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: Full ACH Daily Measure Submission Bundle

Profile: NHSN MeasureReport Bundle

Bundle bundle-example-ach-daily-full 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

Entry 5 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-initialpopulationpass

Resource MeasureReport:

> Profile: DEQM Individual MeasureReport Profile

> DEQM Measure Scoring Extension: Cohort

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2008-07-01 --> (ongoing)

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Shortness of breath

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

> subject: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

> date: 2024-02-05 21:04:29+0000

> reporter: Organization Example NHSN Submitter

> period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

> improvementNotation: Increased score indicates improvement

> > group

> > ### Populations

> > - | Code | Count
> > * | Initial Population | 1

> evaluatedResource:

> - 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

Entry 6 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-initialpopulationpass

Resource Patient:

> Profile: Cross-Measure Patient Profile

> ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

> Active: | true | Deceased: | false
> Contact Detail | ph: 999-999-9999(Home) 123 Alphabet Street Lansing MI 48864 US (home)
> US Core Ethnicity Extension: | ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino text: Non Hispanic or Latino
> US Core Birth Sex Extension | F
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC 1002-5: American Indian or Alaska Native text: Asian

Entry 7 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-1

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789987 (use: usual, )

> status: completed

> class: emergency

> type: Emergency hospital admission

> subject: ACHDaily, InitialPopulationPass

> > location

> > location: EMERGENCY - PAVILION

> > period: 2022-08-17 16:25:00+0000 --> 2022-08-17 17:01:00+0000

> > location

> > location: Health Hospital Location

> > period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

Entry 8 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-initialpopulationpass-2

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789987 (use: usual, )

> status: completed

> class: inpatient encounter

> type: Medical consultation on hospital inpatient

> subject: ACHDaily, InitialPopulationPass

> ### Locations

> - | Location | Period
> * | Inpatient Hospital Ward | 2024-01-14 09:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 9 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-initialpopulationpass

Resource Coverage:

> identifier: Member Number/88800933501

> status: Active

> type: MEDICARE

> subscriberId: 123456789

> beneficiary: ACHDaily, InitialPopulationPass(official) Female, DoB: 2005-01-15 ( MRN: 1000009001 (use: usual, ))

> relationship: Self

> period: 2008-07-01 --> (ongoing)

> ### Classes

> - | Type | Value | Name
> * | Medicare | Medicare | Medicare

Entry 10 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-initialpopulationpass

Resource Condition:

> Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Hyperglycemia

> subject: ACHDaily, InitialPopulationPass

> encounter: Emergency

Entry 11 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-1

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, InitialPopulationPass

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 | Intravenous use | 200 mg (Details: UCUM codemg = 'mg')

Entry 12 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass

Resource MedicationRequest:

> Profile: ACH Daily Event Medication Request

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.798`/101903002 (use: usual, )

> status: Completed

> intent: Order

> category: Inpatient

> subject: ACHDaily, InitialPopulationPass

> encounter: Hospital Encounter

> authoredOn: 2024-01-14 21:30:15+0000

> requester: Faculty Physician Um_Cln, MD

> recorder: Faculty Physician Um_Cln, MD

> courseOfTherapyType: Short course (acute) therapy

> ### DosageInstructions

> - | Text | Timing | Route
> * | Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 | Code , 4 per 1 day | Intravenous

Entry 13 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-initialpopulationpass-2

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, InitialPopulationPass

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Remdesivir 200 mg IV once a day on day 1, then 100 mg IV once a day on days 2-5 | Intravenous use | 100 mg (Details: UCUM codemg = 'mg')

Entry 14 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-initialpopulationpass

Resource Observation:

> Profile: ACH Daily Event Lab Result Observation

> status: Final

> category: Laboratory

> code: SARS-CoV-2 RNA Resp Ql NAA+probe

> subject: ACHDaily, InitialPopulationPass

> encounter: Hospital Encounter

> effective: 2023-01-01 15:04:25+0000

> issued: 2023-01-01 15:04:25+0000

> value: Positive

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 15 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid

Resource ServiceRequest:

> Profile: ACH Daily Event ServiceRequest

> identifier: Placer Identifier/1019631821 (use: usual, )

