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 Bundle: Example ACH Daily Submission Header Bundle

Profile: NHSN Submission Header Bundle

Bundle bundle-example-ach-daily-header of type collection

Entry 1 - fullUrl = http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization

Resource Organization:

> Profile: NHSN Submitting Organization

> identifier: `https://www.cdc.gov/nhsn/OrgID`/ExampleNHSNSubmitterOrgID

> active: true

> type: Healthcare Provider

> name: Example NHSN Submitter

> ### Contacts

> - | Telecom | Address
> * | ph: 5555555551 |

Entry 2 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-submitting-device

Resource Device:

> Profile: NHSN Submitting Device

> > version

> > component: api

> > value: 0.9.0

> > version

> > component: api

> > value: 20230713.1

> > version

> > component: api

> > value: 3f9662a8

> > version

> > component: cqf-ruler

> > value: 0.13.0

Entry 3 - fullUrl = http://nhsnlink.org/fhir/List/list-example-ach-daily-patients-of-interest

Resource List:

> Profile: Patients-Of-Interest List

> Date: 2021-07-28 00:00:00+0000 | Mode: Change List | Status: Current

> Items
> ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))
> ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))
> ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))
> ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

Entry 4 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-subjectlist

Resource MeasureReport:

> Profile: Subject-List MeasureReport Profile

> status: Complete

> type: Subject List

> measure: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

> period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000

> > group

> > ### Populations

> > - | Code | Count | SubjectResults
> > * | Initial Population | 4 | List for 'Unspecified List Type' for 'Unspecified Subject'

> > Profile: NHSN Individual MeasureReport List

> > Mode: Snapshot List | Status: Current

> > Items
> > MeasureReport: extension = Cohort,->ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, )),->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 --> 2024-01-01 12:00:00+0000; reasonCode = shortness of breath,->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 --> 2024-01-22 12:00:00+0000; reasonCode = Difficulty breathing,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing),->Condition Shortness of breath,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 200 mg IV; effective[x] = 2024-01-01 22:00:00+0000 --> 2024-01-02 22:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->remdesivir 100 mg; authoredOn = 2024-01-14 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->MedicationAdministration: status = completed; medication[x] = ->Remdesivir 100 mg IV; effective[x] = 2024-01-02 22:00:00+0000 --> 2024-01-05 22:00:09+0000,->Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection,->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 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
> > MeasureReport: extension = Cohort,->ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, )),->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 --> 2024-01-02 06:00:00+0000; reasonCode = shortness of breath,->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 --> 2024-01-16 08:30:00+0000; reasonCode = shortness of breath,->Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition COVID-19,->MedicationAdministration: status = completed; medication[x] = ->Molnupiravir 200 mg PO BID; effective[x] = 2024-01-02 09:00:00+0000 --> 2024-01-06 08:59:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Molnupiravir 200 mg; authoredOn = 2024-01-02 21:30:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000,->Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000,->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 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
> > MeasureReport: extension = Cohort,->ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, )),->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 --> 2024-01-04 12:00:00+0000; reasonCode = Fever with chills,->Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing),->Condition Influenza due to identified novel influenza A virus,->MedicationAdministration: status = completed; medication[x] = ->Oseltamivir 60 mg PO; effective[x] = 2024-01-01 20:00:00+0000 --> 2024-01-04 20:00:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Oseltamivir 60 mg; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->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 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement
> > MeasureReport: extension = Cohort,->ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, )),->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 --> 2024-01-02 06:00:00+0000; reasonCode = Throat pain,->Coverage: status = active; relationship = Self,->Condition Respiratory syncytial virus as the cause of diseases classified elsewhere,->MedicationAdministration: status = completed; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-01 17:30:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Ribavirin inhalation solution 6g/vial via nebulizer; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000,->MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101903002 (use: usual, ); status = completed; intent = order; category = Inpatient; medication[x] = ->Nasal Saline spray; authoredOn = 2024-01-01 11:45:15+0000; courseOfTherapyType = Short course (acute) therapy,->Observation Respiratory syncytial virus Ag [Presence] in Throat,->ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat,->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 --> 2024-01-06 00:00:00+0000; improvementNotation = Increased score indicates improvement