Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## : Additional Supplemental Data Example - Patient Bundle

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "sde-example-patient-data-bundle"] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:type [ fhir:v "transaction"] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "urn:uuid:050deac6-0544-43df-bff9-7506f8687469"^^xsd:anyURI ;
    fhir:l <urn:uuid:050deac6-0544-43df-bff9-7506f8687469>     ] ;
        ( fhir:resource <urn:uuid:050deac6-0544-43df-bff9-7506f8687469> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "Patient/patient04"^^xsd:anyURI ;
    fhir:l fhir:Patient/patient04       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369"^^xsd:anyURI ;
    fhir:l <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369>     ] ;
        ( fhir:resource <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "Encounter/encounter04"^^xsd:anyURI ;
    fhir:l fhir:Encounter/encounter04       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037"^^xsd:anyURI ;
    fhir:l <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037>     ] ;
        ( fhir:resource <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "MedicationRequest/nhsn-iip-add101"^^xsd:anyURI ;
    fhir:l fhir:MedicationRequest/nhsn-iip-add101       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c"^^xsd:anyURI ;
    fhir:l <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c>     ] ;
        ( fhir:resource <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "MedicationRequest/nhsn-iip-add101-10"^^xsd:anyURI ;
    fhir:l fhir:MedicationRequest/nhsn-iip-add101-10       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc"^^xsd:anyURI ;
    fhir:l <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc>     ] ;
        ( fhir:resource <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "ServiceRequest/nhsn-iip-sr-sde"^^xsd:anyURI ;
    fhir:l fhir:ServiceRequest/nhsn-iip-sr-sde       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:b7075a17-98a5-429b-a464-3da906001492"^^xsd:anyURI ;
    fhir:l <urn:uuid:b7075a17-98a5-429b-a464-3da906001492>     ] ;
        ( fhir:resource <urn:uuid:b7075a17-98a5-429b-a464-3da906001492> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "Location/nhsn-iip-loc101"^^xsd:anyURI ;
    fhir:l fhir:Location/nhsn-iip-loc101       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69"^^xsd:anyURI ;
    fhir:l <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69>     ] ;
        ( fhir:resource <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> ) ;
    fhir:request [
    fhir:method [ fhir:v "PUT" ] ;
    fhir:url [
    fhir:v "Condition/condition04"^^xsd:anyURI ;
    fhir:l fhir:Condition/condition04       ]     ]
      ] ) . #

    <urn:uuid:050deac6-0544-43df-bff9-7506f8687469> a fhir:Patient ;
      fhir:id [ fhir:v "patient04"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient04</b></p><a name=\"patient04\"> </a><a name=\"hcpatient04\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane E. Doe  Female, DoB: 1987-02-19 ( http://example.org#patient04)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</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 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:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - 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></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "ombCategory"^^xsd:anyURI ;
    fhir:l fhir:ombCategory       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2106-3" ] ;
    fhir:display [ fhir:v "White" ]       ]     ] [
    fhir:url [
    fhir:v "ombCategory"^^xsd:anyURI ;
    fhir:l fhir:ombCategory       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "1002-5" ] ;
    fhir:display [ fhir:v "American Indian or Alaska Native" ]       ]     ] [
    fhir:url [
    fhir:v "ombCategory"^^xsd:anyURI ;
    fhir:l fhir:ombCategory       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2028-9" ] ;
    fhir:display [ fhir:v "Asian" ]       ]     ] [
    fhir:url [
    fhir:v "detailed"^^xsd:anyURI ;
    fhir:l fhir:detailed       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "1586-7" ] ;
    fhir:display [ fhir:v "Shoshone" ]       ]     ] [
    fhir:url [
    fhir:v "detailed"^^xsd:anyURI ;
    fhir:l fhir:detailed       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2036-2" ] ;
    fhir:display [ fhir:v "Filipino" ]       ]     ] [
    fhir:url [
    fhir:v "text"^^xsd:anyURI ;
    fhir:l fhir:text       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Mixed"       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-race>     ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "ombCategory"^^xsd:anyURI ;
    fhir:l fhir:ombCategory       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2135-2" ] ;
    fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
    fhir:url [
    fhir:v "detailed"^^xsd:anyURI ;
    fhir:l fhir:detailed       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2184-0" ] ;
    fhir:display [ fhir:v "Dominican" ]       ]     ] [
    fhir:url [
    fhir:v "detailed"^^xsd:anyURI ;
    fhir:l fhir:detailed       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
    fhir:code [ fhir:v "2148-5" ] ;
    fhir:display [ fhir:v "Mexican" ]       ]     ] [
    fhir:url [
    fhir:v "text"^^xsd:anyURI ;
    fhir:l fhir:text       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Hispanic or Latino"       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity>     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://example.org"^^xsd:anyURI ;
    fhir:l <http://example.org>     ] ;
    fhir:value [ fhir:v "patient04" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name ( [
    fhir:family [ fhir:v "Doe" ] ;
        ( fhir:given [ fhir:v "Jane" ] [ fhir:v "E." ] )
      ] ) ; #
      fhir:gender [ fhir:v "female"] ; #
      fhir:birthDate [ fhir:v "1987-02-19"^^xsd:date] . #