> status: Completed

> intent: Original Order

> category: Laboratory procedure

> code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection)

> quantity: 1

> subject: ACHDaily InitialPopulationPass

> encounter: Hospital Admission

> occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

> authoredOn: 2024-01-01 17:22:00-0500

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 16 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-initialpopulationpass

Resource Specimen:

> Profile: ACH Daily Event Specimen

> type: Nasal fluid specimen (specimen)

> subject: ACHDaily, InitialPopulationPass

> receivedTime: 2024-01-01 08:30:00+0000

> ### Collections

> - | Collected[x] | BodySite
> * | 2024-01-01 09:00:00+0000 | No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 17 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-negativepcr

Resource MeasureReport:

> Profile: DEQM Individual MeasureReport Profile

> DEQM Measure Scoring Extension: Cohort

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = subsidized health program; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition COVID-19

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Intubation of respiratory tract (procedure)

> identifier: `http://example.org/fhir/measurereport/id`/123456789-pass1

> status: Complete

> type: Individual

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

> subject: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

> date: 2024-01-06 21:04:29+0000

> reporter: Organization Example NHSN Submitter

> period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

> improvementNotation: Increased score indicates improvement

> > group

> > ### Populations

> > - | Code | Count
> > * | Initial Population | 1

> evaluatedResource:

> - 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)

Entry 18 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-negativepcr

Resource Patient:

> Profile: Cross-Measure Patient Profile

> ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

> Active: | true | Deceased: | false
> Contact Detail | ph: 999-999-9999(Home) 456 Alphabet Street Lansing MI 48864 US (home)
> US Core Ethnicity Extension: | ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino text: Non Hispanic or Latino
> US Core Birth Sex Extension | F
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC 2028-9: Asian text: Asian

Entry 19 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-1

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789986 (use: usual, )

> status: completed

> class: Observation Encounter

> type: Hospital admission (procedure)

> subject: ACHDaily, NegativePCR

> > location

> > location: EMERGENCY - PAVILION

> > period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

> > location

> > location: Health Hospital Location

> > period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

Entry 20 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-negativepcr-2

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789986 (use: usual, )

> status: completed

> class: Inpatient Encounter

> type: Hospital admission (procedure)

> subject: ACHDaily, NegativePCR

> > location

> > location: EMERGENCY - PAVILION

> > period: 2022-08-11 18:52:00+0000 --> 2022-08-17 16:09:00+0000

> > location

> > location: Health Hospital Location

> > period: 2022-08-17 16:09:00+0000 --> 2022-08-22 19:01:00+0000

Entry 21 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-negativepcr

Resource Coverage:

> identifier: Member Number/88800933501

> status: Active

> type: MEDICAID

> subscriberId: 123456789

> beneficiary: ACHDaily NegativePCR(official) Other, DoB: 2005-02-01 ( MRN: 1000009001 (use: usual, ))

> relationship: Self

> period: 2023-01-01 --> (ongoing)

> ### Classes

> - | Type | Value | Name
> * | Medicaid | Medicaid | Medicaid

Entry 22 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-negativepcr

Resource Condition:

> Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: COVID-19

> subject: ACHDaily, NegativePCR

> encounter: Inpatient

Entry 23 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-negativepcr

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, NegativePCR

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Take Molnupiravir 200 mg 4 capsules by mouth twice a day x 5 days | Capsule | 200 mg (Details: UCUM codemg = 'mg')

Entry 24 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-negativepcr

Resource MedicationRequest:

> Profile: ACH Daily Event Medication Request

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.798`/101903002 (use: usual, )

> status: Completed

> intent: Order

> category: Inpatient

> subject: ACHDaily, NegativePCR

> encounter: Hospital Encounter

> authoredOn: 2024-01-02 21:30:15+0000

> requester: Faculty Physician Um_Cln, MD

> recorder: Faculty Physician Um_Cln, MD

> courseOfTherapyType: Short course (acute) therapy

> ### DosageInstructions

> - | Text | Timing | Route
> * | Molnupiravir 200 mg: Take 4 capsules by mouth twice a day x 5 days | Code , 4 per 5 days | Oral use

Entry 25 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-1

Resource Observation:

> Profile: ACH Daily Event Lab Result Observation

> status: Final

> category: Laboratory

> code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)

> subject: ACHDaily, NegativePCR

> encounter: Hospital Encounter

> effective: 2023-01-01 08:30:00+0000

> issued: 2023-01-01 08:30:00+0000

> value: Positive

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 26 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-2

Resource Observation:

> Profile: ACH Daily Event Lab Result Observation

> status: Final

> category: Laboratory

> code: SARS-CoV-2 (COVID-19) N gene NAA+probe CDC primer-probe set N1 Ql (Specimen)

> subject: ACHDaily, NegativePCR

> encounter: Hospital Encounter

> effective: 2023-01-02 15:30:00+0000

> issued: 2023-01-02 15:30:00+0000

> value: Negative

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Entry 27 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1

Resource ServiceRequest:

> Profile: ACH Daily Event ServiceRequest

> identifier: Placer Identifier/1019631821 (use: usual, )

> status: Completed

> intent: Original Order

> category: Laboratory procedure

> code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1)

> quantity: 1

> subject: ACHDaily NegativePCR

> encounter: Hospital Admission

> occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

> authoredOn: 2024-01-01 17:22:00-0500

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-01 08:30:00+0000

Entry 28 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2

Resource ServiceRequest:

> Profile: ACH Daily Event ServiceRequest

> identifier: Placer Identifier/1019631821 (use: usual, )

> status: Completed

> intent: Original Order

> category: Laboratory procedure

> code: No display for ServiceRequest.code (concept: SARS-CoV-2 (COVID-19) N gene [Presence] in Specimen by Nucleic acid amplification using CDC primer-probe set N1)

> quantity: 1

> subject: ACHDaily NegativePCR

> encounter: Hospital Admission

> occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

> authoredOn: 2024-01-02 17:22:00-0500

> specimen: Specimen: type = Nasal fluid specimen (specimen); receivedTime = 2024-01-02 16:30:00+0000

Entry 29 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-1

Resource Specimen:

> Profile: ACH Daily Event Specimen

> type: Nasal fluid specimen (specimen)

> subject: ACHDaily, NegativePCR

> receivedTime: 2024-01-01 08:30:00+0000

> ### Collections

> - | Collected[x] | BodySite
> * | 2024-01-01 09:00:00+0000 | No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 30 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-negativepcr-2

Resource Specimen:

> Profile: ACH Daily Event Specimen

> type: Nasal fluid specimen (specimen)

> subject: ACHDaily, NegativePCR

> receivedTime: 2024-01-02 16:30:00+0000

> ### Collections

> - | Collected[x] | BodySite
> * | 2024-01-02 15:45:00+0000 | No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

Entry 31 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-daily-negativepcr-intubation

Resource Procedure:

> Profile: ACH Daily Event Procedure

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/1000510352 (use: usual, )

> status: Completed

> code: Intubation of respiratory tract (procedure)

> subject: ACHDaily NegativePCR

> encounter: Hospital Admission

Entry 32 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-influenzatherapeutic

Resource MeasureReport:

> Profile: DEQM Individual MeasureReport Profile

> DEQM Measure Scoring Extension: Cohort

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 88800933501; status = active; type = preferred provider organization policy; subscriberId = 123456789; relationship = Self; period = 2023-01-01 --> (ongoing)

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Influenza due to identified novel influenza A virus

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

> subject: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))

> date: 2024-01-06 00:04:29+0000

> reporter: Organization Example NHSN Submitter

> period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

> improvementNotation: Increased score indicates improvement

> > group

> > ### Populations

> > - | Code | Count
> > * | Initial Population | 1

> evaluatedResource:

> - 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

Entry 33 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-influenzatherapeutic

Resource Patient:

> Profile: Cross-Measure Patient Profile

> ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))

> Active: | true | Deceased: | false
> Contact Detail | ph: 999-999-9999(Home) 789 Alphabet Street Lansing MI 48864 US (home)
> mother: | Mama Bear 789 Alphabet Street Lansing MI 48864 US (home)
> US Core Ethnicity Extension: | ombCategory: Race & Ethnicity - CDC 2135-2: Hispanic or Latino text: Hispanic or Latino
> US Core Birth Sex Extension | M
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC 2054-5: Black or African American text: Black or African American

