Example ACH Daily Submission Initial Population Pass Bundle - CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG v1.0.0

This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7? FHIR? Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: Example ACH Daily Submission Initial Population Pass Bundle

Profile: NHSN Subject Bundle

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

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