fhir:value "remdesivir 100 MG Injection [Veklury]" ]     ]
  ], [
     fhir:index 1;
     fhir:Composition.section.title [ fhir:value "Problems Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:11450-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "11450-4" ];
         fhir:Coding.display [ fhir:value "Problem list - Reported" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Condition/condition-suspected-covid-med-admin-1" ];
       fhir:Reference.display [ fhir:value "Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)" ]     ]
  ], [
     fhir:index 2;
     fhir:Composition.section.title [ fhir:value "Results Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:30954-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "30954-2" ];
         fhir:Coding.display [ fhir:value "Relevant Dx tests/lab data" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/observation-lab-sars-cov-med-admin" ];
       fhir:Reference.display [ fhir:value "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay" ]     ]
  ].

<http://example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-med-admin-1> a fhir:MedicationAdministration;
  fhir:Resource.id [ fhir:value "medicationadministration-azithromycin-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-02-10T03:08:19.617+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#I8dS1RseMvmmvJJC" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 248656}\">Azithromycin 500 MG Oral Tablet</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">See above (Patient/patient-med-admin-1)</a></p><p><b>effective</b>: 2021-01-02 --&gt; 2021-01-10</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Two tablets at once</td><td><span title=\"Codes: {http://snomed.info/sct 26643006}\">Oral Route</span></td><td><span title=\"Codes: {http://snomed.info/sct 421521009}\">Swallow - dosing instruction imperative (qualifier value)</span></td><td>2 TAB</td></tr></table></div>"
  ];
  fhir:MedicationAdministration.status [ fhir:value "completed"];
  fhir:MedicationAdministration.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
       fhir:Coding.code [ fhir:value "248656" ];
       fhir:Coding.display [ fhir:value "Azithromycin 500 MG Oral Tablet" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Azithromycin 500 MG Oral Tablet" ]
  ];
  fhir:MedicationAdministration.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ]
  ];
  fhir:MedicationAdministration.effectivePeriod [
     fhir:Period.start [ fhir:value "2021-01-02"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-01-10"^^xsd:date ]
  ];
  fhir:MedicationAdministration.dosage [
     fhir:MedicationAdministration.dosage.text [ fhir:value "Two tablets at once" ];
     fhir:MedicationAdministration.dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:26643006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "26643006" ];
         fhir:Coding.display [ fhir:value "Oral Route" ]       ]     ];
     fhir:MedicationAdministration.dosage.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:421521009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "421521009" ];
         fhir:Coding.display [ fhir:value "Swallow - dosing instruction imperative (qualifier value)" ]       ]     ];
     fhir:MedicationAdministration.dosage.dose [
       fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "TAB" ];
       fhir:Quantity.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" ];
       fhir:Quantity.code [ fhir:value "TAB" ]     ]
  ].

<http://example.org/fhir/Encounter/encounter-completed-inpatient-med-admin-1> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter-completed-inpatient-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-02-10T03:08:19.621+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#qmyg9wZJY8AqPIqz" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 24882007}\">Medical consultation on hospital inpatient</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>period</b>: 2021-01-01 --&gt; 2021-01-12</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"Condition-condition-lab-confirmed-covid-med-admin-1.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>; <span title=\"Codes: {http://snomed.info/sct 840539006}\">Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)</span>; onset: Jan 2, 2021 4:30:35 PM; recordedDate: Jan 2, 2021 4:30:35 PM</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Discharged to home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"#Location_location-salem-medical-center\">Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368. Generated Summary: status: active; name: Clinic Bldg A, Salem Medical Center; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; Phone: (+1) (555)555-3001, Fax: (+1) (555)555-3002, mail@smc.org</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"#Organization_organization-salem-medical-center\">Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999. Generated Summary: id: 55555555; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; name: Salem Medical Center; Phone: +1-555-555-1111, mail@salemmedicalcenter.com</a></p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "IMP" ];
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:24882007;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "24882007" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Medical consultation on hospital inpatient" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ];
     fhir:Reference.display [ fhir:value "Name: 'masked'" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2021-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-01-12"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/condition-lab-confirmed-covid-med-admin-1" ]     ]
  ];
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ];
         fhir:Coding.code [ fhir:value "home" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Discharged to home" ]     ]
  ];
  fhir:Encounter.location [
     fhir:index 0;
     fhir:Encounter.location.location [
       fhir:Reference.reference [ fhir:value "Location/location-salem-medical-center" ];
       fhir:Reference.display [ fhir:value "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/organization-salem-medical-center" ];
     fhir:Reference.display [ fhir:value "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999" ]
  ].

