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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-document-med-admin-patient-med-admin-1"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:21759053-6C48-11EB-2236-09173F13E4C5"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-02-11T19:04:21.973+10:00"/>
  <entry>
    <fullUrl value="http://example.org/fhir/Composition/composition-med-admin-1"/>
    <resource>
      <Composition>
        <id value="composition-med-admin-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Composition-inpatient-med-admin"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="2eec4326-bf29-4428-8d02-a334a19cfc14"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="87231-7"/>
            <display value="Medication administration.extended Document"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
          <display value="Name: &#39;masked&#39;"/>
        </subject>
        <encounter>
          <reference value="Encounter/encounter-completed-inpatient-med-admin-1"/>
        </encounter>
        <date value="2021-01-12T22:13:23Z"/>
        <author>
          <reference value="Practitioner/practitioner-med-admin-henry-seven"/>
          <display value="Henry Seven, MD"/>
        </author>
        <title value="Inpatient Medication Administration"/>
        <section>
          <title value="Medication Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
              <display value="History of Medication use Narrative"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="MedicationAdministration/medicationadministration-azithromycin-med-admin-1"/>
            <display value="Azithromycin 500 MG Oral Tablet"/>
          </entry>
          <entry>
            <reference
                       value="MedicationAdministration/medicationadministration-remdesivir-med-admin-1"/>
            <display value="remdesivir 100 MG Injection [Veklury]"/>
          </entry>
        </section>
        <section>
          <title value="Problems Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
              <display value="Problem list - Reported"/>
            </coding>
          </code>
          <entry>
            <reference value="Condition/condition-suspected-covid-med-admin-1"/>
            <display
                     value="Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)"/>
          </entry>
        </section>
        <section>
          <title value="Results Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
              <display value="Relevant Dx tests/lab data"/>
            </coding>
          </code>
          <entry>
            <reference value="Observation/observation-lab-sars-cov-med-admin"/>
            <display
                     value="SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-med-admin-1"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-azithromycin-med-admin-1"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-02-10T03:08:19.617+00:00"/>
          <source value="#I8dS1RseMvmmvJJC"/>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="248656"/>
            <display value="Azithromycin 500 MG Oral Tablet"/>
          </coding>
          <text value="Azithromycin 500 MG Oral Tablet"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
        </subject>
        <effectivePeriod>
          <start value="2021-01-02"/>
          <end value="2021-01-10"/>
        </effectivePeriod>
        <dosage>
          <text value="Two tablets at once"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Route"/>
            </coding>
          </route>
          <method>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="421521009"/>
              <display
                       value="Swallow - dosing instruction imperative (qualifier value)"/>
            </coding>
          </method>
          <dose>
            <value value="2"/>
            <unit value="TAB"/>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="TAB"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Encounter/encounter-completed-inpatient-med-admin-1"/>
    <resource>
      <Encounter>
        <id value="encounter-completed-inpatient-med-admin-1"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-02-10T03:08:19.621+00:00"/>
          <source value="#qmyg9wZJY8AqPIqz"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="24882007"/>
          </coding>
          <text value="Medical consultation on hospital inpatient"/>
        </type>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
          <display value="Name: &#39;masked&#39;"/>
        </subject>
        <period>
          <start value="2021-01-01"/>
          <end value="2021-01-12"/>
        </period>
        <diagnosis>
          <condition>
            <reference
                       value="Condition/condition-lab-confirmed-covid-med-admin-1"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
            </coding>
            <text value="Discharged to home"/>
          </dischargeDisposition>
        </hospitalization>
        <location>
          <location>
            <reference value="Location/location-salem-medical-center"/>
            <display
                     value="Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"/>
          </location>
        </location>
        <serviceProvider>
          <reference value="Organization/organization-salem-medical-center"/>
          <display
                   value="Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Patient/patient-med-admin-1"/>
    <resource>
      <Patient>
        <id value="patient-med-admin-1"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2020-12-23T21:27:41.254+00:00"/>
          <source value="#e5lm4KzXeLhJI81V"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                  <div class="hapiHeaderText"/>
                  <table class="hapiPropertyTable">
                     <tbody>
                        <tr>
                           <td>Identifier</td>
                           <td/>
                        </tr>
                        <tr>
                           <td>Date of birth</td>
                           <td>
                              <span>24 November 1974</span>
                           </td>
                        </tr>
                     </tbody>
