{ "resourceType" : "Bundle", "id" : "bundle-example-ach-daily-subject-rsvlabbtg", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a75525" }, "type" : "collection", "timestamp" : "2024-02-05T21:04:29.481+00:00", "entry" : [{ "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "MeasureReport", "id" : "measurereport-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport measurereport-example-ach-daily-rsvlabbtg

Profile: DEQM Individual MeasureReport Profile

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = Throat pain

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: status = active; relationship = Self

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Respiratory syncytial virus as the cause of diseases classified elsewhere

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Respiratory syncytial virus Ag [Presence] in Throat

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

identifier: http://example.org/fhir/measurereport/id/123456789-pass1

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

subject: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

date: 2024-01-06 21:04:29+0000

reporter: Organization Example NHSN Submitter

period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "cohort" }] } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-minimal-patient" }], "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-encounter" }], "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-coverage" }], "reference" : "Coverage/coverage-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-condition" }], "reference" : "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-administration" }], "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-medication-request" }], "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-observation-lab-category" }], "reference" : "Observation/lab-observation-example-ach-daily-rsvlabbtg" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-service-request" }], "reference" : "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv" } }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference", "valueReference" : { "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference", "valueString" : "sde-specimen" }], "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" } }], "identifier" : [{ "system" : "http://example.org/fhir/measurereport/id", "value" : "123456789-pass1" }], "status" : "complete", "type" : "individual", "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild", "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, "date" : "2024-01-06T21:04:29.481+00:00", "reporter" : { "reference" : "Organization/organization-example-submitting-organization" }, "period" : { "start" : "2024-01-05T00:00:00.000+00:00", "end" : "2024-01-06T00:00:00.000+00:00" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "population" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 1 }] }], "evaluatedResource" : [{ "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg" }, { "reference" : "Coverage/coverage-example-ach-daily-rsvlabbtg" }, { "reference" : "Condition/condition-example-diagnosis-ach-daily-rsvlabbtg" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" }, { "reference" : "MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2" }, { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" }, { "reference" : "Observation/lab-observation-example-ach-daily-rsvlabbtg" }, { "reference" : "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv" }, { "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Patient", "id" : "patient-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-example-ach-daily-rsvlabbtg

Profile: Cross-Measure Patient Profile

ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 123 Happy Place Charlotte MI 48813 US (home)
mother:
  • Mother Nature
  • 123 Happy Place Charlotte MI 48813 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2076-8", "display" : "Native Hawaiian or Other Pacific Islander" } }, { "url" : "text", "valueString" : "Native Hawaiian or Other Pacific Islander" }], "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" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Non Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }], "text" : "MRN" }, "system" : "urn:oid:1.2.5.8.2.7", "value" : "1000009002" }], "active" : true, "name" : [{ "use" : "official", "text" : "ACHDaily RSVLabBTG", "family" : "RSVLabBTG", "given" : ["ACHDaily"] }], "telecom" : [{ "system" : "phone", "value" : "999-999-9999", "use" : "home" }], "gender" : "female", "birthDate" : "2015-05-05", "deceasedBoolean" : false, "address" : [{ "use" : "home", "line" : ["123 Happy Place"], "city" : "Charlotte", "state" : "MI", "postalCode" : "48813", "country" : "US" }], "contact" : [{ "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "MTH", "display" : "mother" }] }], "name" : { "text" : "Mother Nature", "family" : "Nature", "given" : ["Mother"] }, "address" : { "use" : "home", "line" : ["123 Happy Place"], "city" : "Charlotte", "state" : "MI", "postalCode" : "48813", "country" : "US" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Encounter", "id" : "encounter-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Encounter

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987\u00a0(use:\u00a0usual,\u00a0)

status: Finished

class: ActCode SS: Short Stay (version = 9.0.0 )

