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

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    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="sde-example"/>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <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:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - 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>
      </text>
      <contained>
        <Patient>
          <id value="nhsn-iip-ip101"/>
          <text>
            <status value="generated"/>
            <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>
          </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="ombCategory">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="1002-5"/>
                <display value="American Indian or Alaska Native"/>
              </valueCoding>
            </extension>
            <extension url="ombCategory">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="2028-9"/>
                <display value="Asian"/>
              </valueCoding>
            </extension>
            <extension url="detailed">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="1586-7"/>
                <display value="Shoshone"/>
              </valueCoding>
            </extension>
            <extension url="detailed">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="2036-2"/>
                <display value="Filipino"/>
              </valueCoding>
            </extension>
            <extension url="text">
              <valueString value="Mixed"/>
            </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="2135-2"/>
                <display value="Hispanic or Latino"/>
              </valueCoding>
            </extension>
            <extension url="detailed">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="2184-0"/>
                <display value="Dominican"/>
              </valueCoding>
            </extension>
            <extension url="detailed">
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.238"/>
                <code value="2148-5"/>
                <display value="Mexican"/>
              </valueCoding>
            </extension>
            <extension url="text">
              <valueString value="Hispanic or Latino"/>
            </extension>
          </extension>
          <identifier>
            <system value="http://example.org"/>
            <value value="nhsn-iip-ip101"/>
          </identifier>
          <gender value="female"/>
          <birthDate value="1987-02-19"/>
        </Patient>
      </contained>
      <contained>
        <MedicationRequest>
          <id value="nhsn-iip-add101"/>
          <status value="completed"/>
          <intent value="original-order"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
              <code value="1161609"/>
              <display value="metFORMIN Oral Liquid Product"/>
            </coding>
            <text value="metFORMIN Oral Liquid Product"/>
          </medicationCodeableConcept>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
        </MedicationRequest>
      </contained>
      <contained>
        <MedicationRequest>
          <id value="nhsn-iip-add101-10"/>
          <status value="active"/>
          <intent value="order"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
              <code value="1161609"/>
              <display value="metFORMIN Oral Liquid Product"/>
            </coding>
            <text value="metFORMIN Oral Liquid Product"/>
          </medicationCodeableConcept>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <dosageInstruction>
            <timing>
              <repeat>
                <boundsPeriod>
                  <start value="2021-02-15T16:43:55Z"/>
                  <end value="2021-02-22T21:32:24Z"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
              </repeat>
              <code>
                <text value="PRN"/>
              </code>
            </timing>
            <asNeededBoolean value="true"/>
            <route>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="78421000"/>
                <display value="Intramuscular use"/>
              </coding>
              <text value="Intramuscular use"/>
            </route>
            <doseAndRate>
              <type>
                <coding>
                  <system value="http://example.org/CodeSystem/dose-rate-type"/>
                  <code value="calculated"/>
                  <display value="calculated"/>
                </coding>
                <text value="calculated"/>
              </type>
              <doseQuantity>
                <value value="1"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </doseQuantity>
            </doseAndRate>
            <doseAndRate>
              <type>
                <coding>
                  <system value="http://example.org/CodeSystem/dose-rate-type"/>
                  <code value="admin-amount"/>
                  <display value="admin-amount"/>
                </coding>
                <text value="admin-amount"/>
              </type>
              <doseQuantity>
                <value value="1"/>
                <unit value="mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/>
              </doseQuantity>
            </doseAndRate>
            <doseAndRate>
              <type>
                <coding>
                  <system value="http://example.org/CodeSystem/dose-rate-type"/>
                  <code value="ordered"/>
                  <display value="ordered"/>
                </coding>
                <text value="ordered"/>
              </type>
              <doseQuantity>
                <value value="1"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </doseQuantity>
            </doseAndRate>
          </dosageInstruction>
        </MedicationRequest>
      </contained>
      <contained>
        <Observation>
          <id value="791eebdb-ee7d-464f-bd21-12fe2b4c0dd3"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2148-5"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2135-2"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="5d85b278-443a-4a0f-9778-bdac6223f8fd"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2184-0"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="57f8ba34-88c0-4152-8a8c-74aa2a508353"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="16f76e4f-86de-4ff1-b54c-19507069044b"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1002-5"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2036-2"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="bd705f82-80d1-4a50-8dec-686f5f0a02bd"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1586-7"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="8c9e0819-2eb4-470b-abbb-ac4fa4b707b1"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
            <extension url="measure">
              <valueCanonical
                              value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
            </extension>
          </extension>
          <status value="final"/>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/nhsn-iip-ip101"/>
          </subject>
          <effectivePeriod>
            <start value="2022-01-01T09:30:10+01:00"/>
          </effectivePeriod>
          <performer>🔗
            <reference value="Organization/organization01"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
            </coding>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-chief-complaint"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-encounter-discharge-dispositions"/>
          </extension>
          <reference value="Encounter/nhsn-iip-en101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-condition"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-condition-during-encounter"/>
          </extension>
          <reference value="Condition/nhsn-iip-con101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-encounter-locations"/>
          </extension>
          <reference value="Encounter/nhsn-iip-en101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference value="MedicationRequest/nhsn-iip-add101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference value="MedicationRequest/nhsn-iip-add101-10"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-minimal-patient"/>
          </extension>
          <reference value="#nhsn-iip-ip101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-minimal-medication-requests"/>
          </extension>
          <reference value="#nhsn-iip-add101"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-minimal-medication-requests"/>
          </extension>
          <reference value="#nhsn-iip-add101-10"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-ethnicity-coding"/>
          </extension>
          <reference value="#791eebdb-ee7d-464f-bd21-12fe2b4c0dd3"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-ethnicity-coding"/>
          </extension>
          <reference value="#0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-ethnicity-coding"/>
          </extension>
          <reference value="#5d85b278-443a-4a0f-9778-bdac6223f8fd"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-race-coding"/>
          </extension>
          <reference value="#57f8ba34-88c0-4152-8a8c-74aa2a508353"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-race-coding"/>
          </extension>
          <reference value="#16f76e4f-86de-4ff1-b54c-19507069044b"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-race-coding"/>
          </extension>
          <reference value="#a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-race-coding"/>
          </extension>
          <reference value="#bd705f82-80d1-4a50-8dec-686f5f0a02bd"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData">
        <valueReference>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="sde-race-coding"/>
          </extension>
          <reference value="#8c9e0819-2eb4-470b-abbb-ac4fa4b707b1"/>
        </valueReference>
      </extension>
      <status value="complete"/>
      <type value="individual"/>
      <measure
               value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
      <subject>🔗
        <reference value="Patient/nhsn-iip-ip101"/>
      </subject>
      <date value="2022-10-24T11:36:58-06:00"/>
      <period>
        <start value="2022-01-01T00:00:00-07:00"/>
        <end value="2022-01-31T23:59:59-07:00"/>
      </period>
      <group>
        <population id="initial-population-01">
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
              <display value="Initial Population"/>
            </coding>
          </code>
          <count value="1"/>
        </population>
      </group>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
          <valueString value="initial-population-01"/>
        </extension>
        <reference value="Location/nhsn-iip-loc101"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
          <valueString value="initial-population-01"/>
        </extension>
        <reference value="MedicationRequest/nhsn-iip-add101"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
          <valueString value="initial-population-01"/>
        </extension>
        <reference value="Encounter/nhsn-iip-en101"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
          <valueString value="initial-population-01"/>
        </extension>
        <reference value="MedicationRequest/nhsn-iip-add101-10"/>
      </evaluatedResource>
    </MeasureReport>