                  </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="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <identifier>
          <system value="http://hospital.smarthealthit.org"/>
          <value>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
              <valueCode value="masked"/>
            </extension>
          </value>
        </identifier>
        <active value="true"/>
        <name>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </name>
        <gender value="female"/>
        <birthDate value="1974-11-24"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Practitioner/practitioner-med-admin-henry-seven"/>
    <resource>
      <Practitioner>
        <id value="practitioner-med-admin-henry-seven"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2021-02-10T03:08:19.831+00:00"/>
          <source value="#vNf3iatcV2Dv62N6"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9933339108"/>
        </identifier>
        <name>
          <family value="Henry"/>
          <given value="Seven"/>
          <suffix value="M.D."/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="henry.seven@example.com"/>
        </telecom>
        <address>
          <line value="BMass Doctors"/>
          <line value="2100 North Ave"/>
          <city value="Burlington"/>
          <state value="MA"/>
          <postalCode value="02368"/>
          <country value="US"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Observation/observation-lab-sars-cov-med-admin"/>
    <resource>
      <Observation>
        <id value="observation-lab-sars-cov-med-admin"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-03-29T23:13:31.865+00:00"/>
          <source value="#KrYSK5ISFyZ7HwLy"/>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Observation-lab-sars-cov"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <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="94564-2"/>
            <display
                     value="SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"/>
          </coding>
          <text
                value="SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"/>
        </code>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
          <display value="Name: &#39;masked&#39;"/>
        </subject>
        <effectiveDateTime value="2021-01-04"/>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="POS"/>
            <display value="positive"/>
          </coding>
          <text value="positive"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Condition/condition-suspected-covid-med-admin-1"/>
    <resource>
      <Condition>
        <id value="condition-suspected-covid-med-admin-1"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-03-29T23:13:31.855+00:00"/>
          <source value="#d3uv1AF8BcDdvd42"/>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Condition-suspected-covid"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="unconfirmed"/>
          </coding>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="840544004"/>
            <display
                     value="Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
          <display value="Name: &#39;masked&#39;"/>
        </subject>
        <encounter>
          <reference value="Encounter/encounter-completed-inpatient-med-admin-1"/>
        </encounter>
        <onsetDateTime value="2021-01-02T10:30:35-06:00"/>
        <recordedDate value="2021-01-02T10:30:35-06:00"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/MedicationAdministration/medicationadministration-remdesivir-med-admin-1"/>
    <resource>
      <MedicationAdministration>
        <id value="medicationadministration-remdesivir-med-admin-1"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2021-03-29T23:13:31.855+00:00"/>
          <source value="#HHgXpYtZnHnbIpzQ"/>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="2284960"/>
            <display value="remdesivir 100 MG Injection"/>
          </coding>
          <text value="remdesivir 100 MG Injection"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/patient-med-admin-1"/>
        </subject>
        <effectivePeriod>
          <start value="2021-01-02"/>
          <end value="2021-01-10"/>
        </effectivePeriod>
        <dosage>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous use"/>
            </coding>
          </route>
          <dose>
            <value value="100"/>
            <unit value="mg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Location/location-salem-medical-center"/>
    <resource>
      <Location>
        <id value="location-salem-medical-center"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2020-12-23T22:50:03.721+00:00"/>
          <source value="#oU4GwVxgBOSn7Uov"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <name value="Clinic Bldg A, Salem Medical Center"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="HOSP"/>
            <display value="Hospital"/>
          </coding>
        </type>
        <telecom>
          <system value="phone"/>
          <value value="(+1) (555)555-3001"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="(+1) (555)555-3002"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@smc.org"/>
        </telecom>
        <address>
          <line value="Clinic Bldg A"/>
          <line value="4444 Healthcare Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
        <managingOrganization>
          <reference value="Organization/organization-salem-medical-center"/>
        </managingOrganization>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-salem-medical-center"/>
    <resource>
      <Organization>
        <id value="organization-salem-medical-center"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2020-12-23T22:50:03.696+00:00"/>
          <source value="#hArO9sYGMNs4bOnd"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="55555555"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="HOSP"/>
            <display value="Hospital"/>
          </coding>
        </type>
        <name value="Salem Medical Center"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-1111"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@salemmedicalcenter.com"/>
        </telecom>
        <address>
          <line value="22222 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
</Bundle>