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

Resource Profile: LTC Monthly Event Medication

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-medication Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: LongTermCareMonthlyEventMedication

This profile contains Required and Must Support data elements for reporting medication information to the NHSN Long-term Care Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Medication profile, which inherits from the US Core 6.1.0 Medication profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    ... form S 0..1 CodeableConcept powder | tablets | capsule +
    Binding: SNOMEDCTFormCodes (extensible)
    ... amount SΣ 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... Slices for item[x] 1..1 The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... itemCodeableConcept CodeableConcept
    ..... itemReference Reference(QICore Substance | QICore Medication)
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.code Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.22
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreMedication

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... status S 0..1 code active | inactive | entered-in-error
    ... amount S 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... Slices for item[x] 1..1 CodeableConcept, Reference(QICore Substance | QICore Medication) The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business identifier for this medication
    ... code SΣ 1..1 CodeableConcept (USCDI) Codes that identify this medication
    Binding: MedicationClinicalDrug (20240606) . (extensible)
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    ... manufacturer Σ 0..1 Reference(QICore Organization) Manufacturer of the item
    ... form S 0..1 CodeableConcept powder | tablets | capsule +
    Binding: SNOMEDCTFormCodes (extensible)
    ... amount SΣ 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... Slices for item[x] 1..1 The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... itemCodeableConcept CodeableConcept
    ..... itemReference Reference(QICore Substance | QICore Medication)
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ...... display Σ 0..1 string Text alternative for the resource
    .... isActive 0..1 boolean Active ingredient indicator
    .... strength 0..1 Ratio Quantity of ingredient present
    ... batch 0..1 BackboneElement Details about packaged medications
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... lotNumber 0..1 string Identifier assigned to batch
    .... expirationDate 0..1 dateTime When batch will expire

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Medication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Medication.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Medication.code Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.22
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.
    Medication.ingredient.​item[x]:itemReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreMedication

    Summary

    Mandatory: 1 element(1 nested mandatory element)
    Must-Support: 5 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Medication.ingredient.item[x]

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    ... form S 0..1 CodeableConcept powder | tablets | capsule +
    Binding: SNOMEDCTFormCodes (extensible)
    ... amount SΣ 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... Slices for item[x] 1..1 The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... itemCodeableConcept CodeableConcept
    ..... itemReference Reference(QICore Substance | QICore Medication)
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.code Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.22
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    This structure is derived from QICoreMedication

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... status S 0..1 code active | inactive | entered-in-error
    ... amount S 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... Slices for item[x] 1..1 CodeableConcept, Reference(QICore Substance | QICore Medication) The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Medication 0..* QICoreMedication(6.0.0) Definition of a Medication
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business identifier for this medication
    ... code SΣ 1..1 CodeableConcept (USCDI) Codes that identify this medication
    Binding: MedicationClinicalDrug (20240606) . (extensible)
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error
    Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
    ... manufacturer Σ 0..1 Reference(QICore Organization) Manufacturer of the item
    ... form S 0..1 CodeableConcept powder | tablets | capsule +
    Binding: SNOMEDCTFormCodes (extensible)
    ... amount SΣ 0..1 Ratio Amount of drug in package
    ... ingredient S 0..* BackboneElement Active or inactive ingredient
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... Slices for item[x] 1..1 The actual ingredient or content
    Slice: Unordered, Open by type:$this
    ..... itemCodeableConcept CodeableConcept
    ..... itemReference Reference(QICore Substance | QICore Medication)
    ..... item[x]:itemReference 0..1 Reference(QICore Substance | QICore Medication) The actual ingredient or content
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ...... display Σ 0..1 string Text alternative for the resource
    .... isActive 0..1 boolean Active ingredient indicator
    .... strength 0..1 Ratio Quantity of ingredient present
    ... batch 0..1 BackboneElement Details about packaged medications
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... lotNumber 0..1 string Identifier assigned to batch
    .... expirationDate 0..1 dateTime When batch will expire

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Medication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Medication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Medication.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Medication.code Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.22
    Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
    Medication.form Base extensible SNOMED CT Form Codes 📦4.0.1 FHIR Std.
    Medication.ingredient.​item[x]:itemReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreMedication

    Summary

    Mandatory: 1 element(1 nested mandatory element)
    Must-Support: 5 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Medication.ingredient.item[x]

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron