This profile defines a valid Submission Bundle to NHSN with all resources contained within. The Bundle is comprised of entry slices representing the data source Organization, a Patients of Interest (POI) List, one Subject List MeasureReport per reportable measure, an Individual MeasureReport List, individual MeasureReports, and the underlying patient-centric clinical information.

This profile defines a valid Submission Header Bundle. The Bundle is comprised of entry slices representing a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

This profile defines a valid subject-specific dQM Bundle. The Bundle is comprised of entry slices representing a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

A Subject-List MeasureReport contains the count of subjects (i.e. patients) in the Initial Population. It also references the Individual MeasureReport List.

An Individual MeasureReport List contains references to all Individual MeasureReports for a given NHSN measure; each MeasureReport pertains to an individual patient within the Initial Population of a given measure.

A Patients of Interest List defines all individual Patients considered for inclusion in NHSN Measure reporting.

This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to NHSN.

This profile is based on US Core Patient 3.1.1.

NHSN only recognizes the data element 'sex', with male and female as the only accepted responses. These data are mapped from either the patient.extension (birthsex), or patient.gender FHIR standard data elements. These two FHIR standard data elements provide male/female options, per US Core 3.1.1.

For data submitted for patient.gender, and/or patient.extension (birthsex) that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated.

This profile includes the name and identifier of the organization submitting the report Bundle, and may include other information about the organization.

This profile includes the name and version of the device or software submitting the report Bundle, and may include other information about the device.

This profile contains Required and Must Support data elements for reporting encounter information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Encounter Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting location information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Location Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting laboratory result information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Lab Observation Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting observation-vital signs information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 Observation Vital Signs Profile v4.0.1.

This profile contains Required and Must Support data elements for reporting observation information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 Observation Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting order information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 ServiceRequest Profile v4.0.1.

This profile contains Required and Must Support data elements for reporting specimen information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 Specimen Profile v4.0.1.

This profile contains Required and Must Support data elements for reporting patient condition information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Condition Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting procedure information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Procedure Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting coverage information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 Coverage Profile v4.0.1.

This profile contains Required and Must Support data elements for reporting device information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile covers both implantable and other types of devices and is based on the HL7 FHIR® R4 Device Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting general diagnostic report information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 DiagnosticReport Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting diagnostic report lab information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Diagnostic Report - Lab Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting diagnostic report- report and note information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Diagnostic Report - Report and Note Exchange.

This profile contains Required and Must Support data elements for reporting medication information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Medication Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting medication administration information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 MedicationAdministration Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting medication request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core MedicationRequest Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting encounter information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Encounter Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting location information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Location Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) Daily laboratory result information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Laboratory Result Observation Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) laboratory order information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR R4 ServiceRequest Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) specimen information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR R4 Specimen Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting transmission-based precaution procedure information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Procedure Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting diagnostic report lab information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Diagnostic Report - Lab Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting medication information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Medication Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting medication administration information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR R4 MedicationAdministration Resource v4.0.1.

This profile contains Required and Must Support data elements for reporting medication request (order) information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® US Core MedicationRequest Profile v3.1.1.

This profile contains Required and Must Support data elements for reporting observation information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR® R4 Observation Resource v4.0.1.

A set of codes indicating the status of the encounter.

A set of codes indicating the encounter class that represent inpatient, emergency, observation and short stay concepts.

A set of codes indicating the status of the diagnostic report.

A set of codes indicating the status of the encounter.

A set of codes indicating the encounter class that represent inpatient, observation and short stay concepts.

The ACH Monthly Initial Population includes all encounters for patients of any age in an emergency department (ED), observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.

All encounters with an inpatient, observation, or short stay status for patients of any age during the measurement period.

Library of NHSN dQM ACH Monthly Initial Population Measure

Library of NHSN ACH Daily Initial Population Measure

A library used to remove data elements from FHIR resources that are deemed unnecessary and/or unwanted by NHSN.

This library is a collection of commonly used functions from various third party libraries and other created functions for use within the NHSN Measures.

This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation. For more information, the FHIRHelpers wiki page: https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers

This extension stores the date and time a Resource was received by the processing system (e.g. NHSNLink).

An extension used to indicate the reporting period associated with the patients of interest List.

This extension stores the original {Resource}.id of a source that was modified by a processing system (e.g. NHSNLink) to make it usable for NHSN when the original did not meet FHIR-standard requirements. Resource IDs that are more than 64 characters long are not valid per the FHIR specification and must be modified.

This extension stores the original value of an element from a source that was modified by a processing system (e.g., NHSNLink) to make it usable for NHSN. Modification may include changing logically invalid data, changing data that does not match specification requirements (this modification is used sparingly, for specific instances only), or normalizing data.

This extension stores an original Concept that was mapped during processing.

This extension is not defined by this IG. CQF Tooling uses this extension, but the extension is yet unpublished.

This extension is not defined by this IG. CQF Tooling uses this extension, but the extension is yet unpublished.

Measure Bundle - Full ACH Monthly Measure Submission Example

Example Separated ACH Monthly Submission Header Bundle

Example Separated ACH Monthly Submission Subject Bundle 1 for LOS/MEN

Example Separated ACH Monthly Submission Subject Bundle 2 for Hypoglycemia and VTE

Example Separated ACH Monthly Submission Subject Bundle 3 for CDI and VTE

Measure Bundle - Full ACH Daily Measure Submission Example

Example Separated ACH Daily Submission Header Bundle

Example Separated ACH Daily Submission Initial Population Pass Bundle

Example Separated ACH Daily Submission Negative PCR Bundle

Example Separated ACH Daily Submission Influenza Therapeutic Bundle

Example Separated ACH Daily Submission RSV Lab BTG Bundle