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

## : MeasureReport - Example Individual ACH Monthly Pass2 - Hypo - XML Representation

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    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="measurereport-example-individual-ach-monthly-pass2"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass2</b></p><a name="measurereport-example-individual-ach-monthly-pass2"> </a><a name="hcmeasurereport-example-individual-ach-monthly-pass2"> </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="http://hl7.org/fhir/us/davinci-deqm/STU3.1/StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}">Cohort</span></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Coverage-coverage-example-ach-monthly-pass2.html">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html">Condition Diabetes mellitus type 2 (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Condition-condition-example-diagnosis-ach-monthly-pass2.html">Condition Thrombophlebitis of deep femoral vein (disorder)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Device-device-example-ach-monthly-pass2-compress-hose.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH'</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-aptt.html">Observation aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-poc-1.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-poc-2.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-hemo-a1c.html">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-hemo.html">Observation Bacteria identified in Blood by Culture</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Observation-observation-example-ach-monthly-pass2-vitals-weight.html">Observation Body weight</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Procedure-procedure-example-ach-monthly-pass2-ivcf.html">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html">ServiceRequest aPTT in Blood by Coagulation assay</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></p><p><b>Measure Report Supplemental Data Element Reference (R5 surrogate extension)</b>: <a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></p><p><b>identifier</b>: <code>http://example.org/fhir/measurereport/id</code>/123456789-pass2</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>subject</b>: <a href="Patient-patient-example-ach-monthly-pass1.html">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></p><p><b>date</b>: 2024-02-05 21:04:29+0000</p><p><b>reporter</b>: <a href="Organization-organization-example-submitting-organization.html">Organization Example NHSN Submitter</a></p><p><b>period</b>: 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></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></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>1</td></tr></table></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass2-emergency.html">Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg</a></li><li><a href="Encounter-encounter-example-ach-monthly-pass2-inpatient.html">Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500</a></li><li><a href="Coverage-coverage-example-ach-monthly-pass2.html">Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass2-problem.html">Condition Diabetes mellitus type 2 (disorder)</a></li><li><a href="Condition-condition-example-diagnosis-ach-monthly-pass2.html">Condition Thrombophlebitis of deep femoral vein (disorder)</a></li><li><a href="Device-device-example-ach-monthly-pass2-compress-hose.html">Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object)</a></li><li><a href="DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology.html">Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH'</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-1.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-2.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500</a></li><li><a href="MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4.html">MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-heparin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-insulin-lispro.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500</a></li><li><a href="MedicationRequest-medicationrequest-example-ach-monthly-pass2-metformin.html">MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-aptt.html">Observation aPTT in Blood by Coagulation assay</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-poc-1.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-poc-2.html">Observation Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-hemo-a1c.html">Observation Hemoglobin A1c/Hemoglobin.total in Blood</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-hemo.html">Observation Bacteria identified in Blood by Culture</a></li><li><a href="Observation-observation-example-ach-monthly-pass2-vitals-weight.html">Observation Body weight</a></li><li><a href="Procedure-procedure-example-ach-monthly-pass2-ivcf.html">Procedure Percutaneous insertion of inferior vena cava filter (procedure)</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt.html">ServiceRequest aPTT in Blood by Coagulation assay</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose.html">ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c.html">ServiceRequest Hemoglobin A1c [Mass/volume] in Blood</a></li><li><a href="ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo.html">ServiceRequest Hemoglobin [Mass/volume] in Venous blood</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass2-blood-1.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500</a></li><li><a href="Specimen-specimen-example-ach-monthly-pass2-blood-2.html">Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500</a></li></ul></div>
      </text>
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      <extension
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        <valueReference>🔗
          <extension
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            <valueString value="sde-minimal-patient"/>
          </extension>
          <reference value="Patient/patient-example-ach-monthly-pass2"/>
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      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
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            <valueString value="sde-encounter"/>
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          <reference
                     value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
        </valueReference>
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        <valueReference>🔗
          <extension
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          <reference
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      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
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            <valueString value="sde-coverage"/>
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          <reference value="Coverage/coverage-example-ach-monthly-pass2"/>
        </valueReference>
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        <valueReference>🔗
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          <reference
                     value="Condition/condition-example-diagnosis-ach-monthly-pass2-problem"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-condition"/>
          </extension>
          <reference
                     value="Condition/condition-example-diagnosis-ach-monthly-pass2"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-device"/>
          </extension>
          <reference
                     value="Device/device-example-ach-monthly-pass2-compress-hose"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-diagnosticreport-lab"/>
          </extension>
          <reference
                     value="DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-administration"/>
          </extension>
          <reference
                     value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-medication-request"/>
          </extension>
          <reference
                     value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-lab-category"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-aptt"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-lab-category"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-poc-1"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-lab-category"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-poc-2"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-lab-category"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-hemo-a1c"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-lab-category"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-hemo"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-observation-vital-signs"/>
          </extension>
          <reference
                     value="Observation/observation-example-ach-monthly-pass2-vitals-weight"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-procedure"/>
          </extension>
          <reference value="Procedure/procedure-example-ach-monthly-pass2-ivcf"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-service-request"/>
          </extension>
          <reference
                     value="ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-service-request"/>
          </extension>
          <reference
                     value="ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-service-request"/>
          </extension>
          <reference
                     value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-service-request"/>
          </extension>
          <reference
                     value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-specimen"/>
          </extension>
          <reference value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalDataElement.reference">
        <valueReference>🔗
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
            <valueString value="sde-specimen"/>
          </extension>
          <reference value="Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
        </valueReference>
      </extension>
      <identifier>
        <system value="http://example.org/fhir/measurereport/id"/>
        <value value="123456789-pass2"/>
      </identifier>
      <status value="complete"/>
      <type value="individual"/>
      <measure
               value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild"/>
      <subject>🔗
        <reference value="Patient/patient-example-ach-monthly-pass1"/>
      </subject>
      <date value="2024-02-05T21:04:29.481+00:00"/>
      <reporter>🔗
        <reference
                   value="Organization/organization-example-submitting-organization"/>
      </reporter>
      <period>
        <start value="2024-01-05T00:00:00.000+00:00"/>
        <end value="2024-02-04T00:00:00.000+00:00"/>
      </period>
      <improvementNotation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
          <code value="increase"/>
        </coding>
      </improvementNotation>
      <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="1"/>
        </population>
      </group>
      <evaluatedResource>🔗
        <reference value="Patient/patient-example-ach-monthly-pass2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Encounter/encounter-example-ach-monthly-pass2-emergency"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Encounter/encounter-example-ach-monthly-pass2-inpatient"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="Coverage/coverage-example-ach-monthly-pass2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Condition/condition-example-diagnosis-ach-monthly-pass2-problem"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Condition/condition-example-diagnosis-ach-monthly-pass2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="Device/device-example-ach-monthly-pass2-compress-hose"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-aptt"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-poc-1"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-poc-2"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-hemo-a1c"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-hemo"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="Observation/observation-example-ach-monthly-pass2-vitals-weight"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="Procedure/procedure-example-ach-monthly-pass2-ivcf"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference
                   value="ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="Specimen/specimen-example-ach-monthly-pass2-blood-1"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="Specimen/specimen-example-ach-monthly-pass2-blood-2"/>
      </evaluatedResource>
    </MeasureReport>