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

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    {
      "resourceType" : "Bundle",
      "id" : "sde-example-patient-data-bundle",
      "language" : "en",
      "type" : "transaction",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:050deac6-0544-43df-bff9-7506f8687469",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "patient04",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity: 1002-5</a> (American Indian or Alaska Native)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7\">CDC Race and Ethnicity: 1586-7</a> (Shoshone)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2\">CDC Race and Ethnicity: 2036-2</a> (Filipino)</li><li>text: Mixed</li></ul></td></tr></table></div>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2106-3",
                      "display" : "White"
                    }
                  },
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "1002-5",
                      "display" : "American Indian or Alaska Native"
                    }
                  },
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2028-9",
                      "display" : "Asian"
                    }
                  },
                  {
                    "url" : "detailed",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "1586-7",
                      "display" : "Shoshone"
                    }
                  },
                  {
                    "url" : "detailed",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2036-2",
                      "display" : "Filipino"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Mixed"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
              },
              {
                "extension" : [
                  {
                    "url" : "ombCategory",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2135-2",
                      "display" : "Hispanic or Latino"
                    }
                  },
                  {
                    "url" : "detailed",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2184-0",
                      "display" : "Dominican"
                    }
                  },
                  {
                    "url" : "detailed",
                    "valueCoding" : {
                      "system" : "urn:oid:2.16.840.1.113883.6.238",
                      "code" : "2148-5",
                      "display" : "Mexican"
                    }
                  },
                  {
                    "url" : "text",
                    "valueString" : "Hispanic or Latino"
                  }
                ],
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
              }
            ],
            "identifier" : [
              {
                "system" : "http://example.org",
                "value" : "patient04"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Doe",
                "given" : [
                  "Jane",
                  "E."
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1987-02-19"
          },
          "request" : {
            "method" : "PUT",
            "url" : "Patient/patient04"
          }
        },
        {
          "fullUrl" : "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "encounter04",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0))</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>"
            },
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "IMP",
              "display" : "inpatient encounter"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "185347001",
                    "display" : "Encounter for problem (procedure)"
                  }
                ]
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/patient01"
            },
            "period" : {
              "start" : "2022-01-01",
              "end" : "2022-01-31"
            },
            "diagnosis" : [
              {
                "condition" : {
                  🔗 "reference" : "Condition/nhsn-iip-con101"
                },
                "use" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                      "code" : "CC"
                    }
                  ]
                }
              }
            ],
            "hospitalization" : {
              "dischargeDisposition" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code" : "home",
                    "display" : "home"
                  }
                ]
              }
            },
            "location" : [
              {
                "location" : {
                  🔗 "reference" : "Location/location01"
                }
              }
            ]
          },
          "request" : {
            "method" : "PUT",
            "url" : "Encounter/encounter04"
          }
        },
        {
          "fullUrl" : "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "nhsn-iip-add101",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "active",
            "intent" : "proposal",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code" : "1161609",
                  "display" : "metFORMIN Oral Liquid Product"
                }
              ],
              "text" : "metFORMIN Oral Liquid Product"
            },
            "subject" : {
              🔗 "reference" : "Patient/nhsn-iip-ip101",
              "display" : "Jane E. Doe"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/nhsn-iip-en101"
            },
            "authoredOn" : "2022-01-01",
            "requester" : {
              🔗 "reference" : "Practitioner/practitioner01"
            }
          },
          "request" : {
            "method" : "PUT",
            "url" : "MedicationRequest/nhsn-iip-add101"
          }
        },
        {
          "fullUrl" : "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "nhsn-iip-add101-10",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0)</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>"
            },
            "identifier" : [
              {
                "use" : "usual",
                "system" : "http://example.org",
                "value" : "336609269"
              }
            ],
            "status" : "active",
            "intent" : "proposal",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code" : "inpatient",
                    "display" : "Inpatient"
                  }
                ],
                "text" : "Inpatient"
              }
            ],
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code" : "1161609",
                  "display" : "metFORMIN Oral Liquid Product"
                }
