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 MeasureReport: MeasureReport - Example Individual ACH Monthly Pass2 - Hypo

Page standards status: Informative

R5: Additional information collected for the report (new): Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual))

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): ACH Monthly Emergency Department (Emergency Department) (http://www.example.com/location#2934)

R5: Additional information collected for the report (new): ACH Monthly Inpatient Hospital Ward (Medical ward) (http://www.example.com/location#2935)

R5: Additional information collected for the report (new): Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self

R5: Additional information collected for the report (new): Condition Diabetes mellitus without complication

R5: Additional information collected for the report (new): Condition Thrombophlebitis

R5: Additional information collected for the report (new): Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual); type = Graduated compression elastic hosiery

R5: Additional information collected for the report (new): Diagnostic Report for 'ultrasonography of right lower limb' for '->Pass2 ACH'

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): Observation aPTT

R5: Additional information collected for the report (new): Observation Glucose

R5: Additional information collected for the report (new): Observation Glucose

R5: Additional information collected for the report (new): Observation Hemoglobin A1c

R5: Additional information collected for the report (new): Observation Bacteria identified in Blood by Culture

R5: Additional information collected for the report (new): Observation Weight

R5: Additional information collected for the report (new): Procedure Percutaneous insertion of inferior vena cava filter (procedure)

R5: Additional information collected for the report (new): ServiceRequest aPTT

R5: Additional information collected for the report (new): ServiceRequest Glucose

R5: Additional information collected for the report (new): ServiceRequest Hemoglobin A1c

R5: Additional information collected for the report (new): ServiceRequest Hemoglobin

R5: Additional information collected for the report (new): 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

R5: Additional information collected for the report (new): 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

DEQM Measure Scoring Extension: Cohort

identifier: http://example.org/fhir/measurereport/id/123456789-pass2

status: Complete

type: Individual

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

subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual))

date: 2024-02-05 21:04:29+0000

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

period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000

improvementNotation: Increased score indicates improvement

group

Populations

-CodeCount
*Initial Population1

measureScore: 1

evaluatedResource:


National Center for Emerging and Zoonotic Infectious Diseases