Data Exchange For Quality Measures Implementation Guide
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## : Additional Supplemental Data Example

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    {
      "resourceType" : "MeasureReport",
      "id" : "sde-example",
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport sde-example</b></p><a name=\"sde-example\"> </a><a name=\"hcsde-example\"> </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\">Language: en</p></div><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"Condition-nhsn-iip-con101.html\">Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"MedicationRequest-nhsn-iip-add101.html\">MedicationRequest: status = completed; intent = original-order; medication[x] = metFORMIN Oral Liquid Product</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"MedicationRequest-nhsn-iip-add101-10.html\">MedicationRequest: status = active; intent = order; medication[x] = metFORMIN Oral Liquid Product</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/nhsn-iip-ip101\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/nhsn-iip-add101\">MedicationRequest: status = completed; intent = original-order; medication[x] = metFORMIN Oral Liquid Product</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/nhsn-iip-add101-10\">MedicationRequest: status = active; intent = order; medication[x] = metFORMIN Oral Liquid Product</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/16f76e4f-86de-4ff1-b54c-19507069044b\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd\">Observation Supplemental Data</a></p><p><b>Extension Definition for MeasureReport.supplementalData for Version 5.0</b>: <a href=\"#hcsde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1\">Observation Supplemental Data</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>date</b>: 2022-10-24 11:36:58-0600</p><p><b>period</b>: 2022-01-01 00:00:00-0700 --&gt; 2022-01-31 23:59:59-0700</p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population-01</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Location-nhsn-iip-loc101.html\">Location: type = Medical oncology clinic</a></li><li><a href=\"MedicationRequest-nhsn-iip-add101.html\">MedicationRequest: status = completed; intent = original-order; medication[x] = metFORMIN Oral Liquid Product</a></li><li><a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></li><li><a href=\"MedicationRequest-nhsn-iip-add101-10.html\">MedicationRequest: status = active; intent = order; medication[x] = metFORMIN Oral Liquid Product</a></li></ul><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #nhsn-iip-ip101</b></p><a name=\"sde-example/nhsn-iip-ip101\"> </a><a name=\"hcsde-example/nhsn-iip-ip101\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</p><hr/><table class=\"grid\"><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/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity: 2135-2</a> (Hispanic or Latino)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2184-0\">CDC Race and Ethnicity: 2184-0</a> (Dominican)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2148-5\">CDC Race and Ethnicity: 2148-5</a> (Mexican)</li><li>text: Hispanic or Latino</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 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity: 1002-5</a> (American Indian or Alaska Native)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7\">CDC Race and Ethnicity: 1586-7</a> (Shoshone)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2\">CDC Race and Ethnicity: 2036-2</a> (Filipino)</li><li>text: Mixed</li></ul></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #nhsn-iip-add101</b></p><a name=\"sde-example/nhsn-iip-add101\"> </a><a name=\"hcsde-example/nhsn-iip-add101\"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #nhsn-iip-add101-10</b></p><a name=\"sde-example/nhsn-iip-add101-10\"> </a><a name=\"hcsde-example/nhsn-iip-add101-10\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 78421000}\">Intramuscular use</span></p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://example.org/CodeSystem/dose-rate-type calculated}\">calculated</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://example.org/CodeSystem/dose-rate-type admin-amount}\">admin-amount</span></p><p><b>dose</b>: 1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://example.org/CodeSystem/dose-rate-type ordered}\">ordered</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #791eebdb-ee7d-464f-bd21-12fe2b4c0dd3</b></p><a name=\"sde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3\"> </a><a name=\"hcsde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2148-5}\">Mexican</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c</b></p><a name=\"sde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c\"> </a><a name=\"hcsde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2135-2}\">Hispanic or Latino</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #5d85b278-443a-4a0f-9778-bdac6223f8fd</b></p><a name=\"sde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd\"> </a><a name=\"hcsde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2184-0}\">Dominican</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #57f8ba34-88c0-4152-8a8c-74aa2a508353</b></p><a name=\"sde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353\"> </a><a name=\"hcsde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #16f76e4f-86de-4ff1-b54c-19507069044b</b></p><a name=\"sde-example/16f76e4f-86de-4ff1-b54c-19507069044b\"> </a><a name=\"hcsde-example/16f76e4f-86de-4ff1-b54c-19507069044b\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 1002-5}\">American Indian or Alaska Native</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8</b></p><a name=\"sde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8\"> </a><a name=\"hcsde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2036-2}\">Filipino</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #bd705f82-80d1-4a50-8dec-686f5f0a02bd</b></p><a name=\"sde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd\"> </a><a name=\"hcsde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 1586-7}\">Shoshone</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #8c9e0819-2eb4-470b-abbb-ac4fa4b707b1</b></p><a name=\"sde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1\"> </a><a name=\"hcsde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <a href=\"Bundle-sde-example-artifact-bundle.html\">NHSN Glycemic Control, Hypoglycemia Initial Population</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2028-9}\">Asian</span></p></blockquote></div>"
      },
      "contained" : [
        {
          "resourceType" : "Patient",
          "id" : "nhsn-iip-ip101",
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>nhsn-iip-ip101</td></tr><tr><td>Date of birth</td><td><span>19 February 1987</span></td></tr></tbody></table></div>"
          },
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "ombCategory",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "2106-3",
                    "display" : "White"
                  }
                },
                {
                  "url" : "ombCategory",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "1002-5",
                    "display" : "American Indian or Alaska Native"
                  }
                },
                {
                  "url" : "ombCategory",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "2028-9",
                    "display" : "Asian"
                  }
                },
                {
                  "url" : "detailed",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "1586-7",
                    "display" : "Shoshone"
                  }
                },
                {
                  "url" : "detailed",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "2036-2",
                    "display" : "Filipino"
                  }
                },
                {
                  "url" : "text",
                  "valueString" : "Mixed"
                }
              ],
              "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
            },
            {
              "extension" : [
                {
                  "url" : "ombCategory",
                  "valueCoding" : {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
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          ],
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          "gender" : "female",
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            }
          ],
          "reference" : "MedicationRequest/nhsn-iip-add101-10"
        }
      ]
    }