CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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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: Example ACH Daily Submission Initial Population Pass Bundle

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

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

Resource MeasureReport:

R5: Additional information collected for the report (new): ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): Location EMERGENCY - SYNTHETIC-001

R5: Additional information collected for the report (new): Location Health Hospital Location

R5: Additional information collected for the report (new): Location ACH Daily Inpatient Hospital Ward

R5: Additional information collected for the report (new): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing)

R5: Additional information collected for the report (new): Condition Shortness of breath

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

R5: Additional information collected for the report (new): ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

R5: Additional information collected for the report (new): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

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 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

-CodeCount
*Initial Population1

evaluatedResource:

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

Resource Patient:

ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 123 Alphabet Street Lansing MI 48864 US (home)
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:

Entry 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-1

Resource 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: ED-SYNTH-001

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

Resource 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

-LocationPeriod
*Inpatient Hospital Ward2024-01-14 09:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 5 - 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)

Entry 6 - 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 7 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1

Resource MedicationAdministration:

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

-TextRouteDose
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Intravenous use200 mg (Details: UCUM codemg = 'mg')

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

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, InitialPopulationPass

encounter: Hospital Encounter

authoredOn: 2024-01-14 21:30:15+0000

requester: Staff Physician, MD

recorder: Staff Physician, MD

courseOfTherapyType: Short course (acute) therapy

DosageInstructions

-TextTimingRoute
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Code , 4 per 1 dayIntravenous

Entry 9 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2

Resource MedicationAdministration:

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

-TextRouteDose
*Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5Intravenous use100 mg (Details: UCUM codemg = 'mg')

Entry 10 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-initialpopulationpass

Resource Medication:

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

code: remdesivir 200 MG IV

status: Active

ingredient

Entry 11 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-rsvlabbtg-1

Resource Medication:

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

code: ribavirin 600 MG Oral Tablet

status: Active

ingredient

Entry 12 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ach-daily-rsvlabbtg-2

Resource Medication:

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

code: Nasal Saline spray

status: Active

ingredient

Entry 13 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-initialpopulationpass

Resource 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 14 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid

Resource 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 15 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-initialpopulationpass

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

Entry 16 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-emergency

Resource Location:

identifier: urn:oid:2.16.840.1.113883.19.5.1.6869/100001090 (use: usual, )

name: EMERGENCY - SYNTHETIC-001

alias: ED, EDSYNTH

mode: Instance

type: Emergency Department

address: 1234 1st Street Anytown CALIFORNIA 12345-6789

Entry 17 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-hospital

Resource 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: 1234 1st Street Anytown CALIFORNIA 12345

Entry 18 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ach-daily-inpatient

Resource 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