Entry 34 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-influenzatherapeutic

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789987 (use: usual, )

> status: completed

> class: Inpatient Acute

> type: Emergency hospital admission

> subject: ACHDaily, InfluenzaTherapeutic

> ### Locations

> - | Location | Period
> * | EMERGENCY - PAVILION | 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 35 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-influenzatherapeutic

Resource Coverage:

> identifier: Member Number/88800933501

> status: Active

> type: PPO

> subscriberId: 123456789

> beneficiary: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))

> relationship: Self

> period: 2023-01-01 --> (ongoing)

> ### Classes

> - | Type | Value | Name
> * | PPO | United Healthcare | United Healthcare

Entry 36 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-influenzatherapeutic

Resource Condition:

> Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Influenza Type A

> subject: ACHDaily, InfluenzaTherapeutic

> encounter: Inpatient

Entry 37 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-influenzatherapeutic

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, InfluenzaTherapeutic

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Oseltamivir 60 mg PO twice daily x 5 days | Capsule | 60 mg (Details: UCUM codemg = 'mg')

Entry 38 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic

Resource MedicationRequest:

> Profile: ACH Daily Event Medication Request

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.798`/101903002 (use: usual, )

> status: Completed

> intent: Order

> category: Inpatient

> subject: ACHDaily, InfluenzaTherapeutic

> encounter: Hospital Encounter

> authoredOn: 2024-01-01 11:45:15+0000

> requester: Faculty Physician Um_Cln, MD

> recorder: Faculty Physician Um_Cln, MD

> courseOfTherapyType: Short course (acute) therapy

> ### DosageInstructions

> - | Text | Timing | Route
> * | Oseltamivir 60 mg PO twice daily x 5 days | Code , 2 per 5 days | Oral use

Entry 39 - fullUrl = http://nhsnlink.org/fhir/Immunization/immunization-example-ach-daily-influenzatherapeutic

Resource Immunization:

> identifier: URI/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

> status: Completed

> vaccineCode: Fluvax

> lotNumber: AAJN11K

> expirationDate: 2025-02-15

> patient: ACHDaily InfluenzaTherapeutic(official) Male, DoB: 2020-02-29 ( MRN: 1000009001 (use: usual, ))

> encounter: 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

> occurrence: 2024-01-02

> primarySource: true

> doseQuantity: 5 mg (Details: UCUM codemg = 'mg')

> note:

> > Notes on administration of vaccine

> isSubpotent: true

Entry 40 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-rsvlabbtg

Resource MeasureReport:

> Profile: DEQM Individual MeasureReport Profile

> DEQM Measure Scoring Extension: Cohort

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: status = active; relationship = Self

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Respiratory syncytial virus as the cause of diseases classified elsewhere

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: status = completed; medication[x] = ->Nasal Saline spray; effective[x] = 2024-01-01 12:30:00+0000 --> 2024-01-02 17:30:09+0000

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Respiratory syncytial virus Ag [Presence] in Throat

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Respiratory syncytial virus Ag [Presence] in Throat

> Measure Report Supplemental Data Element Reference (R5 surrogate extension): 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: NHSN Acute Care Hospital Daily Initial Populationversion: null1.0.0)

> subject: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

> date: 2024-01-06 21:04:29+0000

> reporter: Organization Example NHSN Submitter

> period: 2024-01-05 00:00:00+0000 --> 2024-01-06 00:00:00+0000

> improvementNotation: Increased score indicates improvement

> > group

> > ### Populations

> > - | Code | Count
> > * | Initial Population | 1

> evaluatedResource:

> - 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

Entry 41 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg

Resource Patient:

> Profile: Cross-Measure Patient Profile

> ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

> Active: | true | Deceased: | false
> Contact Detail | ph: 999-999-9999(Home) 123 Happy Place Charlotte MI 48813 US (home)
> mother: | Mother Nature 123 Happy Place Charlotte MI 48813 US (home)
> US Core Ethnicity Extension: | ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino text: Non Hispanic or Latino
> US Core Birth Sex Extension | F
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC 2076-8: Native Hawaiian or Other Pacific Islander text: Native Hawaiian or Other Pacific Islander

