Data Exchange For Quality Measures Implementation Guide
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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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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="sde-example-patient-data-bundle"/>
      <language value="en"/>
      <type value="transaction"/>
      <entry>
        <fullUrl value="urn:uuid:050deac6-0544-43df-bff9-7506f8687469"/>
        <resource>
          <Patient>
            <id value="patient04"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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:

     - 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></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="patient04"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Doe"/>
              <given value="Jane"/>
              <given value="E."/>
            </name>
            <gender value="female"/>
            <birthDate value="1987-02-19"/>
          </Patient>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="Patient/patient04"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369"/>
        <resource>
          <Encounter>
            <id value="encounter04"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="IMP"/>
              <display value="inpatient encounter"/>
            </class>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="185347001"/>
                <display value="Encounter for problem (procedure)"/>
              </coding>
            </type>
            <subject>🔗
              <reference value="Patient/patient01"/>
            </subject>
            <period>
              <start value="2022-01-01"/>
              <end value="2022-01-31"/>
            </period>
            <diagnosis>
              <condition>🔗
                <reference value="Condition/nhsn-iip-con101"/>
              </condition>
              <use>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
                  <code value="CC"/>
                </coding>
              </use>
            </diagnosis>
            <hospitalization>
              <dischargeDisposition>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
                  <code value="home"/>
                  <display value="home"/>
                </coding>
              </dischargeDisposition>
            </hospitalization>
            <location>
              <location>🔗
                <reference value="Location/location01"/>
              </location>
            </location>
          </Encounter>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="Encounter/encounter04"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037"/>
        <resource>
          <MedicationRequest>
            <id value="nhsn-iip-add101"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="active"/>
            <intent value="proposal"/>
            <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"/>
              <display value="Jane E. Doe"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/nhsn-iip-en101"/>
            </encounter>
            <authoredOn value="2022-01-01"/>
            <requester>🔗
              <reference value="Practitioner/practitioner01"/>
            </requester>
          </MedicationRequest>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="MedicationRequest/nhsn-iip-add101"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c"/>
        <resource>
          <MedicationRequest>
            <id value="nhsn-iip-add101-10"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <use value="usual"/>
              <system value="http://example.org"/>
              <value value="336609269"/>
            </identifier>
            <status value="active"/>
            <intent value="proposal"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
                <code value="inpatient"/>
                <display value="Inpatient"/>
              </coding>
              <text value="Inpatient"/>
            </category>
            <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"/>
              <display value="Amy Shaw"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/nhsn-iip-en101"/>
            </encounter>
            <authoredOn value="2022-01-15T16:50:26Z"/>
            <requester>🔗
              <reference value="Practitioner/practitioner01"/>
            </requester>
            <recorder>🔗
              <reference value="Practitioner/practitioner02"/>
            </recorder>
            <courseOfTherapyType>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
                <code value="acute"/>
                <display value="Short course (acute) therapy"/>
              </coding>
              <text value="Short course (acute) therapy"/>
            </courseOfTherapyType>
            <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"/>
              <doseAndRate>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.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://terminology.hl7.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>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="MedicationRequest/nhsn-iip-add101-10"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc"/>
        <resource>
          <ServiceRequest>
            <id value="nhsn-iip-sr-sde"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
    </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>
            </text>
            <contained>
              <Observation>
                <id value="fasting"/>
                <status value="final"/>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="49541-6"/>
                    <display value="Fasting status - Reported"/>
                  </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="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </coding>
                </valueCodeableConcept>
              </Observation>
            </contained>
            <contained>
              <Specimen>
                <id value="serum"/>
                <identifier>
                  <system value="http://acme.org/specimens"/>
                  <value value="20150107-0012"/>
                </identifier>
                <type>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="119364003"/>
                    <display value="Serum sample"/>
                  </coding>
                </type>
                <subject>🔗
                  <reference value="Patient/nhsn-iip-ip101"/>
                </subject>
                <collection>
                  <collectedDateTime value="2015-08-16T06:40:17Z"/>
                </collection>
              </Specimen>
            </contained>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PLAC"/>
                </coding>
                <text value="Placer"/>
              </type>
              <system value="http://example.org"/>
              <value value="2345234234234"/>
            </identifier>
            <status value="active"/>
            <intent value="original-order"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="57698-3"/>
              </coding>
              <text value="Lipid Panel"/>
            </code>
            <subject>🔗
              <reference value="Patient/nhsn-iip-ip101"/>
            </subject>
            <encounter>🔗
              <reference value="Encounter/nhsn-iip-en101"/>
            </encounter>
            <occurrenceDateTime value="2013-05-02T16:16:00-07:00"/>
            <reasonCode>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-9-cm"/>
                <code value="V17.3"/>
                <display value="Fam hx-ischem heart dis"/>
              </coding>
            </reasonCode>
            <supportingInfo>
              <reference value="#fasting"/>
              <display value="Fasting status"/>
            </supportingInfo>
            <specimen>
              <reference value="#serum"/>
              <display value="Serum specimen"/>
            </specimen>
            <note>
              <text value="patient is afraid of needles"/>
            </note>
          </ServiceRequest>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="ServiceRequest/nhsn-iip-sr-sde"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:b7075a17-98a5-429b-a464-3da906001492"/>
        <resource>
          <Location>
            <id value="nhsn-iip-loc101"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="RADO"/>
                <display value="Radiation oncology unit"/>
              </coding>
            </type>
          </Location>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="Location/nhsn-iip-loc101"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69"/>
        <resource>
          <Condition>
            <id value="condition04"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="encounter-diagnosis"/>
                <display value="Encounter Diagnosis"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="439401001"/>
                <display value="Diagnosis"/>
              </coding>
            </category>
            <subject>🔗
              <reference value="Patient/nhsn-iip-ip101"/>
            </subject>
            <onsetDateTime value="2022-01-08"/>
          </Condition>
        </resource>
        <request>
          <method value="PUT"/>
          <url value="Condition/condition04"/>
        </request>
      </entry>
    </Bundle>