Full ACH Daily Measure Submission Bundle - CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG v2.0.0-cibuild

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Full ACH Daily Measure Submission Bundle

Profile: NHSN MeasureReport Bundle

Bundle bundle-example-ach-daily-full of type collection

Entry 1 - fullUrl = http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization

Resource Organization:

Profile: NHSN Submitting Organization
identifier: https://www.cdc.gov/nhsn/OrgID/ExampleNHSNSubmitterOrgID
active: true
type: Healthcare Provider
name: Example NHSN Submitter
Contacts
- Telecom Address
* ph: 5555555551

Entry 2 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-submitting-device

Resource Device:

Profile: NHSN Submitting Device
version
component: api
value: 0.9.0
version
component: api
value: 20230713.1
version
component: api
value: 3f9662a8
version
component: cqf-ruler
value: 0.13.0

Entry 3 - fullUrl = http://nhsnlink.org/fhir/List/list-example-ach-daily-patients-of-interest

Resource List:

Profile: Patients-Of-Interest List
Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Items
ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

Entry 4 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-subjectlist

Resource MeasureReport:

Profile: Subject-List MeasureReport Profile
status: Complete
type: Subject List
measure: NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)
date: 2022-09-01 23:59:59+0000
reporter: Organization Example NHSN Submitter
period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000
group
DEQM Measure Scoring Extension: Cohort
Populations
- Code Count SubjectResults
* Initial Population 4 List for 'Unspecified List Type' for 'Unspecified Subject'

Profile: NHSN Individual MeasureReport List
Mode: Snapshot List Status: Current
Items
MeasureReport: extension = Cohort,->ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing),->Condition Shortness of breath,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000,->Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition COVID-19,->MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000,->Procedure Intubation of respiratory tract (procedure); identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills,->Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition Influenza due to identified novel influenza A virus,->MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-01-06 00:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = Cohort,->ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, )),->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); 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,->Coverage: status = active; relationship = Self,->Condition Respiratory syncytial virus as the cause of diseases classified elsewhere,->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,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); 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,->MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation Respiratory syncytial virus Ag [Presence] in Throat,->ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat,->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 = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement

Entry 5 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-initialpopulationpass

Resource MeasureReport:

Profile: DEQM Individual MeasureReport Profile
DEQM Measure Scoring Extension: Cohort
Extension Definition for MeasureReport.supplementalData for Version 5.0: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing
Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing)
Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition Shortness of breath
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection
Extension Definition for MeasureReport.supplementalData for Version 5.0: ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection
Extension Definition for MeasureReport.supplementalData for Version 5.0: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000
identifier: http://example.org/fhir/measurereport/id/123456789-pass1
status: Complete
type: Individual
measure: NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)
subject: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
date: 2024-02-05 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
- Code Count
* Initial Population 1
evaluatedResource:
ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing
Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing)
Condition Shortness of breath
MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000
MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000
Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection
ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection
Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 6 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-initialpopulationpass

Resource Patient:

Profile: Cross-Measure Patient Profile
ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
Active: true Deceased: false
Contact Detail
ph: 999-999-9999(Home)
123 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
ombCategory: Race & Ethnicity - CDC: 2186-5 (Not Hispanic or Latino)
text: Non Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: Race & Ethnicity - CDC: 1002-5 (American Indian or Alaska Native)
text: Asian

Entry 7 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-1

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987 (use: usual, )
status: completed
class: emergency
type: Emergency hospital admission
subject: ACHDaily, InitialPopulationPass
location
location: EMERGENCY - PAVILION
period: 2022-08-17 16:25:00+0000 --> 2022-08-17 17:01:00+0000
location
location: Health Hospital Location
period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

Entry 8 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-2

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987 (use: usual, )
status: completed
class: inpatient encounter
type: Medical consultation on hospital inpatient
subject: ACHDaily, InitialPopulationPass
Locations
- Location Period
* Inpatient Hospital Ward 2024-01-14 09:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 9 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-initialpopulationpass