<http://example.org/fhir/Patient/patient-med-admin-1> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-12-23T21:27:41.254+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#e5lm4KzXeLhJI81V" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <div class=\"hapiHeaderText\"/>\n                  <table class=\"hapiPropertyTable\">\n                     <tbody>\n                        <tr>\n                           <td>Identifier</td>\n                           <td/>\n                        </tr>\n                        <tr>\n                           <td>Date of birth</td>\n                           <td>\n                              <span>24 November 1974</span>\n                           </td>\n                        </tr>\n                     </tbody>\n                  </table>\n               </div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
     fhir:Identifier.value [
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ];
         fhir:Extension.valueCode [ fhir:value "masked" ]       ]     ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ];
       fhir:Extension.valueCode [ fhir:value "masked" ]     ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1974-11-24"^^xsd:date].

<http://example.org/fhir/Practitioner/practitioner-med-admin-henry-seven> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner-med-admin-henry-seven"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-02-10T03:08:19.831+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#vNf3iatcV2Dv62N6" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9933339108</p><p><b>name</b>: Seven Henry </p><p><b>telecom</b>: <a href=\"mailto:henry.seven@example.com\">henry.seven@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9933339108" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Henry" ];
     fhir:HumanName.given [
       fhir:value "Seven";
       fhir:index 0     ];
     fhir:HumanName.suffix [
       fhir:value "M.D.";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "henry.seven@example.com" ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "BMass Doctors";
       fhir:index 0     ], [
       fhir:value "2100 North Ave";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Burlington" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "02368" ];
     fhir:Address.country [ fhir:value "US" ]
  ].

<http://example.org/fhir/Observation/observation-lab-sars-cov-med-admin> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-lab-sars-cov-med-admin"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-03-29T23:13:31.865+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#KrYSK5ISFyZ7HwLy" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Observation-lab-sars-cov";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Observation-lab-sars-cov>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></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 94564-2}\">SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>effective</b>: 2021-01-04</p><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">positive</span></p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Laboratory" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:94564-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "94564-2" ];
       fhir:Coding.display [ fhir:value "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay" ]     ];
     fhir:CodeableConcept.text [ fhir:value "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ];
     fhir:Reference.display [ fhir:value "Name: 'masked'" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-01-04"^^xsd:date];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "POS" ];
       fhir:Coding.display [ fhir:value "positive" ]     ];
     fhir:CodeableConcept.text [ fhir:value "positive" ]
  ].

<http://example.org/fhir/Condition/condition-suspected-covid-med-admin-1> a fhir:Condition;
  fhir:Resource.id [ fhir:value "condition-suspected-covid-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-03-29T23:13:31.855+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#d3uv1AF8BcDdvd42" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Condition-suspected-covid";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Condition-suspected-covid>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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 unconfirmed}\">Unconfirmed</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 840544004}\">Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-completed-inpatient-med-admin-1\">See above (Encounter/encounter-completed-inpatient-med-admin-1)</a></p><p><b>onset</b>: Jan 2, 2021 4:30:35 PM</p><p><b>recordedDate</b>: Jan 2, 2021 4:30:35 PM</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ]     ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "unconfirmed" ]     ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:840544004;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "840544004" ];
       fhir:Coding.display [ fhir:value "Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)" ]     ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ];
     fhir:Reference.display [ fhir:value "Name: 'masked'" ]
  ];
  fhir:Condition.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter-completed-inpatient-med-admin-1" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-01-02T10:30:35-06:00"^^xsd:dateTime];
  fhir:Condition.recordedDate [ fhir:value "2021-01-02T10:30:35-06:00"^^xsd:dateTime].

