CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM)
1.0.0-cibuild - Continuous Integration
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM)
1.0.0-cibuild - Continuous Integration
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) - Local Development build (v1.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/rps-medication | Version: 1.0.0-cibuild | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: RespiratoryPathogensSurveillanceEventMedication | ||
This profile contains Required and Must Support data elements for reporting medication information to the NHSN Respiratory Pathogens Surveillance (RPS) Module. This profile is based on the HL7 FHIR® US Core Medication Profile v3.1.1.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreMedicationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Medication | 0..* | USCoreMedicationProfile | Definition of a Medication | |
  id | 1..1 | id | Logical id of this artifact | |
 meta | ||||
   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 |
| form | S | 0..1 | CodeableConcept | powder | tablets | capsule + |
| amount | S | 0..1 | Ratio | Amount of drug in package |
| ingredient | S | 0..* | BackboneElement | Active or inactive ingredient |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Medication | 0..* | USCoreMedicationProfile | 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 |
 code | SΣ | 1..1 | CodeableConcept | Codes that identify this medication Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications |
| 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 (example): A coded concept defining the form of a medication. |
| 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 |
 item[x] | 1..1 | The actual ingredient or content | ||
| itemCodeableConcept | CodeableConcept | |||
 itemReference | Reference(Substance | Medication) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.code | extensible | USCoreMedicationCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes | |
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1from the FHIR Standard | |
| Medication.form | example | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Medication | 0..* | USCoreMedicationProfile | 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 | |||||
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| 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 | Codes that identify this medication Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications | ||||
| 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(Organization) | Manufacturer of the item | ||||
| form | S | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. | ||||
| 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 | ||||
| item[x] | 1..1 | The actual ingredient or content | ||||||
| itemCodeableConcept | CodeableConcept | |||||||
| itemReference | Reference(Substance | Medication) | |||||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Medication.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Medication.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Medication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Medication.code | extensible | USCoreMedicationCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes | ||||
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1from the FHIR Standard | ||||
| Medication.form | example | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 USCoreMedicationProfile
Summary
Mandatory: 1 element
Must-Support: 4 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Differential View
This structure is derived from USCoreMedicationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Medication | 0..* | USCoreMedicationProfile | Definition of a Medication | |
| id | 1..1 | id | Logical id of this artifact | |
| meta | ||||
| 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 |
| form | S | 0..1 | CodeableConcept | powder | tablets | capsule + |
| amount | S | 0..1 | Ratio | Amount of drug in package |
| ingredient | S | 0..* | BackboneElement | Active or inactive ingredient |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Medication | 0..* | USCoreMedicationProfile | 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 |
| code | SΣ | 1..1 | CodeableConcept | Codes that identify this medication Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications |
| 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 (example): A coded concept defining the form of a medication. |
| 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 |
| item[x] | 1..1 | The actual ingredient or content | ||
| itemCodeableConcept | CodeableConcept | |||
| itemReference | Reference(Substance | Medication) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.code | extensible | USCoreMedicationCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes | |
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1from the FHIR Standard | |
| Medication.form | example | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Medication | 0..* | USCoreMedicationProfile | 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 | |||||
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| 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 | Codes that identify this medication Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications | ||||
| 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(Organization) | Manufacturer of the item | ||||
| form | S | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. | ||||
| 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 | ||||
| item[x] | 1..1 | The actual ingredient or content | ||||||
| itemCodeableConcept | CodeableConcept | |||||||
| itemReference | Reference(Substance | Medication) | |||||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Medication.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Medication.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Medication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Medication.code | extensible | USCoreMedicationCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes | ||||
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1from the FHIR Standard | ||||
| Medication.form | example | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 USCoreMedicationProfile
Summary
Mandatory: 1 element
Must-Support: 4 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
