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 LTC Monthly Submission UTI Bundle

Bundle bundle-example-ltc-monthly-subject-uti of type collection

Entry 1 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ltc-monthly-uti

Resource MeasureReport:

DEQM Measure Scoring Extension: Cohort

Extension Definition for MeasureReport.supplementalData for Version 5.0: UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))

Extension Definition for MeasureReport.supplementalData for Version 5.0: 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 --> 2029-02-08 19:00:00-0500; reasonCode = Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

Extension Definition for MeasureReport.supplementalData for Version 5.0: Coverage: identifier = Member Number: 335522612; status = active; type = military health program; subscriberId = 123123123123; relationship = Child; period = 2020-08-01 --> (ongoing)

Extension Definition for MeasureReport.supplementalData for Version 5.0: Condition Pneumonia, unspecified organism

Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->ceftriaxone 1000 MG Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500

Extension Definition for MeasureReport.supplementalData for Version 5.0: 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] = ->ceftriaxone 1 G Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500

Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = ->Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet; effective[x] = 2024-02-01 12:00:00-0500

Extension Definition for MeasureReport.supplementalData for Version 5.0: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet; authoredOn = 2024-02-01 12:00:00-0500

Extension Definition for MeasureReport.supplementalData for Version 5.0: Observation Urinalysis complete W Reflex Culture panel - Urine

Extension Definition for MeasureReport.supplementalData for Version 5.0: ServiceRequest Urinalysis complete W Reflex Culture panel - Urine

Extension Definition for MeasureReport.supplementalData for Version 5.0: 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

Extension Definition for MeasureReport.supplementalData for Version 5.0: Medication ceftriaxone 1000 MG Injection

Extension Definition for MeasureReport.supplementalData for Version 5.0: Medication sulfamethoxazole 800 MG / trimethoprim 160 MG Oral Tablet

identifier: http://example.org/fhir/measurereport/id/123456789-uti

status: Complete

type: Individual

measure: NHSN Acute Care Hospital Daily Initial Populationversion: null2.0.0-cibuild)

subject: UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (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-ltc-monthly-uti

Resource Patient:

UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))

Active:trueDeceased:false
Contact Detail
  • ph: 999-999-9999(Home)
  • 456 Alphabet Street Lansing MI 48864 US (home)
Language:English (United States)
Next-of-Kin:
  • Mom Parent
  • 456 Alphabet Street Lansing MI 48864
US Core Ethnicity Extension:
US Core Birth Sex ExtensionM
US Core Race Extension:

Entry 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ltc-monthly-uti

Resource Encounter:

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104251 (use: usual, )

status: completed

class: inpatient non-acute

type: Long-Term Care Visit

subject: UTI LTC

Diagnoses

-Condition
*No display for Encounter.diagnosis.condition (reference: ->Dementia)

Locations

-LocationPeriod
*Long-Term Care Facility2025-02-01 16:02:00-0500 --> 2029-02-08 16:02:00-0500

Entry 4 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ltc-monthly-uti-tricare

Resource Coverage:

identifier: Member Number/335522612

status: Active

type: military health program

subscriberId: 123123123123

beneficiary: UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))

relationship: Child

period: 2020-08-01 --> (ongoing)

Entry 5 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ltc-monthly-uti

Resource Condition:

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Pneumonia, unspecified organism

subject: Pneumonia LTC

Entry 6 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ltc-monthly-uti-ceftriaxone

Resource MedicationAdministration:

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895 (use: usual, )

status: completed

category: Inpatient Medication

subject: UTI LTC

request: 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] = ->ceftriaxone 1 G Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*ceftriaxone 1000 MG IVLeft armIV1 G (Details: UCUM codeG = 'G')

Entry 7 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ltc-monthly-uti-ceftriaxone

Resource MedicationRequest:

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888895 (use: usual, )

status: Completed

intent: Order

category: Inpatient Medication

priority: STAT

subject: UTI LTC

encounter: Hospital Admission

authoredOn: 2024-02-01 12:00:00-0500

requester: UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))

dosageInstruction

text: ceftriaxone 1 G IV

timing: Once

site: Left arm

route: IV

DoseAndRates

-Dose[x]
*1 G (Details: UCUM codeG = 'G')

Entry 8 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ltc-monthly-uti-trimethoprim

Resource MedicationAdministration:

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888942 (use: usual, )

status: completed

category: Inpatient Medication

subject: UTI LTC

request: MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet; authoredOn = 2024-02-01 12:00:00-0500

Dosages

-TextSiteRouteDose
*Sulfamethoxazole 800 mg / Trimethoprim 160 mg by mouth twice daily for 3 daysOral cavity structure (body structure)Oral800 MG

Entry 9 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ltc-monthly-uti-trimethoprim

Resource MedicationRequest:

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888894 (use: usual, )

status: Completed

intent: Order

category: Inpatient Medication

subject: UTI LTC

encounter: Hospital Admission

authoredOn: 2024-02-01 12:00:00-0500

requester: UTI LTC(official) Female, DoB: 2024-02-01 ( MRN: 1601191901018808 (use: usual, ))

dosageInstruction

text: Sulfamethoxazole 800 mg by mouth twice daily for 3 days

timing: 2 per 3 days

route: Oral

doseAndRate

dose: 160 MG

doseAndRate

dose: 800 MG

Entry 10 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ltc-monthly-uti-urinalysis

Resource Observation:

basedOn: ServiceRequest Urinalysis complete W Reflex Culture panel - Urine

status: Final

category: Laboratory

code: Urinalysis complete W Reflex Culture panel (U)

subject: UTI LTC

encounter: Hospital Admission

effective: 2024-02-02 18:12:00-0500

issued: 2024-02-03 11:42:00-0500

value: Culture result showed >100,000 CFU/mL of Escherichia coli (E. coli)

specimen: 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

Entry 11 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ltc-monthly-uti-urinalysis

Resource ServiceRequest:

identifier: Placer Identifier/1019631821 (use: usual, )

status: Completed

intent: Original Order

category: Laboratory procedure

code: No display for ServiceRequest.code (concept: Urinalysis complete W Reflex Culture panel - Urine)

quantity: 1

subject: UTI LTC

encounter: Hospital Admission

occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

authoredOn: 2024-02-02 17:22:00-0500

specimen: 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

Entry 12 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ltc-monthly-uti-urine

Resource 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

subject: UTI LTC

receivedTime: 2024-02-02 18:20:00-0500

Collections

-Collected[x]BodySite
*2024-02-02 18:12:00-0500No display for Specimen.collection.bodySite (concept: Urinary bladder structure)

Entry 13 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-ceftriaxone-1000

Resource Medication:

code: ceftriaxone 1000 MG Injection

status: Active

Entry 14 - fullUrl = http://nhsnlink.org/fhir/Medication/medication-example-trimethoprim

Resource Medication:

code: Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet

status: Active

Entry 15 - fullUrl = http://nhsnlink.org/fhir/Location/location-example-ltc-monthly-nursing-facility

Resource Location:

identifier: http://www.example.com/location/3001

status: Active

name: LTC Monthly - Long Term Care Facility General Nursing Unit

description:

LTC Monthly General Nursing Unit

type: Long Term Care Facility General Nursing Unit