Resource Coverage:

identifier: Member Number/88800933501
status: Active
type: MEDICARE
subscriberId: 123456789
beneficiary: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
relationship: Self
period: 2008-07-01 --> (ongoing)
Classes
- Type Value Name
* Medicare Medicare Medicare

Entry 10 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-initialpopulationpass

Resource Condition:

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Hyperglycemia
subject: ACHDaily, InitialPopulationPass
encounter: Emergency

Entry 11 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, InitialPopulationPass
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Dosages
- Text Route Dose
* Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 Intravenous use 200 mg (Details: UCUM codemg = 'mg')

Entry 12 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass

Resource MedicationRequest:

Profile: ACH Daily Event Medication Request
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002 (use: usual, )
status: Completed
intent: Order
category: Inpatient
subject: ACHDaily, InitialPopulationPass
encounter: Hospital Encounter
authoredOn: 2024-01-14 21:30:15+0000
requester: Faculty Physician Um_Cln, MD
recorder: Faculty Physician Um_Cln, MD
courseOfTherapyType: Short course (acute) therapy
DosageInstructions
- Text Timing Route
* Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 Code , 4 per 1 day Intravenous

Entry 13 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, InitialPopulationPass
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Dosages
- Text Route Dose
* Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 Intravenous use 100 mg (Details: UCUM codemg = 'mg')

Entry 14 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-initialpopulationpass

Resource Observation:

Profile: ACH Daily Event Lab Result Observation
status: Final
category: Laboratory
code: SARS-CoV-2 RNA Resp Ql NAA+probe
subject: ACHDaily, InitialPopulationPass
encounter: Hospital Encounter
effective: 2023-01-01 15:04:25+0000
issued: 2023-01-01 15:04:25+0000
value: Positive
specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 15 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid

Resource ServiceRequest:

Profile: ACH Daily Event ServiceRequest
identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection)
quantity: 1
subject: ACHDaily InitialPopulationPass
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-01-01 17:22:00-0500
specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 16 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-initialpopulationpass

Resource Specimen:

Profile: ACH Daily Event Specimen
type: Nasal fluid specimen (specimen)
subject: ACHDaily, InitialPopulationPass
receivedTime: 2024-01-01 08:30:00+0000
Collections
- Collected[x] BodySite
* 2024-01-01 09:00:00+0000 No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 17 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-negativepcr

Resource MeasureReport:

Profile: DEQM Individual MeasureReport Profile
DEQM Measure Scoring Extension: Cohort
Extension Definition for MeasureReport.supplementalData for Version 5.0: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath
Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)
Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition COVID-19
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Extension Definition for MeasureReport.supplementalData for Version 5.0: Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Extension Definition for MeasureReport.supplementalData for Version 5.0: Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Extension Definition for MeasureReport.supplementalData for Version 5.0: ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Extension Definition for MeasureReport.supplementalData for Version 5.0: ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Extension Definition for MeasureReport.supplementalData for Version 5.0: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: Procedure Intubation of respiratory tract (procedure)
identifier: http://example.org/fhir/measurereport/id/123456789-pass1
status: Complete
type: Individual
measure: NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)
subject: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
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
- Code Count
* Initial Population 1
evaluatedResource:
ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath
Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)
Condition COVID-19
MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000
MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1
Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000
Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000
Procedure Intubation of respiratory tract (procedure)

Entry 18 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-negativepcr

Resource Patient:

Profile: Cross-Measure Patient Profile
ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
Active: true Deceased: false
Contact Detail
ph: 999-999-9999(Home)
456 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
ombCategory: Race & Ethnicity - CDC: 2186-5 (Not Hispanic or Latino)
text: Non Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: Race & Ethnicity - CDC: 2028-9 (Asian)
text: Asian

Entry 19 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-1

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789986 (use: usual, )
status: completed
class: Observation Encounter
type: Hospital admission (procedure)
subject: ACHDaily, NegativePCR
location
location: EMERGENCY - PAVILION
period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000
location
location: Health Hospital Location
period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