              ],
              "text" : "metFORMIN Oral Liquid Product"
            },
            "subject" : {
              🔗 "reference" : "Patient/nhsn-iip-ip101",
              "display" : "Amy Shaw"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/nhsn-iip-en101"
            },
            "authoredOn" : "2022-01-15T16:50:26Z",
            "requester" : {
              🔗 "reference" : "Practitioner/practitioner01"
            },
            "recorder" : {
              🔗 "reference" : "Practitioner/practitioner02"
            },
            "courseOfTherapyType" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                  "code" : "acute",
                  "display" : "Short course (acute) therapy"
                }
              ],
              "text" : "Short course (acute) therapy"
            },
            "dosageInstruction" : [
              {
                "timing" : {
                  "repeat" : {
                    "boundsPeriod" : {
                      "start" : "2021-02-15T16:43:55Z",
                      "end" : "2021-02-22T21:32:24Z"
                    },
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  },
                  "code" : {
                    "text" : "PRN"
                  }
                },
                "asNeededBoolean" : true,
                "doseAndRate" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "calculated",
                          "display" : "calculated"
                        }
                      ],
                      "text" : "calculated"
                    },
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  },
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                          "code" : "ordered",
                          "display" : "ordered"
                        }
                      ],
                      "text" : "ordered"
                    },
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "mg",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "mg"
                    }
                  }
                ]
              }
            ]
          },
          "request" : {
            "method" : "PUT",
            "url" : "MedicationRequest/nhsn-iip-add101-10"
          }
        },
        {
          "fullUrl" : "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "nhsn-iip-sr-sde",
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "contained" : [
              {
                "resourceType" : "Observation",
                "id" : "fasting",
                "status" : "final",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "49541-6",
                      "display" : "Fasting status - Reported"
                    }
                  ]
                },
                "subject" : {
                  🔗 "reference" : "Patient/nhsn-iip-ip101"
                },
                "effectivePeriod" : {
                  "start" : "2022-01-01T09:30:10+01:00"
                },
                "performer" : [
                  {
                    🔗 "reference" : "Organization/organization01"
                  }
                ],
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  ]
                }
              },
              {
                "resourceType" : "Specimen",
                "id" : "serum",
                "identifier" : [
                  {
                    "system" : "http://acme.org/specimens",
                    "value" : "20150107-0012"
                  }
                ],
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "119364003",
                      "display" : "Serum sample"
                    }
                  ]
                },
                "subject" : {
                  🔗 "reference" : "Patient/nhsn-iip-ip101"
                },
                "collection" : {
                  "collectedDateTime" : "2015-08-16T06:40:17Z"
                }
              }
            ],
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PLAC"
                    }
                  ],
                  "text" : "Placer"
                },
                "system" : "http://example.org",
                "value" : "2345234234234"
              }
            ],
            "status" : "active",
            "intent" : "original-order",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "57698-3"
                }
              ],
              "text" : "Lipid Panel"
            },
            "subject" : {
              🔗 "reference" : "Patient/nhsn-iip-ip101"
            },
            "encounter" : {
              🔗 "reference" : "Encounter/nhsn-iip-en101"
            },
            "occurrenceDateTime" : "2013-05-02T16:16:00-07:00",
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-9-cm",
                    "code" : "V17.3",
                    "display" : "Fam hx-ischem heart dis"
                  }
                ]
              }
            ],
            "supportingInfo" : [
              {
                "reference" : "#fasting",
                "display" : "Fasting status"
              }
            ],
            "specimen" : [
              {
                "reference" : "#serum",
                "display" : "Serum specimen"
              }
            ],
            "note" : [
              {
                "text" : "patient is afraid of needles"
              }
            ]
          },
          "request" : {
            "method" : "PUT",
            "url" : "ServiceRequest/nhsn-iip-sr-sde"
          }
        },
        {
          "fullUrl" : "urn:uuid:b7075a17-98a5-429b-a464-3da906001492",
          "resource" : {
            "resourceType" : "Location",
            "id" : "nhsn-iip-loc101",
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "RADO",
                    "display" : "Radiation oncology unit"
                  }
                ]
              }
            ]
          },
          "request" : {
            "method" : "PUT",
            "url" : "Location/nhsn-iip-loc101"
          }
        },
        {
          "fullUrl" : "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "condition04",
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  },
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "439401001",
                    "display" : "Diagnosis"
                  }
                ]
              }
            ],
            "subject" : {
              🔗 "reference" : "Patient/nhsn-iip-ip101"
            },
            "onsetDateTime" : "2022-01-08"
          },
          "request" : {
            "method" : "PUT",
            "url" : "Condition/condition04"
          }
        }
      ]
    }