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 LTC Monthly Submission Header Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-example-ltc-monthly-header",
  "meta" : {
    "profile" : [
      🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a7336a"
  },
  "type" : "collection",
  "timestamp" : "2024-02-05T21:04:29.481+00:00",
  "entry" : [
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-example-submitting-organization",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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=\"http://hl7.org/fhir/us/nhsn-dqm/STU1/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>"
        },
        "identifier" : [
          {
            "system" : "https://www.cdc.gov/nhsn/OrgID",
            "value" : "ExampleNHSNSubmitterOrgID"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "Example NHSN Submitter",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "5555555551",
            "rank" : 1
          }
        ],
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/Device/device-example-submitting-device",
      "resource" : {
        "resourceType" : "Device",
        "id" : "device-example-submitting-device",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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=\"http://hl7.org/fhir/us/nhsn-dqm/STU1/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>"
        },
        "deviceName" : [
          {
            "name" : "NHSN Link",
            "type" : "model-name"
          }
        ],
        "version" : [
          {
            "component" : {
              "value" : "api"
            },
            "value" : "0.9.0"
          },
          {
            "component" : {
              "value" : "api"
            },
            "value" : "20230713.1"
          },
          {
            "component" : {
              "value" : "api"
            },
            "value" : "3f9662a8"
          },
          {
            "component" : {
              "value" : "cqf-ruler"
            },
            "value" : "0.13.0"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/List/list-example-ltc-monthly-patients-of-interest",
      "resource" : {
        "resourceType" : "List",
        "id" : "list-example-ltc-monthly-patients-of-interest",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_list-example-ltc-monthly-patients-of-interest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List list-example-ltc-monthly-patients-of-interest</b></p><a name=\"list-example-ltc-monthly-patients-of-interest\"> </a><a name=\"hclist-example-ltc-monthly-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=\"http://hl7.org/fhir/us/nhsn-dqm/STU1/StructureDefinition-poi-list.html\">Patients-Of-Interest List</a></p></div><table class=\"clstu\"><tr><td>Date: 2025-07-28 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-ltc-monthly-pneumonia.html\">Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN:\u00a01601191945010308\u00a0(use:\u00a0usual,\u00a0))</a></td></tr><tr><td><a href=\"Patient-patient-example-ltc-monthly-uti.html\">UTI LTC(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901018808\u00a0(use:\u00a0usual,\u00a0))</a></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://nhsnlink.org",
            "value" : "NHSNdQMLongTermCareInitialPopulation"
          }
        ],
        "status" : "current",
        "mode" : "changes",
        "date" : "2025-07-28T00:00:00Z",
        "entry" : [
          {
            "item" : {
              🔗 "reference" : "Patient/patient-example-ltc-monthly-pneumonia"
            }
          },
          {
            "item" : {
              🔗 "reference" : "Patient/patient-example-ltc-monthly-uti"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ltc-monthly-subjectlist",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "measurereport-example-ltc-monthly-subjectlist",
        "meta" : {
          "extension" : [
            {
              "url" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension",
              "valueDateTime" : "2023-05-23T06:07:08Z"
            }
          ],
          "profile" : [
            🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ltc-monthly-subjectlist\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ltc-monthly-subjectlist</b></p><a name=\"measurereport-example-ltc-monthly-subjectlist\"> </a><a name=\"hcmeasurereport-example-ltc-monthly-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: null2.0.0-cibuild)</a></p><p><b>date</b>: 2022-09-01 23:59:59+0000</p><p><b>reporter</b>: <a href=\"Organization-organization-example-submitting-organization.html\">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2022-08-01 00:00:00+0000 --&gt; 2022-08-31 23:59:59+0000</p><blockquote><p><b>group</b></p><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></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-ltc-monthly-subjectlist/list-example-ltc-monthly-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-ltc-monthly-individual-measurereport-list</b></p><a name=\"measurereport-example-ltc-monthly-subjectlist/list-example-ltc-monthly-individual-measurereport-list\"> </a><a