    <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> a fhir:Encounter ;
      fhir:id [ fhir:v "encounter04"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter04</b></p><a name=\"encounter04\"> </a><a name=\"hcencounter04\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><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></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}\">Chief complaint</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location01.html\">Location DaVinciClinic01</a></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "finished"] ; #
      fhir:class [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
    fhir:code [ fhir:v "IMP" ] ;
    fhir:display [ fhir:v "inpatient encounter" ]
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    a sct:185347001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "185347001" ] ;
    fhir:display [ fhir:v "Encounter for problem (procedure)" ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/patient01 ;
    fhir:reference [ fhir:v "Patient/patient01" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2022-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2022-01-31"^^xsd:date ]
      ] ; #
      fhir:diagnosis ( [
    fhir:condition [
    fhir:l fhir:Condition/nhsn-iip-con101 ;
    fhir:reference [ fhir:v "Condition/nhsn-iip-con101" ]     ] ;
    fhir:use [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/diagnosis-role>         ] ;
    fhir:code [ fhir:v "CC" ]       ] )     ]
      ] ) ; #
      fhir:hospitalization [
    fhir:dischargeDisposition [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/discharge-disposition"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/discharge-disposition>         ] ;
    fhir:code [ fhir:v "home" ] ;
    fhir:display [ fhir:v "home" ]       ] )     ]
      ] ; #
      fhir:location ( [
    fhir:location [
    fhir:l fhir:Location/location01 ;
    fhir:reference [ fhir:v "Location/location01" ]     ]
      ] ) . #

    <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> a fhir:MedicationRequest ;
      fhir:id [ fhir:v "nhsn-iip-add101"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101</b></p><a name=\"nhsn-iip-add101\"> </a><a name=\"hcnhsn-iip-add101\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</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\">Jane E. Doe</a></p><p><b>encounter</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>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "proposal"] ; #
      fhir:medication [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    fhir:system [
    fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ;
    fhir:l <http://www.nlm.nih.gov/research/umls/rxnorm>       ] ;
    fhir:code [ fhir:v "1161609" ] ;
    fhir:display [ fhir:v "metFORMIN Oral Liquid Product" ]     ] ) ;
    fhir:text [ fhir:v "metFORMIN Oral Liquid Product" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ] ;
    fhir:display [ fhir:v "Jane E. Doe" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/nhsn-iip-en101 ;
    fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
      ] ; #
      fhir:authoredOn [ fhir:v "2022-01-01"^^xsd:date] ; #
      fhir:requester [
    fhir:l fhir:Practitioner/practitioner01 ;
    fhir:reference [ fhir:v "Practitioner/practitioner01" ]
      ] . #

    <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> a fhir:MedicationRequest ;
      fhir:id [ fhir:v "nhsn-iip-add101-10"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101-10</b></p><a name=\"nhsn-iip-add101-10\"> </a><a name=\"hcnhsn-iip-add101-10\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>identifier</b>: <code>http://example.org</code>/336609269 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></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\">Amy Shaw</a></p><p><b>encounter</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>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Emile Zieme(official)</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.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://terminology.hl7.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></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "usual" ] ;
    fhir:system [
    fhir:v "http://example.org"^^xsd:anyURI ;
    fhir:l <http://example.org>     ] ;
    fhir:value [ fhir:v "336609269" ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "proposal"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/medicationrequest-category>       ] ;
    fhir:code [ fhir:v "inpatient" ] ;
    fhir:display [ fhir:v "Inpatient" ]     ] ) ;
    fhir:text [ fhir:v "Inpatient" ]
      ] ) ; #
      fhir:medication [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    fhir:system [
    fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ;
    fhir:l <http://www.nlm.nih.gov/research/umls/rxnorm>       ] ;
    fhir:code [ fhir:v "1161609" ] ;
    fhir:display [ fhir:v "metFORMIN Oral Liquid Product" ]     ] ) ;
    fhir:text [ fhir:v "metFORMIN Oral Liquid Product" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ] ;
    fhir:display [ fhir:v "Amy Shaw" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/nhsn-iip-en101 ;
    fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
      ] ; #
      fhir:authoredOn [ fhir:v "2022-01-15T16:50:26Z"^^xsd:dateTime] ; #
      fhir:requester [
    fhir:l fhir:Practitioner/practitioner01 ;
    fhir:reference [ fhir:v "Practitioner/practitioner01" ]
      ] ; #
      fhir:recorder [
    fhir:l fhir:Practitioner/practitioner02 ;
    fhir:reference [ fhir:v "Practitioner/practitioner02" ]
      ] ; #
      fhir:courseOfTherapyType [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy>       ] ;
    fhir:code [ fhir:v "acute" ] ;
    fhir:display [ fhir:v "Short course (acute) therapy" ]     ] ) ;
    fhir:text [ fhir:v "Short course (acute) therapy" ]
      ] ; #
      fhir:dosageInstruction ( [
    fhir:timing [
    fhir:repeat [
    fhir:bounds [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-02-15T16:43:55Z"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2021-02-22T21:32:24Z"^^xsd:dateTime ]         ] ;
    fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:period [ fhir:v "1"^^xsd:decimal ] ;
    fhir:periodUnit [ fhir:v "d" ]       ] ;
    fhir:code [
    fhir:text [ fhir:v "PRN" ]       ]     ] ;
    fhir:asNeeded [
    a fhir:Boolean ;
    fhir:v true     ] ;
        ( fhir:doseAndRate [
    fhir:type [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/dose-rate-type>           ] ;
    fhir:code [ fhir:v "calculated" ] ;
    fhir:display [ fhir:v "calculated" ]         ] ) ;
    fhir:text [ fhir:v "calculated" ]       ] ;
    fhir:dose [
    a fhir:Quantity ;
    fhir:value [ fhir:v "1"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "mg" ]       ]     ] [
    fhir:type [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/dose-rate-type>           ] ;
    fhir:code [ fhir:v "ordered" ] ;
    fhir:display [ fhir:v "ordered" ]         ] ) ;
    fhir:text [ fhir:v "ordered" ]       ] ;
    fhir:dose [
    a fhir:Quantity ;
    fhir:value [ fhir:v "1"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "mg" ]       ]     ] )
      ] ) . #

