CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

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

Example Bundle: Example ACH Daily Submission Negative PCR Bundle

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

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

Resource MeasureReport:

DEQM Measure Scoring Extension: Cohort

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition COVID-19

Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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: null1.0.0)

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

-CodeCount
*Initial Population1

evaluatedResource:

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

Resource Patient:

ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 456 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-negativepcr-1

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

Resource 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 5 - 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

-TypeValueName
*MedicaidMedicaidMedicaid

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

Resource MedicationAdministration:

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

-TextRouteDose
*Take Molnupiravir 200 mg 4 capsules by mouth twice a day x 5 daysCapsule200 mg (Details: UCUM codemg = 'mg')

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

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, 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

-TextTimingRoute
*Molnupiravir 200 mg: Take 4 capsules by mouth twice a day x 5 daysCode , 4 per 5 daysOral use

Entry 9 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-1

Resource 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 10 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-2

Resource 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 11 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1

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

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

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

Entry 14 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-2

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

Entry 15 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-daily-negativepcr-intubation

Resource 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