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

The Acute Care Hospital Monthly Initial Population includes all encounters for patients of any age in an 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.

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 locally defined version includes modifications from the original library.

Library of NHSN dQM Acute Care Hospital Daily Initial Population Measure

Library of NHSN dQM Acute Care Hospital Monthly Initial Population Measure

This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation.

Shared Resource Creation Library

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 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 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 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 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.

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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.

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.

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

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

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

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

Measure Report Criteria Reference

Measure Report Supplemental Data Element Reference

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 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.

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

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

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

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

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 encounter.

Condition - Example ACH Daily Condition Influenza Therapeutic

Condition - Example ACH Daily Condition Initial Population Pass

Condition - Example ACH Daily Condition Negative PCR

Condition - Example ACH Daily Condition RSV Lab BTG

Condition - Example Diagnosis ACH Monthly Pass1 - Encounter Diagnosis: Bacteremia

Condition - Example Diagnosis ACH Monthly Pass2 - Encounter Diagnosis: Thrombophlebitis of deep femoral vein

Condition - Example Diagnosis ACH Monthly Pass2 - Problem List: Type 2 diabetes mellitus without complications

Condition - Example Diagnosis ACH Monthly Pass3 - Encounter Diagnosis: Enterocolitis due to Clostridium difficile

Condition - Example Diagnosis ACH Monthly Pass3 - Problem List: Acute sinusitis

Coverage - Example ACH Daily Condition Influenza Therapeutic

Coverage - Example ACH Daily Condition Initial Population Pass

Coverage - Example ACH Daily Condition Negative PCR

Coverage - Example ACH Daily Condition RSV Lab BTG

Coverage - Example ACH Monthly Pass1 - Medicaid: Child Beneficiary

Coverage - Example ACH Monthly Pass2 - Commercial HMO

Coverage - Example ACH Monthly Pass3 - Commercial PPO

Device - Example ACH Monthly Pass1 - Central venous catheter

Device - Example ACH Monthly Pass2 - Graduated compression elastic hosiery

Device - Example ACH Monthly Pass3 - Intermittent venous compression system pump

Device - Submitting Device Example 1

DiagnosticReport - Example ACH Daily - Initial Population Pass

DiagnosticReport - Example Initial Population Pass - CBC panel - Blood by Automated count

DiagnosticReport - Example ACH Monthly Pass2 - Cardiovascular stress testing

DiagnosticReport - Example ACH Monthly Pass2 - Ultrasonography of right lower limb

Encounter - Example ACH Daily Encounter Influenza Therapeutic

Encounter - Example ACH Daily Encounter Initial Population Pass 1

Encounter - Example ACH Daily Encounter Initial Population Pass 2

Encounter - Example ACH Daily Encounter Negative PCR 1

Encounter - Example ACH Daily Encounter Negative PCR 2

Encounter - Example ACH Daily Encounter RSV Lab BTG

Encounter - Example ACH Monthly Pass1 - Hospital Admission

Encounter - Example ACH Monthly Pass2 - Emergency department visit

Encounter - Example ACH Monthly Pass2 - Hospital admission

Encounter - Example ACH Monthly Pass3 - Acute critical care visit

Encounter - Example ACH Monthly Pass3 - Hospital admission short stay

Example Separated ACH Daily Submission Header Bundle

Example Separated ACH Daily Submission Influenza Therapeutic Bundle

Example Separated ACH Daily Submission Initial Population Pass Bundle

Example Separated ACH Daily Submission Negative PCR Bundle

Example Separated ACH Daily Submission RSV Lab BTG Bundle

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

Measure Bundle - Full ACH Monthly Measure Submission Bundle

Immunization - Example ACH Daily Immunization Influenza Therapeutic

Lab Observation - Example ACH Daily Observation Initial Population Pass

Lab Observation - Example ACH Daily Observation Negative PCR 1

Lab Observation - Example ACH Daily Observation Negative PCR 2

Lab Observation - Example ACH Daily Observation RSV Lab BTG

List - Example ACH Daily Individual Measure Report List Example

List - Example ACH Daily Patients Of Interest

List - Example ACH Monthly Individual Measure Report List Example

List - Example ACH Monthly Patients Of Interest

Location (part of) - Example ACH Monthly - Medical Critical Care, demonstrating location that is part of another