type: Emergency hospital admission

subject: ACHDaily, rsvlabbtg

period: 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000

reasonCode: Sore throat

Hospitalizations

-AdmitSourceDischargeDisposition
*Pediatrician's officeHome

Locations

-LocationPeriod
*EMERGENCY - PAVILION2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8", "value" : "123456789987" }], "status" : "finished", "_status" : { "extension" : [{ "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-element-value-extension", "valueString" : "TRIAGED" }] }, "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "SS", "display" : "Short Stay" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "183452005", "display" : "Emergency hospital admission (procedure)" }], "text" : "Emergency hospital admission" }], "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, rsvlabbtg" }, "period" : { "start" : "2024-01-01T08:00:00Z", "end" : "2024-01-02T06:00:00Z" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "162397003", "display" : "Throat pain" }], "text" : "Sore throat" }], "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "gp", "display" : "General Practitioner referral" }], "text" : "Pediatrician's office" }, "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" }], "text" : "Home" } }, "location" : [{ "location" : { "reference" : "Location/location-example-ach-daily-emergency", "display" : "EMERGENCY - PAVILION" }, "period" : { "start" : "2024-01-14T08:00:00Z", "end" : "2024-01-22T12:00:00Z" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Coverage", "id" : "coverage-example-ach-daily-rsvlabbtg", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-daily-rsvlabbtg

status: Active

beneficiary: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN:\u00a01000009002\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

payor: Self Pay

" }, "status" : "active", "beneficiary" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }], "text" : "Self" }, "payor" : [{ "display" : "Self Pay" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Condition", "id" : "condition-example-diagnosis-ach-daily-rsvlabbtg", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Condition condition-example-diagnosis-ach-daily-rsvlabbtg

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: RSV

subject: ACHDaily, RSVLabBTG

encounter: Inpatient

" }, "extension" : [{ "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3" }], "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "version" : "4.0.0", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmed" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }], "text" : "Encounter Diagnosis" }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "B97.4", "display" : "Respiratory syncytial virus as the cause of diseases classified elsewhere" }], "text" : "RSV" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "display" : "Inpatient" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-rsvlabbtg-1", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-1

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Ribavirin inhalation solution 6g/vial via nebulizer

subject: ACHDaily, RSVLabBTG

effective: 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Oral route6 g (Details: UCUM codeg = 'g')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-1", "display" : "Ribavirin inhalation solution 6g/vial via nebulizer" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "effectivePeriod" : { "start" : "2024-01-01T12:30:00Z", "end" : "2024-01-01T17:30:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1" }, "dosage" : { "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "dose" : { "value" : 6, "unit" : "g", "system" : "http://unitsofmeasure.org", "code" : "g" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-rsvlabbtg-1", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-1

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Ribavirin inhalation solution 6g/vial via nebulizer

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

authoredOn: 2024-01-01 11:45:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Code , Once per 6 hoursfalseOral use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-1", "display" : "Ribavirin inhalation solution 6g/vial via nebulizer" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-01T11:45:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "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" : [{ "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-01T12:30:15Z", "end" : "2024-01-01T17:30:15Z" }, "frequency" : 1, "period" : 6, "periodUnit" : "h" }, "code" : { "text" : "Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral use" }], "text" : "Oral use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medadmin-example-ach-daily-rsvlabbtg-2", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationadministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration medadmin-example-ach-daily-rsvlabbtg-2

Profile: ACH Daily Event Medication Administration

status: Completed

medication: Nasal Saline spray

subject: ACHDaily, RSVLabBTG

effective: 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy

Dosages

-TextRouteDose
*Nasal Saline spray, one spray each nostril QIDNasal use1 U (Details: UCUM codeU = 'U')
" }, "status" : "completed", "medicationReference" : { "extension" : [{ "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-original-resource-id-extension", "valueString" : "Medication/eZeW55xkBH0DrR0Xj004fNid0iluLJl6nT2adScy2TI9SbXSOBJPdED7Qjms.Fj48j0.MQxtisgjhubwnqaIImzMAo7axKzx4khlfA7xEkUU3" }], "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-2", "display" : "Nasal Saline spray" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "effectivePeriod" : { "start" : "2024-01-01T12:30:00Z", "end" : "2024-01-02T17:30:09Z" }, "request" : { "reference" : "MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2" }, "dosage" : { "text" : "Nasal Saline spray, one spray each nostril QID", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "46713006", "display" : "Nasal use" }] }, "dose" : { "value" : 1, "unit" : "U", "system" : "http://unitsofmeasure.org", "code" : "U" } } } }, { "fullUrl" : "http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-example-ach-daily-rsvlabbtg-2", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-example-ach-daily-rsvlabbtg-2

