CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## : Example ACH Daily Submission Header Bundle - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-example-ach-daily-header"/>
      <meta>
        <profile
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"/>
      </meta>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a7336a"/>
      </identifier>
      <type value="collection"/>
      <timestamp value="2024-02-05T21:04:29.481+00:00"/>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization"/>
        <resource>
          <Organization>
            <id value="organization-example-submitting-organization"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-example-submitting-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name="organization-example-submitting-organization"> </a><a name="hcorganization-example-submitting-organization"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-nhsn-submitting-organization.html">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>
            </text>
            <identifier>
              <system value="https://www.cdc.gov/nhsn/OrgID"/>
              <value value="ExampleNHSNSubmitterOrgID"/>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
            </type>
            <name value="Example NHSN Submitter"/>
            <telecom>
              <system value="phone"/>
              <value value="5555555551"/>
              <rank value="1"/>
            </telecom>
            <address>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                <valueCode value="unknown"/>
              </extension>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/Device/device-example-submitting-device"/>
        <resource>
          <Device>
            <id value="device-example-submitting-device"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-example-submitting-device"> </a><p class="res-header-id"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name="device-example-submitting-device"> </a><a name="hcdevice-example-submitting-device"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-nhsn-submitting-device.html">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>
            </text>
            <deviceName>
              <name value="NHSN Link"/>
              <type value="model-name"/>
            </deviceName>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="0.9.0"/>
            </version>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="20230713.1"/>
            </version>
            <version>
              <component>
                <value value="api"/>
              </component>
              <value value="3f9662a8"/>
            </version>
            <version>
              <component>
                <value value="cqf-ruler"/>
              </component>
              <value value="0.13.0"/>
            </version>
          </Device>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/List/list-example-ach-daily-patients-of-interest"/>
        <resource>
          <List>
            <id value="list-example-ach-daily-patients-of-interest"/>
            <meta>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="List_list-example-ach-daily-patients-of-interest"> </a><p class="res-header-id"><b>Generated Narrative: List list-example-ach-daily-patients-of-interest</b></p><a name="list-example-ach-daily-patients-of-interest"> </a><a name="hclist-example-ach-daily-patients-of-interest"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-poi-list.html">Patients-Of-Interest List</a></p></div><table class="clstu"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="Patient-patient-example-ach-daily-initialpopulationpass.html">ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-negativepcr.html">ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-influenzatherapeutic.html">ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))</a></td></tr><tr><td><a href="Patient-patient-example-ach-daily-rsvlabbtg.html">ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))</a></td></tr></table></div>
            </text>
            <identifier>
              <system value="https://nhsnlink.org"/>
              <value value="NHSNdQMAcuteCareHospitalInitialPopulation"/>
            </identifier>
            <status value="current"/>
            <mode value="changes"/>
            <date value="2021-07-28T00:00:00Z"/>
            <entry>
              <item>🔗
                <reference
                           value="Patient/patient-example-ach-daily-initialpopulationpass"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference value="Patient/patient-example-ach-daily-negativepcr"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference
                           value="Patient/patient-example-ach-daily-influenzatherapeutic"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference value="Patient/patient-example-ach-daily-rsvlabbtg"/>
              </item>
            </entry>
          </List>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-subjectlist"/>
        <resource>
          <MeasureReport>
            <id value="measurereport-example-ach-daily-subjectlist"/>
            <meta>
              <extension
                         url="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension">
                <valueDateTime value="2023-05-23T06:07:08Z"/>
              </extension>
              <profile
                       value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_measurereport-example-ach-daily-subjectlist"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-ach-daily-subjectlist</b></p><a name="measurereport-example-ach-daily-subjectlist"> </a><a name="hcmeasurereport-example-ach-daily-subjectlist"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-subjectlist-measurereport.html">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</p><p><b>measure</b>: <a href="Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html">NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)</a></p><p><b>period</b>: 2022-08-01 00:00:00+0000 --&gt; 2022-08-31 23:59:59+0000</p><blockquote><p><b>group</b></p><h3>Populations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Count</b></td><td><b>SubjectResults</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></td><td>4</td><td><a href="#hcmeasurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: List #list-example-ach-daily-individual-measurereport-list</b></p><a name="measurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list"> </a><a