Location - Example ACH Daily - Emergency Department Pavilion

Location - Example ACH Daily - Health Hospital

Location - Example ACH Daily - Inpatient Hospital Ward

Location - Example ACH Monthly - Emergency Department

Location - Example ACH Monthly - Inpatient Hospital Ward

Location - Example ACH Monthly - Medical Critical Care

Location - Example ACH Monthly - Medical-Surgical Ward

Location - Example ACH Monthly - Neonatal Critical Care (Level III)

Measure Report - Example ACH Daily Subject List Example

Measure Report - Example ACH Monthly Subject List Example 1

MeasureReport - Example Individual ACH Daily Influenza Therapeutic

MeasureReport - Example Individual ACH Daily Initial Population Pass

MeasureReport - Example Individual ACH Daily Negative PCR

MeasureReport - Example Individual ACH Daily RSV Lab BTG

MeasureReport - Example Individual ACH Monthly Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

MeasureReport - Example Individual ACH Monthly Pass2 - Hypoglycemia

MeasureReport - Example Individual ACH Monthly Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

Medication - Example ACH Daily Medication Influenza Therapeutic

Medication - Example ACH Daily Medication Initial Population Pass

Medication - Example ACH Daily Medication Negative PCR

Medication - Example ACH Daily Medication RSV Lab BTG 1

Medication - Example ACH Daily Medication RSV Lab BTG 2

Medication - Example ACH Monthly - Ciprofloxacin 500 MG

Medication - Example ACH Monthly - Metformin hydrochloride 1000 MG

Medication - Example ACH Monthly - Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

Medication - Example ACH Monthly - Heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

Medication - Example ACH Monthly - Insulin lispro

Medication - Example ACH Monthly - Metformin hydrochloride 1000 MG

Medication - Example ACH Monthly - Metronidazole 500 MG

Medication - Example ACH Monthly - Vancomycin Injectable Solution

Medication Administration - Example ACH Daily Medication Administration Influenza Therapeutic

Medication Administration - ACH Daily Medication Administration Example Initial Population Pass 1

Medication Administration - Example ACH Daily Medication Administration Initial Population Pass 2

Medication Administration - Example ACH Daily Medication Administration Negative PCR

Medication Administration - Example ACH Daily Medication Administration RSV Lab BTG 1

Medication Administration - Example ACH Daily Medication Administration RSV Lab BTG 2

Medication Request - Example ACH Daily Medication Request Influenza Therapeutic

Medication Request - Example ACH Daily Medication Request Initial Population Pass

Medication Request - Example ACH Daily Medication Request Negative PCR

Medication Request - Example ACH Daily Medication Request RSV Lab BTG 1

Medication Request - Example ACH Daily Medication Request RSV Lab BTG 2

MedicationAdministration - Example ACH Monthly Pass1 - Vancomycin Injectable Solution 50MG

MedicationAdministration - Example ACH Monthly Pass2 - Dex4 4 gm chewable tablet X1

MedicationAdministration - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - First Encounter Administration

MedicationAdministration - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - Second Encounter Administration

MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - First Encounter Administration

MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - Second Encounter Administration

MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - Third Encounter Administration

MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 4

MedicationAdministration - Example ACH Monthly Pass3 - Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - First Encounter Administration

MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - Second Encounter Administration

MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - Third Encounter Administration

MedicationRequest - Example ACH Monthly Pass1 - Vancomycin Injectable Solution 50MG

MedicationRequest - Example ACH Monthly Pass2 - Dex4 4 gm chewable tablet X1

MedicationRequest - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

MedicationRequest - Example ACH Monthly Pass2 - Insulin Lispro

MedicationRequest - Example ACH Monthly Pass2 - Metformin hydrochloride 1000 MG

MedicationRequest - Example ACH Monthly Pass3 - Ciprofloxacin 500 MG

MedicationRequest - Example ACH Monthly Pass3 - enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

