CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-example-ach-daily-header"/>
<meta>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a7336a"/>
</identifier>
<type value="collection"/>
<timestamp value="2024-02-05T21:04:29.481+00:00"/>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization"/>
<resource>
<Organization>
<id value="organization-example-submitting-organization"/>
<meta>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-example-submitting-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name="organization-example-submitting-organization"> </a><a name="hcorganization-example-submitting-organization"> </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="StructureDefinition-nhsn-submitting-organization.html">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>
</text>
<identifier>
<system value="https://www.cdc.gov/nhsn/OrgID"/>
<value value="ExampleNHSNSubmitterOrgID"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Example NHSN Submitter"/>
<telecom>
<system value="phone"/>
<value value="5555555551"/>
<rank value="1"/>
</telecom>
<address>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/Device/device-example-submitting-device"/>
<resource>
<Device>
<id value="device-example-submitting-device"/>
<meta>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-submitting-device"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name="device-example-submitting-device"> </a><a name="hcdevice-example-submitting-device"> </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="StructureDefinition-nhsn-submitting-device.html">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>
</text>
<deviceName>
<name value="NHSN Link"/>
<type value="model-name"/>
</deviceName>
<version>
<component>
<value value="api"/>
</component>
<value value="0.9.0"/>
</version>
<version>
<component>
<value value="api"/>
</component>
<value value="20230713.1"/>
</version>
<version>
<component>
<value value="api"/>
</component>
<value value="3f9662a8"/>
</version>
<version>
<component>
<value value="cqf-ruler"/>
</component>
<value value="0.13.0"/>
</version>
</Device>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/List/list-example-ach-daily-patients-of-interest"/>
<resource>
<List>
<id value="list-example-ach-daily-patients-of-interest"/>
<meta>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="List_list-example-ach-daily-patients-of-interest"> </a><p class="res-header-id"><b>Generated Narrative: List list-example-ach-daily-patients-of-interest</b></p><a name="list-example-ach-daily-patients-of-interest"> </a><a name="hclist-example-ach-daily-patients-of-interest"> </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="StructureDefinition-poi-list.html">Patients-Of-Interest List</a></p></div><table class="clstu"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="Patient-patient-example-ach-daily-initialpopulationpass.html">ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-negativepcr.html">ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-influenzatherapeutic.html">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-rsvlabbtg.html">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></td></tr></table></div>
</text>
<identifier>
<system value="https://nhsnlink.org"/>
<value value="NHSNdQMAcuteCareHospitalInitialPopulation"/>
</identifier>
<status value="current"/>
<mode value="changes"/>
<date value="2021-07-28T00:00:00Z"/>
<entry>
<item>🔗
<reference
value="Patient/patient-example-ach-daily-initialpopulationpass"/>
</item>
</entry>
<entry>
<item>🔗
<reference value="Patient/patient-example-ach-daily-negativepcr"/>
</item>
</entry>
<entry>
<item>🔗
<reference
value="Patient/patient-example-ach-daily-influenzatherapeutic"/>
</item>
</entry>
<entry>
<item>🔗
<reference value="Patient/patient-example-ach-daily-rsvlabbtg"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl
value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-subjectlist"/>
<resource>
<MeasureReport>
<id value="measurereport-example-ach-daily-subjectlist"/>
<meta>
<extension
url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension">
<valueDateTime value="2023-05-23T06:07:08Z"/>
</extension>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-ach-daily-subjectlist"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-ach-daily-subjectlist</b></p><a name="measurereport-example-ach-daily-subjectlist"> </a><a name="hcmeasurereport-example-ach-daily-subjectlist"> </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="StructureDefinition-subjectlist-measurereport.html">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</p><p><b>measure</b>: <a href="Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html">NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)</a></p><p><b>period</b>: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000</p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td><td><b>SubjectResults</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>4</td><td><a href="#hcmeasurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: List #list-example-ach-daily-individual-measurereport-list</b></p><a name="measurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list"> </a><a name="hcmeasurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list"> </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="StructureDefinition-ip-measurereport-list.html">NHSN Individual MeasureReport List</a></p></div><table class="clstu"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-initialpopulationpass.html">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|1.0.0-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</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-negativepcr.html">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|1.0.0-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</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-influenzatherapeutic.html">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|1.0.0-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</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-rsvlabbtg.html">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|1.0.0-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</a></td></tr></table></blockquote></div>
</text>
<contained>
<List>
<id value="list-example-ach-daily-individual-measurereport-list"/>
<meta>
<profile
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"/>
</meta>
<status value="current"/>
<mode value="snapshot"/>
<entry>
<item>🔗
<reference
value="MeasureReport/measurereport-example-ach-daily-initialpopulationpass"/>
</item>
</entry>
<entry>
<item>🔗
<reference
value="MeasureReport/measurereport-example-ach-daily-negativepcr"/>
</item>
</entry>
<entry>
<item>🔗
<reference
value="MeasureReport/measurereport-example-ach-daily-influenzatherapeutic"/>
</item>
</entry>
<entry>
<item>🔗
<reference
value="MeasureReport/measurereport-example-ach-daily-rsvlabbtg"/>
</item>
</entry>
</List>
</contained>
<status value="complete"/>
<type value="subject-list"/>
<measure
value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild"/>
<period>
<start value="2022-08-01T00:00:00+00:00"/>
<end value="2022-08-31T23:59:59+00:00"/>
</period>
<group>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="4"/>
<subjectResults>
<reference
value="#list-example-ach-daily-individual-measurereport-list"/>
</subjectResults>
</population>
</group>
</MeasureReport>
</resource>
</entry>
</Bundle>