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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-example-ltc-monthly-header"/>
  <meta>
    <profile
             value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a7336a"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2024-02-05T21:04:29.481+00:00"/>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization"/>
    <resource>
      <Organization>
        <id value="organization-example-submitting-organization"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="https://www.cdc.gov/nhsn/OrgID"/>
          <value value="ExampleNHSNSubmitterOrgID"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="Example NHSN Submitter"/>
        <telecom>
          <system value="phone"/>
          <value value="5555555551"/>
          <rank value="1"/>
        </telecom>
        <address>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="unknown"/>
          </extension>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/Device/device-example-submitting-device"/>
    <resource>
      <Device>
        <id value="device-example-submitting-device"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <deviceName>
          <name value="NHSN Link"/>
          <type value="model-name"/>
        </deviceName>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="0.9.0"/>
        </version>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="20230713.1"/>
        </version>
        <version>
          <component>
            <value value="api"/>
          </component>
          <value value="3f9662a8"/>
        </version>
        <version>
          <component>
            <value value="cqf-ruler"/>
          </component>
          <value value="0.13.0"/>
        </version>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/List/list-example-ltc-monthly-patients-of-interest"/>
    <resource>
      <List>
        <id value="list-example-ltc-monthly-patients-of-interest"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: 1601191945010308 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ltc-monthly-uti.html">UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))</a></td></tr></table></div>
        </text>
        <identifier>
          <system value="https://nhsnlink.org"/>
          <value value="NHSNdQMLongTermCareInitialPopulation"/>
        </identifier>
        <status value="current"/>
        <mode value="changes"/>
        <date value="2025-07-28T00:00:00Z"/>
        <entry>
          <item>🔗 
            <reference value="Patient/patient-example-ltc-monthly-pneumonia"/>
          </item>
        </entry>
        <entry>
          <item>🔗 
            <reference value="Patient/patient-example-ltc-monthly-uti"/>
          </item>
        </entry>
      </List>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ltc-monthly-subjectlist"/>
    <resource>
      <MeasureReport>
        <id value="measurereport-example-ltc-monthly-subjectlist"/>
        <meta>
          <extension
                     url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension">
            <valueDateTime value="2023-05-23T06:07:08Z"/>
          </extension>
          <profile
                   value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: 1601191945010308 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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: 1601191901018808 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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 (use: usual, ); 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>
        </text>
        <contained>
          <List>
            <id
                value="list-example-ltc-monthly-individual-measurereport-list"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"/>
            </meta>
            <status value="current"/>
            <mode value="snapshot"/>
            <entry>
              <item>🔗 
                <reference
                           value="MeasureReport/measurereport-example-ltc-monthly-pneumonia"/>
              </item>
            </entry>
            <entry>
              <item>🔗 
                <reference
                           value="MeasureReport/measurereport-example-ltc-monthly-uti"/>
              </item>
            </entry>
          </List>
        </contained>
        <status value="complete"/>
        <type value="subject-list"/>
        <measure
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|2.0.0-cibuild"/>
        <date value="2022-09-01T23:59:59+00:00"/>
        <reporter>🔗 
          <reference
                     value="Organization/organization-example-submitting-organization"/>
        </reporter>
        <period>
          <start value="2022-08-01T00:00:00+00:00"/>
          <end value="2022-08-31T23:59:59+00:00"/>
        </period>
        <group>
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                <code value="cohort"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="4"/>
            <subjectResults>
              <reference
                         value="#list-example-ltc-monthly-individual-measurereport-list"/>
            </subjectResults>
          </population>
        </group>
      </MeasureReport>
    </resource>
  </entry>
</Bundle>