name=\"hcmeasurereport-example-ltc-monthly-subjectlist/list-example-ltc-monthly-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-ltc-monthly-pneumonia.html\">MeasureReport: extension = Cohort,-&gt;Pneumonia LTC(official) Female, DoB: 1945-12-22 ( MRN:\u00a01601191945010308\u00a0(use:\u00a0usual,\u00a0)),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2025-02-01 16:02:00-0500 --&gt; 2025-02-08 19:00:00-0500; reasonCode = Weakness,-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251\u00a0(use:\u00a0usual,\u00a0); status = in-progress; class = inpatient non-acute (ActCode[9.0.0]#NONAC); type = Subsequent nursing facility visit (procedure); period = 2025-02-08 16:02:00-0500 --&gt; 2025-02-11 19:00:00-0500; reasonCode = Pneumonia, unspecified organism,-&gt;Coverage: identifier = Member Number: 335522612; status = active; type = subsidized health program; subscriberId = 123123123123; relationship = Child; period = 2020-08-01 --&gt; (ongoing),-&gt;Condition Pneumonia, unspecified organism,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; effective[x] = 2024-01-31 04:54:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; effective[x] = 2024-02-02 14:34:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892\u00a0(use:\u00a0usual,\u00a0); status = active; intent = plan; category = Outpatient; medication[x] = -&gt;Amoxicillin 1000 MG; authoredOn = 2024-01-31 04:46:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Levofloxacin 500 MG; authoredOn = 2024-02-02 13:43:00-0500,-&gt;Medication amoxicillin 1000 MG,-&gt;Medication levofloxacin 500 MG Oral Tablet; identifier = http://example.org/fhir/measurereport/id#123456789-pneumonia; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-ltc-monthly-uti.html\">MeasureReport: extension = Cohort,-&gt;UTI LTC(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901018808\u00a0(use:\u00a0usual,\u00a0)),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient non-acute (ActCode[9.0.0]#NONAC); type = Subsequent nursing facility visit (procedure); period = 2025-02-01 16:02:00-0500 --&gt; 2029-02-08 19:00:00-0500; reasonCode = Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety,-&gt;Coverage: identifier = Member Number: 335522612; status = active; type = military health program; subscriberId = 123123123123; relationship = Child; period = 2020-08-01 --&gt; (ongoing),-&gt;Condition Pneumonia, unspecified organism,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;ceftriaxone 1000 MG Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; priority = stat; medication[x] = -&gt;ceftriaxone 1 G Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942\u00a0(use:\u00a0usual,\u00a0); status = completed; category = Inpatient; medication[x] = -&gt;Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet; effective[x] = 2024-02-01 12:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894\u00a0(use:\u00a0usual,\u00a0); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet; authoredOn = 2024-02-01 12:00:00-0500,-&gt;Observation Urinalysis complete W Reflex Culture panel - Urine,-&gt;ServiceRequest Urinalysis complete W Reflex Culture panel - Urine,-&gt;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 = Urine specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500,-&gt;Medication ceftriaxone 1000 MG Injection,-&gt;Medication sulfamethoxazole 800 MG / trimethoprim 160 MG Oral Tablet; identifier = http://example.org/fhir/measurereport/id#123456789-uti; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "List",
            "id" : "list-example-ltc-monthly-individual-measurereport-list",
            "meta" : {
              "profile" : [
                🔗 "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"
              ]
            },
            "status" : "current",
            "mode" : "snapshot",
            "entry" : [
              {
                "item" : {
                  🔗 "reference" : "MeasureReport/measurereport-example-ltc-monthly-pneumonia"
                }
              },
              {
                "item" : {
                  🔗 "reference" : "MeasureReport/measurereport-example-ltc-monthly-uti"
                }
              }
            ]
          }
        ],
        "status" : "complete",
        "type" : "subject-list",
        "measure" : "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild",
        "date" : "2022-09-01T23:59:59+00:00",
        "reporter" : {
          🔗 "reference" : "Organization/organization-example-submitting-organization"
        },
        "period" : {
          "start" : "2022-08-01T00:00:00+00:00",
          "end" : "2022-08-31T23:59:59+00:00"
        },
        "group" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                      "code" : "cohort"
                    }
                  ]
                }
              }
            ],
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 4,
                "subjectResults" : {
                  "reference" : "#list-example-ltc-monthly-individual-measurereport-list"
                }
              }
            ]
          }
        ]
      }
    }
  ]
}