MedicationRequest - Example ACH Monthly Pass3 - Metronidazole 500 MG

Observation - Example ACH Daily Initial Population Pass - Lab: Isolation

Observation - Example ACH Monthly Pass1 - Lab: Bacteria identified in Blood by Culture

Observation - Example ACH Monthly Pass1 - Lab: Serratia marcescens DNA in Specimen by NAA with probe detection

Observation - Example ACH Monthly Pass1 - Lab: Gestational age at birth

Observation - Example ACH Monthly Pass1 - Vitals Signs: Birth weight Measured

Observation - Example ACH Monthly Pass2 - Lab: Bacteria identified in Blood by Culture

Observation - Example ACH Monthly Pass2 Hemo - Lab: Glucose in Capillary blood by Glucometer

Observation - Example ACH Monthly Pass2 Lab: Glucose in Capillary blood by Glucometer - First Encounter Observation

Observation - Example ACH Monthly Pass2 Lab: Glucose in Capillary blood by Glucometer - Second Encounter Observation

Observation - Example ACH Monthly Pass2 Vitals Signs: Body weight

Observation - Example ACH Monthly Pass2 Lab: aPTT in Blood by Coagulation assay

Observation - Example ACH Monthly Pass3 - Lab: Clostridioides difficile (C. diff)

Observation - Example ACH Monthly Pass3 Vitals Signs: Body height

Observation - Example ACH Monthly Pass3 Vitals Signs: Body weight

Organization - Submitting Organization Example 1

Patient - Example ACH Daily Patient Influenza Therapeutic

Patient - Example ACH Daily Patient Initial Population Pass

Patient - Example ACH Daily Patient Negative PCR

Patient - Example ACH Daily Patient RSV Lab BTG

Patient - Example ACH Monthly Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

Patient - Example ACH Monthly Pass2 - Hypoglycemia

Patient - Example ACH Monthly Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

Procedure - Example ACH Daily Negative PCR - Intubation

Procedure - Example ACH Monthly Pass1 - Placement procedure

Procedure - Example ACH Monthly Pass1 - Drainage of Spinal Canal, Percutaneous Approach, Diagnostic

Procedure - Example ACH Monthly Pass2 - Percutaneous insertion of inferior vena cava filter

Procedure - Example ACH Monthly Pass3 - Transfusion of red blood cells

ServiceRequest - Example ACH Daily Initial Population Pass COVID

ServiceRequest - Example ACH Daily Negative PCR COVID 1

ServiceRequest - Example ACH Daily Negative PCR COVID 2

ServiceRequest - Example ACH Daily RSV Lab BTG

ServiceRequest - Example ACH Monthly Pass1 Blood

ServiceRequest - Example ACH Monthly Pass1 - Differential panel - Cerebral spinal fluid

ServiceRequest - Example ACH Monthly Pass2 - Glucose in Capillary blood by Glucometer

ServiceRequest - Example ACH Monthly Pass2 - Hemoglobin in Venous blood

ServiceRequest - Example ACH Monthly Pass2 Hemo - Hemoglobin A1c in Blood

ServiceRequest - Example ACH Monthly Pass2 - aPTT in Blood by Coagulation assay

ServiceRequest - Example ACH Monthly Pass3 - Clostridioides difficile toxin A in Stool by Immunoassay

Specimen - Example ACH Daily Specimen Initial Population Pass

Specimen - Example ACH Daily Specimen Negative PCR 1

Specimen - Example ACH Daily Specimen Negative PCR 2

Specimen - Example ACH Daily Specimen RSV Lab BTG

Specimen - Example ACH Monthly Pass1 - Blood venous from heel

Specimen - Example ACH Monthly Pass1 - Cerebral spinal fluid from superior articular process of lumbar vertebra

Specimen - Example ACH Monthly Pass2 - Blood venous from blood vessel of left upper arm - First encounter collection

Specimen - Example ACH Monthly Pass2 - Blood venous from blood vessel of left upper arm - Second encounter collection

Specimen - Example ACH Monthly Pass3 - Bloody stool

Device - Software System Example