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        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        1.0.0 - Release 1 United States of America flag

        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 RSV Lab BTG 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:

        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

        -CodeCount
        *Initial Population1

        evaluatedResource:


        Entry 2 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-daily-rsvlabbtg

        Resource Patient:

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


        Active:trueDeceased: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:
        US Core Birth Sex ExtensionF
        US Core Race Extension:

        Entry 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-daily-rsvlabbtg

        Resource 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

        -LocationPeriod
        *EMERGENCY - PAVILION2024-01-14 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:

        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

        -TextRouteDose
        *Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Oral route6 g (Details: UCUM codeg = 'g')

        Entry 7 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1

        Resource MedicationRequest:

        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

        -TextTimingRoute
        *Ribavirin inhalation solution 6g/vial via nebulizer every hour x 6Code , Once per 6 hoursOral use

        Entry 8 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-daily-rsvlabbtg-2

        Resource MedicationAdministration:

        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

        -TextRouteDose
        *Nasal Saline spray, one spray each nostril QIDNasal use1 U (Details: UCUM codeU = 'U')

        Entry 9 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2

        Resource MedicationRequest:

        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

        -TextTimingRoute
        *Nasal Saline spray, one spray each nostril QIDCode , OnceNasal use

        Entry 10 - fullUrl = http://nhsnlink.org/fhir/Observation/lab-observation-example-ach-daily-rsvlabbtg

        Resource 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:

        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:

        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+0000No display for Specimen.collection.bodySite (concept: Entire root of nose (body structure))

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