name="hcmeasurereport-example-ach-daily-subjectlist/list-example-ach-daily-individual-measurereport-list"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ip-measurereport-list.html">NHSN Individual MeasureReport List</a></p></div><table class="clstu"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-initialpopulationpass.html">MeasureReport: extension = Cohort,-&gt;ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = emergency (ActCode[9.0.0]#EMER); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-01 12:00:00+0000; reasonCode = shortness of breath,-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Medical consultation on hospital inpatient; period = 2024-01-14 08:00:00+0000 --&gt; 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing,-&gt;Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --&gt; (ongoing),-&gt;Condition Shortness of breath,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --&gt; 2024-01-02 22:00:09+0000,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --&gt; 2024-01-05 22:00:09+0000,-&gt;Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,-&gt;ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,-&gt;Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-negativepcr.html">MeasureReport: extension = Cohort,-&gt;ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Observation Encounter (ActCode[9.0.0]#OBSENC); type = Hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-02 06:00:00+0000; reasonCode = shortness of breath,-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789986 (use: usual, ); status = finished; class = Inpatient Encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-02 06:01:00+0000 --&gt; 2024-01-16 08:30:00+0000; reasonCode = shortness of breath,-&gt;Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --&gt; (ongoing),-&gt;Condition COVID-19,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --&gt; 2024-01-06 08:59:09+0000,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,-&gt;Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,-&gt;Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,-&gt;ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,-&gt;ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,-&gt;Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000,-&gt;Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000,-&gt;Procedure Intubation of respiratory tract (procedure); identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-influenzatherapeutic.html">MeasureReport: extension = Cohort,-&gt;ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Inpatient Acute (ActCode[9.0.0]#ACUTE); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-04 12:00:00+0000; reasonCode = Fever with chills,-&gt;Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --&gt; (ongoing),-&gt;Condition Influenza due to identified novel influenza A virus,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --&gt; 2024-01-04 20:00:09+0000,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,-&gt;Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Fluvax; occurrence[x] = 2024-01-02; primarySource = true; lotNumber = AAJN11K; expirationDate = 2025-02-15; doseQuantity = 5 mg; note = Notes on administration of vaccine; isSubpotent = true; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 00:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href="MeasureReport-measurereport-example-ach-daily-rsvlabbtg.html">MeasureReport: extension = Cohort,-&gt;ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#123456789987 (use: usual, ); status = finished; class = Short Stay (ActCode[9.0.0]#SS); type = Emergency hospital admission (procedure); period = 2024-01-01 08:00:00+0000 --&gt; 2024-01-02 06:00:00+0000; reasonCode = Throat pain,-&gt;Coverage: status = active; relationship = Self,-&gt;Condition Respiratory syncytial virus as the cause of diseases classified elsewhere,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-01 17:30:09+0000,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,-&gt;MedicationAdministration: status = completed; medication[x] = -&gt;Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --&gt; 2024-01-02 17:30:09+0000,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = -&gt;Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,-&gt;Observation Respiratory syncytial virus Ag [Presence] in Throat,-&gt;ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat,-&gt;Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild; date = 2024-01-06 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>
            </text>
            <contained>
              <List>
                <id value="list-example-ach-daily-individual-measurereport-list"/>
                <meta>
                  <profile
                           value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"/>
                </meta>
                <status value="current"/>
                <mode value="snapshot"/>
                <entry>
                  <item>🔗
                    <reference
                               value="MeasureReport/measurereport-example-ach-daily-initialpopulationpass"/>
                  </item>
                </entry>
                <entry>
                  <item>🔗
                    <reference
                               value="MeasureReport/measurereport-example-ach-daily-negativepcr"/>
                  </item>
                </entry>
                <entry>
                  <item>🔗
                    <reference
                               value="MeasureReport/measurereport-example-ach-daily-influenzatherapeutic"/>
                  </item>
                </entry>
                <entry>
                  <item>🔗
                    <reference
                               value="MeasureReport/measurereport-example-ach-daily-rsvlabbtg"/>
                  </item>
                </entry>
              </List>
            </contained>
            <status value="complete"/>
            <type value="subject-list"/>
            <measure
                     value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation|1.0.0-cibuild"/>
            <period>
              <start value="2022-08-01T00:00:00+00:00"/>
              <end value="2022-08-31T23:59:59+00:00"/>
            </period>
            <group>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="4"/>
                <subjectResults>
                  <reference
                             value="#list-example-ach-daily-individual-measurereport-list"/>
                </subjectResults>
              </population>
            </group>
          </MeasureReport>
        </resource>
      </entry>
    </Bundle>