Entry 42 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg

Resource Encounter:

> Profile: ACH Daily Event Encounter

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.698.8`/123456789987 (use: usual, )

> status: completed

> class: Short Stay

> type: Emergency hospital admission

> subject: ACHDaily, rsvlabbtg

> ### Locations

> - | Location | Period
> * | EMERGENCY - PAVILION | 2024-01-14 08:00:00+0000 --> 2024-01-22 12:00:00+0000

Entry 43 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-daily-rsvlabbtg

Resource Coverage:

> status: Active

> beneficiary: ACHDaily RSVLabBTG(official) Female, DoB: 2015-05-05 ( MRN: 1000009002 (use: usual, ))

> relationship: Self

Entry 44 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-daily-rsvlabbtg

Resource Condition:

> Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: RSV

> subject: ACHDaily, RSVLabBTG

> encounter: Inpatient

Entry 45 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-1

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, RSVLabBTG

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6 | Oral route | 6 g (Details: UCUM codeg = 'g')

Entry 46 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1

Resource MedicationRequest:

> Profile: ACH Daily Event Medication Request

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.798`/101903002 (use: usual, )

> status: Completed

> intent: Order

> category: Inpatient

> subject: ACHDaily, RSVLabBTG

> encounter: Hospital Encounter

> authoredOn: 2024-01-01 11:45:15+0000

> requester: Faculty Physician Um_Cln, MD

> recorder: Faculty Physician Um_Cln, MD

> courseOfTherapyType: Short course (acute) therapy

> ### DosageInstructions

> - | Text | Timing | Route
> * | Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6 | Code , Once per 6 hours | Oral use

Entry 47 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2

Resource MedicationAdministration:

> Profile: ACH Daily Event Medication Administration

> status: completed

> subject: ACHDaily, RSVLabBTG

> request: 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

> ### Dosages

> - | Text | Route | Dose
> * | Nasal Saline spray, one spray each nostril QID | Nasal use | 1 U (Details: UCUM codeU = 'U')

Entry 48 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2

Resource MedicationRequest:

> Profile: ACH Daily Event Medication Request

> identifier: `urn:oid:2.16.840.1.113883.19.5.1.798`/101903002 (use: usual, )

> status: Completed

> intent: Order

> category: Inpatient

> subject: ACHDaily, RSVLabBTG

> encounter: Hospital Encounter

> authoredOn: 2024-01-01 11:45:15+0000

> requester: Faculty Physician Um_Cln, MD

> recorder: Faculty Physician Um_Cln, MD

> courseOfTherapyType: Short course (acute) therapy

> ### DosageInstructions

> - | Text | Timing | Route
> * | Nasal Saline spray, one spray each nostril QID | Code , Once | Nasal use

Entry 49 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg

Resource Observation:

> Profile: ACH Daily Event Lab Result Observation

> status: Final

> category: Laboratory

> code: RSV Ag Ql (Throat)

> subject: ACHDaily, RSVLabBTG

> encounter: Hospital Encounter

> effective: 2024-01-01 12:15:00+0000

> issued: 2024-01-01 12:15:00+0000

> value: Presumptive positive

> specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

Entry 50 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv

Resource ServiceRequest:

> Profile: ACH Daily Event ServiceRequest

> identifier: Placer Identifier/1019631821 (use: usual, )

> status: Completed

> intent: Original Order

> category: Laboratory procedure

> code: No display for ServiceRequest.code (concept: Respiratory syncytial virus Ag [Presence] in Throat)

> quantity: 1

> subject: ACHDaily RSVLabBTG

> encounter: Hospital Admission

> occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once

> authoredOn: 2024-01-02 17:22:00-0500

> specimen: Specimen: type = Nasopharyngeal swab (specimen); receivedTime = 2024-01-01 15:00:00+0000

Entry 51 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-daily-rsvlabbtg

Resource Specimen:

> Profile: ACH Daily Event Specimen

> type: Nasopharyngeal swab (specimen)

> subject: ACHDaily, RSVLabBTG

> receivedTime: 2024-01-01 15:00:00+0000

> ### Collections

> - | Collected[x] | BodySite
> * | 2024-01-01 14:00:00+0000 | No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))