CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
3.0.0 - Release 3 - draft United States of America flag

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Example ACH Daily Submission Influenza Therapeutic Bundle

Bundle bundle-example-ach-daily-subject-influenzatherapeutic of type collection

Entry 1 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-influenzatherapeutic

Resource MeasureReport:

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#ACUTE); type = Emergency hospital admission; 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: EMERGENCY - SYNTHETIC-001 (Emergency Department) (urn:oid:2.16.840.1.113883.19.5.1.6869#100001090 (use: usual))

Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: identifier = Member Number: 88800933501; status = active; type = PPO; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition Influenza Type A

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 = Influenza, seasonal, injectable, preservative free; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true

DEQM Measure Scoring Extension: Cohort

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

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Population version: 3.0.0

subject: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual))

date: 2024-01-06 00:04:29+0000

reporter: Example NHSN Submitter (Healthcare Provider) (https://www.cdc.gov/nhsn/OrgID#ExampleNHSNSubmitterOrgID)

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

group

Populations

-CodeCount
*Initial Population1

evaluatedResource:

Entry 2 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-influenzatherapeutic

Resource Patient:

ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual))

Active:trueDeceased: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:
US Core Birth Sex ExtensionM
US Core Race Extension:

Entry 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-influenzatherapeutic

Resource 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

-LocationPeriod
*ED-SYNTH-0012024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 4 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-emergency

Resource Location:

EMERGENCY - SYNTHETIC-001 (Emergency Department) (urn:oid:2.16.840.1.113883.19.5.1.6869#100001090 (use: usual))

Mode:Instance
Alias:
  • ED
  • EDSYNTH
Type:Emergency Department
Address:1234 1st Street Anytown CALIFORNIA 12345-6789
Contact Detail
  • ph: 555-555-1234
  • fax: 555-555-5678

Entry 5 - 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

-TypeValueName
*PPO01X34765Primary emp group

Entry 6 - 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 7 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic

Resource MedicationAdministration:

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

-TextRouteDose
*Oseltamivir 60 mg PO twice daily x 5 daysOral route60 mg (Details: UCUM codemg = 'mg')

Entry 8 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic

Resource MedicationRequest:

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: Staff Physician, MD

recorder: Staff Physician, MD

courseOfTherapyType: Short course (acute) therapy

dosageInstruction

Entry 9 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-influenzatherapeutic

Resource Medication:

Original Resource ID: eZeW55xkBH0DrR0Xj004fNlA99h1sjXKwuhGs.PNpjjUi.Dh2-U-oGW0c9xZjPn2b29S.YZMgFiH.76i57tFS1PARcjzOMkC6TPHQQXiH6vA3

code: remdesivir 100 MG Injection

status: Active

ingredient

Entry 10 - 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: Influenza, seasonal, injectable, preservative free

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#ACUTE); type = Emergency hospital admission; 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 11 - fullUrl = http://nhsnlink.org/fhir/Organization/organization-coverage-example-nationfirst

Resource Organization:

Profile: US Core Organization Profile version: 6.1.0

Nation First Health Care

Active:true