Entry 20 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-2

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789986 (use: usual, )
status: completed
class: Inpatient Encounter
type: Hospital admission (procedure)
subject: ACHDaily, NegativePCR
location
location: EMERGENCY - PAVILION
period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000
location
location: Health Hospital Location
period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

Entry 21 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-negativepcr

Resource Coverage:

identifier: Member Number/88800933501
status: Active
type: MEDICAID
subscriberId: 123456789
beneficiary: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
relationship: Self
period: 2023-01-01 --> (ongoing)
Classes
- Type Value Name
* Medicaid Medicaid Medicaid

Entry 22 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-negativepcr

Resource Condition:

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: COVID-19
subject: ACHDaily, NegativePCR
encounter: Inpatient

Entry 23 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-negativepcr

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, NegativePCR
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy
Dosages
- Text Route Dose
* Take Molnupiravir 200 mg 4 capsules by mouth twice a day x 5 days Capsule 200 mg (Details: UCUM codemg = 'mg')

Entry 24 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-negativepcr

Resource MedicationRequest:

Profile: ACH Daily Event Medication Request
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002 (use: usual, )
status: Completed
intent: Order
category: Inpatient
subject: ACHDaily, NegativePCR
encounter: Hospital Encounter
authoredOn: 2024-01-02 21:30:15+0000
requester: Faculty Physician Um_Cln, MD
recorder: Faculty Physician Um_Cln, MD
courseOfTherapyType: Short course (acute) therapy
DosageInstructions
- Text Timing Route
* Molnupiravir 200 mg: Take 4 capsules by mouth twice a day x 5 days Code , 4 per 5 days Oral use

Entry 25 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-1

Resource Observation:

Profile: ACH Daily Event Lab Result Observation
status: Final
category: Laboratory
code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)
subject: ACHDaily, NegativePCR
encounter: Hospital Encounter
effective: 2023-01-01 08:30:00+0000
issued: 2023-01-01 08:30:00+0000
value: Positive
specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 26 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-2

Resource Observation:

Profile: ACH Daily Event Lab Result Observation
status: Final
category: Laboratory
code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)
subject: ACHDaily, NegativePCR
encounter: Hospital Encounter
effective: 2023-01-02 15:30:00+0000
issued: 2023-01-02 15:30:00+0000
value: Negative
specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Entry 27 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1

Resource ServiceRequest:

Profile: ACH Daily Event ServiceRequest
identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1)
quantity: 1
subject: ACHDaily NegativePCR
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-01-01 17:22:00-0500
specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 28 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2

Resource ServiceRequest:

Profile: ACH Daily Event ServiceRequest
identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1)
quantity: 1
subject: ACHDaily NegativePCR
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 = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Entry 29 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-1

Resource Specimen:

Profile: ACH Daily Event Specimen
type: Nasal fluid specimen (specimen)
subject: ACHDaily, NegativePCR
receivedTime: 2024-01-01 08:30:00+0000
Collections
- Collected[x] BodySite
* 2024-01-01 09:00:00+0000 No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 30 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-2

Resource Specimen:

Profile: ACH Daily Event Specimen
type: Nasal fluid specimen (specimen)
subject: ACHDaily, NegativePCR
receivedTime: 2024-01-02 16:30:00+0000
Collections
- Collected[x] BodySite
* 2024-01-02 15:45:00+0000 No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 31 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-daily-negativepcr-intubation

Resource Procedure:

Profile: ACH Daily Event Procedure
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352 (use: usual, )
status: Completed
code: Intubation of respiratory tract (procedure)
subject: ACHDaily NegativePCR
encounter: Hospital Admission

Entry 32 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-influenzatherapeutic

Resource MeasureReport:

Profile: DEQM Individual MeasureReport Profile
DEQM Measure Scoring Extension: Cohort
Extension Definition for MeasureReport.supplementalData for Version 5.0: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills
Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)
Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition Influenza due to identified novel influenza A virus
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy
Extension Definition for MeasureReport.supplementalData for Version 5.0: Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true
identifier: http://example.org/fhir/measurereport/id/123456789-pass1
status: Complete
type: Individual
measure: NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)
subject: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
date: 2024-01-06 00:04:29+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
- Code Count
* Initial Population 1
evaluatedResource:
ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills
Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)
Condition Influenza due to identified novel influenza A virus
MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000
MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy
Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true

