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

## Resource Profile: Patients-Of-Interest List

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: PatientsOfInterestList

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

Usages:

- Use this Profile: NHSN MeasureReport Bundle and NHSN Submission Header Bundle
- Examples for this Profile: List/list-example-ach-daily-patients-of-interest and List/list-example-ach-monthly-patients-of-interest

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
List.status | required | ListStatus `http://hl7.org/fhir/ValueSet/list-status|4.0.1` From the FHIR Standard
List.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() |
lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |

This structure is derived from List

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List |  |  | List |
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
identifier |  | 1..* | Identifier | Business identifier
entry |  |  |  |
item |  | 1..1 | Reference(US Core Patient Profile) | Patient Of Interest reference
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title | Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 0..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | If all resources have the same subject
encounter |  | 0..1 | Reference(Encounter) | Context in which list created
date | Σ | 0..1 | dateTime | When the list was prepared
source | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author)
orderedBy |  | 0..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note |  | 0..* | Annotation | Comments about the list
entry | C | 0..* | BackboneElement | Entries in the list
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
flag |  | 0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted | ?!C | 0..1 | boolean | If this item is actually marked as deleted
date |  | 0..1 | dateTime | When item added to list
item |  | 1..1 | Reference(US Core Patient Profile) | Patient Of Interest reference
emptyReason | C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
List.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
List.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
List.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
List.status | required | ListStatus `http://hl7.org/fhir/ValueSet/list-status|4.0.1` From the FHIR Standard
List.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
List.code | example | ExampleUseCodesForList `http://hl7.org/fhir/ValueSet/list-example-codes|4.0.1` From the FHIR Standard
List.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order|4.0.1` From the FHIR Standard
List.entry.flag | example | PatientMedicineChangeTypes `http://hl7.org/fhir/ValueSet/list-item-flag|4.0.1` From the FHIR Standard
List.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() |
lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |

This structure is derived from List

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
List.status | required | ListStatus `http://hl7.org/fhir/ValueSet/list-status|4.0.1` From the FHIR Standard
List.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() |
lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |

Differential View

This structure is derived from List

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List |  |  | List |
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
identifier |  | 1..* | Identifier | Business identifier
entry |  |  |  |
item |  | 1..1 | Reference(US Core Patient Profile) | Patient Of Interest reference
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
List | C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patient-list-applicable-period |  | 0..1 | Period | The reporting period associated with the patients of interest List URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | Business identifier
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title | Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 0..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | If all resources have the same subject
encounter |  | 0..1 | Reference(Encounter) | Context in which list created
date | Σ | 0..1 | dateTime | When the list was prepared
source | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author)
orderedBy |  | 0..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note |  | 0..* | Annotation | Comments about the list
entry | C | 0..* | BackboneElement | Entries in the list
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
flag |  | 0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted | ?!C | 0..1 | boolean | If this item is actually marked as deleted
date |  | 0..1 | dateTime | When item added to list
item |  | 1..1 | Reference(US Core Patient Profile) | Patient Of Interest reference
emptyReason | C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
List.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
List.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
List.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
List.status | required | ListStatus `http://hl7.org/fhir/ValueSet/list-status|4.0.1` From the FHIR Standard
List.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
List.code | example | ExampleUseCodesForList `http://hl7.org/fhir/ValueSet/list-example-codes|4.0.1` From the FHIR Standard
List.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order|4.0.1` From the FHIR Standard
List.entry.flag | example | PatientMedicineChangeTypes `http://hl7.org/fhir/ValueSet/list-item-flag|4.0.1` From the FHIR Standard
List.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() |
lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |

This structure is derived from List

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension

Maturity: 1

Other representations of profile: CSV, Excel, Schematron