This page is part of the NHSN Digital Quality Measures (dQM) Content Package Implementation Guide (v2.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
IG Change History
This provides a list of changes to the NHSN Measures Implementation Guide (IG)
Release 2.0.0
- Update IG Dependencies (US Core and Measure Related IGs): [MEASDEV-1805]
- Updated the following IG dependencies:
- This affected the following definitional artifacts:
- Update ACH Monthly Profiles per the new Data Dictionary Requirements, in part based on updates to QI Core 6.0.0 and US Core 6.1.0: [MEASDEV-1799]
- Updates for Acute Care Hospital Monthly Profiles:
- Update ACH Daily Profiles per the new Data Dictionary Requirements, in part based on updates to QI Core 6.0.0 and US Core 6.1.0: [MEASDEV-1806]
- Updates for Acute Care Hospital Daily Profiles:
- CQL Updates
- ACH Monthly CQL Updates:
- Condition
- Condition resources no longer return severity, bodySite, recorder, stage, evidence, and note data elements
- Coverage
- Coverage resources no longer return class, policyholder, subscriber, subscriberId, dependent, relationship, order, network, costToBeneficiary, subrogation, and contract data elements
- Device
- Device resources no longer return deviceName.type, definition, udiCarrier, statusReason, distinctIdentifier, manufacturer, manufacturerDate, deviceName, specialization, version, property, owner, contact, location, url, note, and safety data elements
- DiagnosticReport
- DiagnosticReport category is constrained to only return Radiology, Cardiology, Pathology, and Laboratory codes. DiagnosticReport now prevents any other codes from being returned within the resource
- DiagnosticReport resources designated with the DiagnosticReport Note profile no longer returns performer, resultsInterpreter, imagingStudy, and presentedForm data elements
- Encounter
- Encounter resources no longer return serviceType, priority, length, reasonReference, account, hospitalization.preAdmissionIdentifier, hospitalization.specialCourtesy, hospitalization.specialArrangement, hospitalization.destination data elements
- Observation
- Observation resources designated with the Laboratory Observation profile no longer return category.id, category.extension, category.coding.id, and category.coding.extension data elements
- Observation resources designated with the Vital Signs Observation profile no longer return focus, performer, note, device and referenceRange.text data elements
- MedicationRequest
- MedicationRequest resources now specifically return the following data elements for dosageInstruction.timing: event, repeat, and code. Additionally, dosageInstruction.timing.repeat now specifically return the following data elements: bounds, count, countMax, duration, durationMax, durationUnit, frequency, frequencyMax, period, periodMax, periodUnit, dayOfWeek, timeOfDay, when, and offset
- Procedure
- Procedure resources no longer return extensions marked as qicore-recorded
- Updated the code filter for procedure category to use '261004008' instead of '103693007'
- ServiceRequest
- ServiceRequest resources no longer return the requester data element
- ACH Daily CQL Updates:
- DiagnosticReport
- DiagnosticReport category is constrained to only return Radiology, Cardiology, Pathology, and Laboratory codes. DiagnosticReport now prevents any other codes from being returned within the resource
- Observation
- Observation resources designated with the Laboratory Observation profile no longer return category.id, category.extension, category.coding.id, and category.coding.extension data elements
- MedicationRequest
- MedicationRequest resources now specifically return the following data elements for dosageInstruction.timing: event, repeat, and code. Additionally, dosageInstruction.timing.repeat now specifically return the following data elements: bounds, count, countMax, duration, durationMax, durationUnit, frequency, frequencyMax, period, periodMax, periodUnit, dayOfWeek, timeOfDay, when, and offset
- Procedure
- Procedure resources no longer return extensions marked as qicore-recorded
- ServiceRequest
- ServiceRequest resources no longer return the requester data element
- SharedResourceCreation CQL Updates:
- Patient
- Patient resources now return extensions marked as tribalAffiliation and sex. Additionally, patient resources no longer return address.id, address.extension, photo, contact.id, contact.extension, communication.id, communication.extension, communication.modifierExtension, generalPractitioner, managingOrganization, and link.id data elements
Release 1.0.0