Entry 33 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-influenzatherapeutic

Resource Patient:

Profile: Cross-Measure Patient Profile
ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
Active: true Deceased: false
Contact Detail
ph: 999-999-9999(Home)
789 Alphabet Street Lansing MI 48864 US (home)
mother:
Mama Bear
789 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
ombCategory: Race & Ethnicity - CDC: 2135-2 (Hispanic or Latino)
text: Hispanic or Latino
US Core Birth Sex Extension M
US Core Race Extension:
ombCategory: Race & Ethnicity - CDC: 2054-5 (Black or African American)
text: Black or African American

Entry 34 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-influenzatherapeutic

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987 (use: usual, )
status: completed
class: Inpatient Acute
type: Emergency hospital admission
subject: ACHDaily, InfluenzaTherapeutic
Locations
- Location Period
* EMERGENCY - PAVILION 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 35 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-influenzatherapeutic

Resource Coverage:

identifier: Member Number/88800933501
status: Active
type: PPO
subscriberId: 123456789
beneficiary: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
relationship: Self
period: 2023-01-01 --> (ongoing)
Classes
- Type Value Name
* PPO United Healthcare United Healthcare

Entry 36 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic

Resource Condition:

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Influenza Type A
subject: ACHDaily, InfluenzaTherapeutic
encounter: Inpatient

Entry 37 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, InfluenzaTherapeutic
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy
Dosages
- Text Route Dose
* Oseltamivir 60 mg PO twice daily x 5 days Capsule 60 mg (Details: UCUM codemg = 'mg')

Entry 38 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic

Resource MedicationRequest:

Profile: ACH Daily Event Medication Request
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002 (use: usual, )
status: Completed
intent: Order
category: Inpatient
subject: ACHDaily, InfluenzaTherapeutic
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
- Text Timing Route
* Oseltamivir 60 mg PO twice daily x 5 days Code , 2 per 5 days Oral use

Entry 39 - fullUrl = http://nhsnlink.org/fhir/Immunization/immunization-example-ach-daily-influenzatherapeutic

Resource Immunization:

identifier: Uniform Resource Identifier (URI)/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234
status: Completed
vaccineCode: Fluvax
lotNumber: AAJN11K
expirationDate: 2025-02-15
patient: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
encounter: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills
occurrence: 2024-01-02
primarySource: true
doseQuantity: 5 mg (Details: UCUM codemg = 'mg')
note:
Notes on administration of vaccine

isSubpotent: true

Entry 40 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-rsvlabbtg

Resource MeasureReport:

Profile: DEQM Individual MeasureReport Profile
DEQM Measure Scoring Extension: Cohort
Extension Definition for MeasureReport.supplementalData for Version 5.0: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))
Extension Definition for MeasureReport.supplementalData for Version 5.0: Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); 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
Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: status = active; relationship = Self
Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition Respiratory syncytial virus as the cause of diseases classified elsewhere
Extension Definition for MeasureReport.supplementalData for Version 5.0: 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
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); 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
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000
Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy
Extension Definition for MeasureReport.supplementalData for Version 5.0: Observation Respiratory syncytial virus Ag [Presence] in Throat
Extension Definition for MeasureReport.supplementalData for Version 5.0: ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat
Extension Definition for MeasureReport.supplementalData for Version 5.0: 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: null2.0.0-cibuild)
subject: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))
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
- Code Count
* Initial Population 1
evaluatedResource:
ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))
Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); 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
Coverage: status = active; relationship = Self
Condition Respiratory syncytial virus as the cause of diseases classified elsewhere
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
MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); 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
MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000
MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy
Observation Respiratory syncytial virus Ag [Presence] in Throat
ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat
Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

Entry 41 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg

Resource Patient:

Profile: Cross-Measure Patient Profile
ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))
Active: true Deceased: 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:
ombCategory: Race & Ethnicity - CDC: 2186-5 (Not Hispanic or Latino)
text: Non Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: Race & Ethnicity - CDC: 2076-8 (Native Hawaiian or Other Pacific Islander)
text: Native Hawaiian or Other Pacific Islander

Entry 42 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg

Resource Encounter:

Profile: ACH Daily Event Encounter
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/123456789987 (use: usual, )
status: completed
class: Short Stay
type: Emergency hospital admission
subject: ACHDaily, rsvlabbtg
Locations
- Location Period
* EMERGENCY - PAVILION 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 43 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-rsvlabbtg

Resource Coverage:

status: Active
beneficiary: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))
relationship: Self

Entry 44 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-rsvlabbtg

Resource Condition:

Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: RSV
subject: ACHDaily, RSVLabBTG
encounter: Inpatient

Entry 45 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, RSVLabBTG
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); 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
- Text Route Dose
* Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6 Oral route 6 g (Details: UCUM codeg = 'g')

Entry 46 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1

Resource MedicationRequest:

Profile: ACH Daily Event Medication Request
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002 (use: usual, )
status: Completed
intent: Order
category: Inpatient
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
- Text Timing Route
* Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6 Code , Once per 6 hours Oral use

Entry 47 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2

Resource MedicationAdministration:

Profile: ACH Daily Event Medication Administration
status: completed
subject: ACHDaily, RSVLabBTG
request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); 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
- Text Route Dose
* Nasal Saline spray, one spray each nostril QID Nasal use 1 U (Details: UCUM codeU = 'U')

Entry 48 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2

Resource MedicationRequest:

Profile: ACH Daily Event Medication Request
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101903002 (use: usual, )
status: Completed
intent: Order
category: Inpatient
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
- Text Timing Route
* Nasal Saline spray, one spray each nostril QID Code , Once Nasal use

Entry 49 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg

Resource Observation:

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

Entry 50 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv

Resource ServiceRequest:

Profile: ACH Daily Event ServiceRequest
identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Respiratory syncytial virus Ag [Presence] in 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

Entry 51 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-rsvlabbtg

Resource Specimen:

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+0000 No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 52 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-initialpopulationpass

Resource Medication:

Profile: ACH Daily Event Medication
Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3
code: remdesivir 200 MG IV
status: Active
ingredient

Entry 53 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-negativepcr

Resource Medication:

Profile: ACH Daily Event Medication
Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3
code: molnupiravir 200 MG Oral Capsule
status: Active
ingredient

Entry 54 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-influenzatherapeutic

Resource Medication:

Profile: ACH Daily Event Medication
Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3
code: remdesivir 100 MG Injection
status: Active
ingredient

Entry 55 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-rsvlabbtg-1

Resource Medication:

Profile: ACH Daily Event Medication
Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3
code: Ribavirin inhalation solution 6g/vial via nebulizer
status: Active
ingredient

Entry 56 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-rsvlabbtg-2

Resource Medication:

Profile: ACH Daily Event Medication
Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3
code: Nasal Saline spray
status: Active
ingredient

Entry 57 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-emergency

Resource Location:

Profile: ACH Daily Event Location
identifier: urn:oid:2.16.840.1.113883.19.5.1.6869/100001090 (use: usual, )
name: EMERGENCY - PAVILION
alias: ED, EDPAV
mode: Instance
type: Emergency Department
address: 2315 Stockton Boulevard Sacramento CALIFORNIA 95817-2201

Entry 58 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-hospital

Resource Location:

Profile: ACH Daily Event Location
identifier: urn:oid:2.16.840.1.113883.19.5.1.6865/100 (use: usual, )
name: Health Hospital Location
mode: Instance
type: Hospital
address: 2315 Stockton Blvd Sacramento CALIFORNIA 95817

Entry 59 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-inpatient

Resource Location:

Profile: ACH Daily Event Location
identifier: http://www.example.org/location/2935
status: Active
name: ACH Daily Inpatient Hospital Ward
description:
ACH Daily Inpatient Hospital Ward

type: Medical ward

Date: 2021-07-28 00:00:00+0000	Mode: Change List	Status: Current