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
1.0.0 - Release 1
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
Profile: NHSN Subject Bundle
Bundle bundle-example-ach-daily-subject-negativepcr of type collection
Entry 1 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-daily-negativepcr
Resource MeasureReport:
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-pass1status: 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 2 - 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 3 - 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 4 - 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 5 - 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 6 - 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 7 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-negativepcr
Resource MedicationAdministration:
status: completed
subject: ACHDaily, NegativePCR
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 8 - 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 9 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-1
Resource 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 10 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-negativepcr-2
Resource 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 11 - 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 12 - 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 13 - 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 14 - 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 15 - 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