<http://example.org/fhir/MedicationAdministration/medicationadministration-remdesivir-med-admin-1> a fhir:MedicationAdministration;
  fhir:Resource.id [ fhir:value "medicationadministration-remdesivir-med-admin-1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-03-29T23:13:31.855+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#HHgXpYtZnHnbIpzQ" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 2284960}\">remdesivir 100 MG Injection</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">See above (Patient/patient-med-admin-1)</a></p><p><b>effective</b>: 2021-01-02 --&gt; 2021-01-10</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 47625008}\">Intravenous use</span></td><td>100 mg</td></tr></table></div>"
  ];
  fhir:MedicationAdministration.status [ fhir:value "completed"];
  fhir:MedicationAdministration.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
       fhir:Coding.code [ fhir:value "2284960" ];
       fhir:Coding.display [ fhir:value "remdesivir 100 MG Injection" ]     ];
     fhir:CodeableConcept.text [ fhir:value "remdesivir 100 MG Injection" ]
  ];
  fhir:MedicationAdministration.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-med-admin-1" ]
  ];
  fhir:MedicationAdministration.effectivePeriod [
     fhir:Period.start [ fhir:value "2021-01-02"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-01-10"^^xsd:date ]
  ];
  fhir:MedicationAdministration.dosage [
     fhir:MedicationAdministration.dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:47625008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "47625008" ];
         fhir:Coding.display [ fhir:value "Intravenous use" ]       ]     ];
     fhir:MedicationAdministration.dosage.dose [
       fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mg" ]     ]
  ].

<http://example.org/fhir/Location/location-salem-medical-center> a fhir:Location;
  fhir:Resource.id [ fhir:value "location-salem-medical-center"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-12-23T22:50:03.721+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#oU4GwVxgBOSn7Uov" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-location>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>name</b>: Clinic Bldg A, Salem Medical Center</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>telecom</b>: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, <a href=\"mailto:mail@smc.org\">mail@smc.org</a></p><p><b>address</b>: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999 </p><p><b>managingOrganization</b>: <a href=\"#Organization_organization-salem-medical-center\">See above (Organization/organization-salem-medical-center)</a></p></div>"
  ];
  fhir:Location.status [ fhir:value "active"];
  fhir:Location.name [ fhir:value "Clinic Bldg A, Salem Medical Center"];
  fhir:Location.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
       fhir:Coding.code [ fhir:value "HOSP" ];
       fhir:Coding.display [ fhir:value "Hospital" ]     ]
  ];
  fhir:Location.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) (555)555-3001" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "fax" ];
     fhir:ContactPoint.value [ fhir:value "(+1) (555)555-3002" ]
  ], [
     fhir:index 2;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@smc.org" ]
  ];
  fhir:Location.address [
     fhir:Address.line [
       fhir:value "Clinic Bldg A";
       fhir:index 0     ], [
       fhir:value "4444 Healthcare Drive";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ];
  fhir:Location.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/organization-salem-medical-center" ]
  ].

<http://example.org/fhir/Organization/organization-salem-medical-center> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-salem-medical-center"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-12-23T22:50:03.696+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#hArO9sYGMNs4bOnd" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 55555555</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>name</b>: Salem Medical Center</p><p><b>telecom</b>: <a href=\"tel:+1-555-555-1111\">+1-555-555-1111</a>, <a href=\"mailto:mail@salemmedicalcenter.com\">mail@salemmedicalcenter.com</a></p><p><b>address</b>: 22222 Health Authority Drive Ann Arbor MI 99999 </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "55555555" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
       fhir:Coding.code [ fhir:value "HOSP" ];
       fhir:Coding.display [ fhir:value "Hospital" ]     ]
  ];
  fhir:Organization.name [ fhir:value "Salem Medical Center"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-1111" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@salemmedicalcenter.com" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "22222 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.