Profile: ACH Daily Event Medication Request

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Order

category: Inpatient

medication: Nasal Saline spray

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

authoredOn: 2024-01-01 11:45:15+0000

requester: Faculty Physician Um_Cln, MD

recorder: Faculty Physician Um_Cln, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingAsNeeded[x]Route
*Nasal Saline spray, one spray each nostril QIDCode , OncefalseNasal use
" }, "identifier" : [{ "use" : "usual", "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "101903002" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationReference" : { "reference" : "Medication/medication-example-ach-daily-rsvlabbtg-2", "display" : "Nasal Saline spray" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "authoredOn" : "2024-01-01T11:45:15Z", "requester" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "recorder" : { "type" : "Practitioner", "display" : "Faculty Physician Um_Cln, MD" }, "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" : [{ "text" : "Nasal Saline spray, one spray each nostril QID", "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-01-01T12:00:15Z", "end" : "2024-01-02T07:00:15Z" } }, "code" : { "text" : "Nasal Saline spray, one spray each nostril QID" } }, "asNeededBoolean" : false, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "46713006", "display" : "Nasal use" }], "text" : "Nasal use" } }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Observation", "id" : "lab-observation-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation-lab"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation lab-observation-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Lab Result Observation

status: Final

category: Laboratory

code: RSV Ag Ql (Throat)

subject: ACHDaily, RSVLabBTG

encounter: Hospital Encounter

effective: 2024-01-01 12:15:00+0000

issued: 2024-01-01 12:15:00+0000

value: Presumptive positive

specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "31949-1", "display" : "Respiratory syncytial virus Ag [Presence] in Throat" }], "text" : "RSV Ag Ql (Throat)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Encounter" }, "effectiveDateTime" : "2024-01-01T12:15:00Z", "issued" : "2024-01-01T12:15:00Z", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "720735008", "display" : "Presumptive positive" }], "text" : "Presumptive positive" }, "specimen" : { "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" } } }, { "fullUrl" : "http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-example-ach-daily-rsvlabbtg-rsv", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest servicerequest-example-ach-daily-rsvlabbtg-rsv

Profile: ACH Daily Event ServiceRequest

identifier: Placer Identifier/1019631821\u00a0(use:\u00a0usual,\u00a0)

status: Completed

intent: Original Order

category: Laboratory procedure

code: RSV Ag Ql (Throat)

quantity: 1

subject: ACHDaily RSVLabBTG

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-01-02 17:22:00-0500

specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC", "display" : "Placer Identifier" }], "text" : "Placer Identifier" }, "system" : "urn:oid:2.16.840.1.113883.19.5.1.798", "value" : "1019631821" }], "status" : "completed", "intent" : "original-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "108252007", "display" : "Laboratory procedure" }], "text" : "Laboratory procedure" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "31949-1", "display" : "Respiratory syncytial virus Ag [Presence] in Throat" }], "text" : "RSV Ag Ql (Throat)" }, "quantityQuantity" : { "value" : 1 }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily RSVLabBTG" }, "encounter" : { "reference" : "Encounter/encounter-example-ach-daily-rsvlabbtg", "display" : "Hospital Admission" }, "occurrenceTiming" : { "event" : ["2024-02-02T17:22:00-05:00"], "repeat" : { "count" : 1 }, "code" : { "text" : "Once" } }, "authoredOn" : "2024-01-02T17:22:00-05:00", "specimen" : [{ "reference" : "Specimen/specimen-example-ach-daily-rsvlabbtg" }] } }, { "fullUrl" : "http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-rsvlabbtg", "resource" : { "resourceType" : "Specimen", "id" : "specimen-example-ach-daily-rsvlabbtg", "meta" : { "profile" : ["http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen specimen-example-ach-daily-rsvlabbtg

Profile: ACH Daily Event Specimen

type: Nasopharyngeal swab (specimen)

subject: ACHDaily, RSVLabBTG

receivedTime: 2024-01-01 15:00:00+0000

Collections

-Collected[x]BodySite
*2024-01-01 14:00:00+0000Entire root of nose (body structure)
" }, "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "258500001", "display" : "Nasopharyngeal swab (specimen)" }], "text" : "Nasopharyngeal swab (specimen)" }, "subject" : { "reference" : "Patient/patient-example-ach-daily-rsvlabbtg", "display" : "ACHDaily, RSVLabBTG" }, "receivedTime" : "2024-01-01T15:00:00Z", "collection" : { "collectedDateTime" : "2024-01-01T14:00:00Z", "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1825009", "display" : "Entire root of nose (body structure)" }] } } } }] }