    <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> a fhir:ServiceRequest ;
      fhir:id [ fhir:v "nhsn-iip-sr-sde"] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_nhsn-iip-sr-sde\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest nhsn-iip-sr-sde</b></p><a name=\"nhsn-iip-sr-sde\"> </a><a name=\"hcnhsn-iip-sr-sde\"> </a><p><b>identifier</b>: Placer/2345234234234</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57698-3}\">Lipid Panel</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>encounter</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>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-9-cm V17.3}\">Fam hx-ischem heart dis</span></p><p><b>supportingInfo</b>: <a href=\"#hcnhsn-iip-sr-sde/fasting\">Fasting status</a></p><p><b>specimen</b>: <a href=\"#hcnhsn-iip-sr-sde/serum\">Serum specimen</a></p><p><b>note</b>: </p><blockquote><div><p>patient is afraid of needles</p>\n</div></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #fasting</b></p><a name=\"nhsn-iip-sr-sde/fasting\"> </a><a name=\"hcnhsn-iip-sr-sde/fasting\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 49541-6}\">Fasting status - Reported</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:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Specimen #serum</b></p><a name=\"nhsn-iip-sr-sde/serum\"> </a><a name=\"hcnhsn-iip-sr-sde/serum\"> </a><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119364003}\">Serum sample</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><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:contained ( [
    a fhir:Observation ;
    fhir:id [ fhir:v "fasting" ] ;
    fhir:status [ fhir:v "final" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:49541-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "49541-6" ] ;
    fhir:display [ fhir:v "Fasting status - Reported" ]       ] )     ] ;
    fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]     ] ;
    fhir:effective [
    a fhir:Period ;
    fhir:start [ fhir:v "2022-01-01T09:30:10+01:00"^^xsd:dateTime ]     ] ;
        ( fhir:performer [
    fhir:l fhir:Organization/organization01 ;
    fhir:reference [ fhir:v "Organization/organization01" ]     ] ) ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0136>         ] ;
    fhir:code [ fhir:v "Y" ] ;
    fhir:display [ fhir:v "Yes" ]       ] )     ]
      ] [
    a fhir:Specimen ;
    fhir:id [ fhir:v "serum" ] ;
        ( fhir:identifier [
    fhir:system [
    fhir:v "http://acme.org/specimens"^^xsd:anyURI ;
    fhir:l <http://acme.org/specimens>       ] ;
    fhir:value [ fhir:v "20150107-0012" ]     ] ) ;
    fhir:type [
          ( fhir:coding [
    a sct:119364003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "119364003" ] ;
    fhir:display [ fhir:v "Serum sample" ]       ] )     ] ;
    fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]     ] ;
    fhir:collection [
    fhir:collected [
    a fhir:DateTime ;
    fhir:v "2015-08-16T06:40:17Z"^^xsd:dateTime       ]     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
    fhir:code [ fhir:v "PLAC" ]       ] ) ;
    fhir:text [ fhir:v "Placer" ]     ] ;
    fhir:system [
    fhir:v "http://example.org"^^xsd:anyURI ;
    fhir:l <http://example.org>     ] ;
    fhir:value [ fhir:v "2345234234234" ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "original-order"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:57698-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "57698-3" ]     ] ) ;
    fhir:text [ fhir:v "Lipid Panel" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/nhsn-iip-en101 ;
    fhir:reference [ fhir:v "Encounter/nhsn-iip-en101" ]
      ] ; #
      fhir:occurrence [
    a fhir:DateTime ;
    fhir:v "2013-05-02T16:16:00-07:00"^^xsd:dateTime
      ] ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-9-cm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-9-cm>       ] ;
    fhir:code [ fhir:v "V17.3" ] ;
    fhir:display [ fhir:v "Fam hx-ischem heart dis" ]     ] )
      ] ) ; #
      fhir:supportingInfo ( [
    fhir:l <#fasting> ;
    fhir:reference [ fhir:v "#fasting" ] ;
    fhir:display [ fhir:v "Fasting status" ]
      ] ) ; #
      fhir:specimen ( [
    fhir:l <#serum> ;
    fhir:reference [ fhir:v "#serum" ] ;
    fhir:display [ fhir:v "Serum specimen" ]
      ] ) ; #
      fhir:note ( [
    fhir:text [ fhir:v "patient is afraid of needles" ]
      ] ) . #

    <urn:uuid:b7075a17-98a5-429b-a464-3da906001492> a fhir:Location ;
      fhir:id [ fhir:v "nhsn-iip-loc101"] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_nhsn-iip-loc101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location nhsn-iip-loc101</b></p><a name=\"nhsn-iip-loc101\"> </a><a name=\"hcnhsn-iip-loc101\"> </a><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode RADO}\">Radiation oncology unit</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleCode>       ] ;
    fhir:code [ fhir:v "RADO" ] ;
    fhir:display [ fhir:v "Radiation oncology unit" ]     ] )
      ] ) . #

    <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> a fhir:Condition ;
      fhir:id [ fhir:v "condition04"] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition04</b></p><a name=\"condition04\"> </a><a name=\"hccondition04\"> </a><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 confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}, {http://snomed.info/sct 439401001}\">Encounter Diagnosis</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>onset</b>: 2022-01-08</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
    fhir:code [ fhir:v "active" ]     ] )
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
    fhir:code [ fhir:v "confirmed" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
    fhir:code [ fhir:v "encounter-diagnosis" ] ;
    fhir:display [ fhir:v "Encounter Diagnosis" ]     ] [
    a sct:439401001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "439401001" ] ;
    fhir:display [ fhir:v "Diagnosis" ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/nhsn-iip-ip101 ;
    fhir:reference [ fhir:v "Patient/nhsn-iip-ip101" ]
      ] ; #
      fhir:onset [
    a fhir:DateTime ;
    fhir:v "2022-01-08"^^xsd:date
      ] . #