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 Monthly Submission Header Bundle

Bundle bundle-example-ach-monthly-header of type collection

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

Resource Organization:

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

Active:true
Type:Healthcare Provider
Contact Detail
  • ph: 5555555551

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

Resource Device:

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

Resource List:

Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Items
Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual))
Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual))
Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual))

Entry 4 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1

Resource MeasureReport:

status: Complete

type: Subject List

measure: NHSN dQM Acute Care Hospital Monthly Initial Population version: 3.0.0

date: 2022-08-02 23:59:59+0000

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

period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000

group

DEQM Measure Scoring Extension: Cohort

Populations

-CodeCountSubjectResults
*Initial Population3List for 'Unspecified List Type' for 'Unspecified Subject'

Mode: Snapshot List Status: Current
Items
MeasureReport: extension = ->Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual)),Cohort,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual); status = in-progress; class = inpatient acute (ActCode#ACUTE); type = Hospital Admission; period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever,->ACH Monthly Neonatal Critical Care (Neonatal Critical Care (Level III)) (http://www.example.com/location#2933),->Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing),->Condition Bacteremia,->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual); type = Central venous catheter, device,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual); status = completed; category = Inpatient; medication[x] = vancomycin Injectable Solution; effective[x] = 2024-02-02 14:34:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual); status = completed; intent = order; category = Inpatient; medication[x] = vancomycin Injectable Solution; authoredOn = 2024-02-02 13:43:00-0500,->Observation Bacteria identified in Blood by Culture,->Observation Serratia marcescens DNA,->Observation Gestational age at birth,->Observation Weight,->Procedure Placement procedure (procedure),->Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic,->ServiceRequest Bacteria identified in Blood by Culture,->ServiceRequest Differential panel - Cerebral spinal fluid,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|3.0.0; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = ->Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual)),Cohort,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual); status = triaged; class = emergency (ActCode#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Leg pain, lower right,->Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual); status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital Admission; period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500,->ACH Monthly Emergency Department (Emergency Department) (http://www.example.com/location#2934),->ACH Monthly Inpatient Hospital Ward (Medical ward) (http://www.example.com/location#2935),->Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self,->Condition Diabetes mellitus without complication,->Condition Thrombophlebitis,->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual); type = Graduated compression elastic hosiery,->Diagnostic Report for 'ultrasonography of right lower limb' for '->Pass2 ACH',->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual); status = completed; category = Inpatient Medication; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual); status = active; intent = plan; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual); status = completed; intent = order; category = Inpatient Medication; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual); status = completed; intent = order; category = Inpatient Medication; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual); status = active; intent = plan; category = Home Medication; medication[x] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500,->Observation aPTT,->Observation Glucose,->Observation Glucose,->Observation Hemoglobin A1c,->Observation Bacteria identified in Blood by Culture,->Observation Weight,->Procedure Percutaneous insertion of inferior vena cava filter (procedure),->ServiceRequest aPTT,->ServiceRequest Glucose,->ServiceRequest Hemoglobin A1c,->ServiceRequest Hemoglobin,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|3.0.0; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement
MeasureReport: extension = ->Condition Acute sinusitis,Cohort,->Condition Enterocolitis due to Clostridium difficile,->Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self,->Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual); type = Intermittent venous compression system pump,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual); status = finished; class = inpatient acute (ActCode#ACUTE); type = Critical care visit; period = 2024-02-02 16:43:00-0500 --> 2024-02-03 19:58:00-0500,->Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual); status = in-progress; class = short stay (ActCode#SS); type = Hospital Admission, Elective Procedure; period = 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500; reasonCode = Diarrhea,->ACH Monthly Medical Critical Care (Medical Critical Care) (http://www.example.com/location#2936),->ACH Monthly Medical-Surgical Ward (Medical-Surgical Ward) (http://www.example.com/location#2935),->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual); status = not-done; category = Inpatient Medication; medication[x] = 0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual); status = completed; category = Inpatient Medication; medication[x] = metroNIDAZOLE 500 MG; effective[x] = 2024-02-01 21:02:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual); status = completed; category = Inpatient Medication; medication[x] = metroNIDAZOLE 500 MG; effective[x] = 2024-02-02 21:09:00-0500,->MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual); status = completed; category = Inpatient Medication; medication[x] = metroNIDAZOLE 500 MG; effective[x] = 2024-02-03 09:09:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual); status = active; intent = plan; category = Home Medication; medication[x] = ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual); status = active; intent = order; category = Inpatient Medication; medication[x] = 0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual); status = active; intent = order; category = Inpatient Medication; medication[x] = metroNIDAZOLE 500 MG; authoredOn = 2024-02-01 20:33:00-0500,->Observation C. Diff.,->Observation Height,->Observation Weight,->Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual)),->Procedure Transfusion of red blood cells (procedure),->ServiceRequest C. Diff. toxin,->Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|3.0.0; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement