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

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

## Example Bundle: Example ACH Daily Submission RSV Lab BTG Bundle

Profile: NHSN Subject Bundle

Bundle bundle-example-ach-daily-subject-rsvlabbtg of type collection

Entry 1 - 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 2 - 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 3 - 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 4 - 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 5 - 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 6 - 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 7 - 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 8 - 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 9 - 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 10 - 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 11 - 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 12 - 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))