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-monthly-subject-ach-pass1 of type collection
Entry 1 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass1
Resource MeasureReport:
DEQM Measure Scoring Extension: Cohort
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(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#10005104251?(use:?usual,?); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Bacteremia (finding)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341?(use:?usual,?); type = Central venous catheter, device (physical object)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Bacteria identified in Blood by Culture
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Gestational age--at birth
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Body weight
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Placement procedure (procedure)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Bacteria identified in Blood by Culture
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Differential panel - Cerebral spinal fluid
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500
identifier:
http://example.org/fhir/measurereport/id/123456789-pass1status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(use:?usual,?))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
Code Count Initial Population 1 evaluatedResource:
- Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(use:?usual,?))
- Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251?(use:?usual,?); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified
- Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --> (ongoing)
- Condition Bacteremia (finding)
- Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341?(use:?usual,?); type = Central venous catheter, device (physical object)
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500
- Observation Bacteria identified in Blood by Culture
- Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection
- Observation Gestational age--at birth
- Observation Body weight
- Procedure Placement procedure (procedure)
- Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic
- ServiceRequest Bacteria identified in Blood by Culture
- ServiceRequest Differential panel - Cerebral spinal fluid
- Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500
- Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500
Entry 2 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass1
Resource Patient:
Profile: Cross-Measure Patient Profile
Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(use:?usual,?))
Active: true Deceased: false Contact Detail
- ph: 999-999-9999(Home)
- 456 Alphabet Street Lansing MI 48864 US (home)
Language: English (United States) Next-of-Kin:
- Mom Parent
- 456 Alphabet Street Lansing MI 48864
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 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass1
Resource Encounter:
Profile: ACH Monthly Event Encounter
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104251?(use:?usual,?)status: In Progress
class: inpatient acute
type: Hospital Admission
subject: Pass1 ACH
Diagnoses
Condition No display for Encounter.diagnosis.condition (reference: ->Thrombophlebitis) Locations
Location Period ACH Monthly Neonatal critical care 2024-02-01 16:02:00-0500 --> 2024-02-02 16:02:00-0500
Entry 4 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass1
Resource Coverage:
Profile: ACH Monthly Event Coverage
identifier: Member Number/084536836
status: Active
type: subsidized health program
policyHolder: Mom Parent
subscriberId: 98435938934
beneficiary: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(use:?usual,?))
relationship: Child
period: 2020-08-01 --> (ongoing)
Entry 5 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass1
Resource Condition:
Profile: ACH Monthly Event Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Bacteremia
subject: Pass1 ACH
Entry 6 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass1-central-line
Resource Device:
Profile: ACH Monthly Event Device
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510341?(use:?usual,?)type: Central venous catheter, device
Entry 7 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888111?(use:?usual,?)status: completed
category: Inpatient
subject: Pass1 ACH
Dosages
Text Route Dose 15mg/kg IV 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')
Entry 8 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888811?(use:?usual,?)status: Completed
intent: Order
category: Inpatient
subject: Pass1 ACH
encounter: Hospital Admission
authoredOn: 2024-02-02 13:43:00-0500
requester: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:?1601191901010308?(use:?usual,?))
dosageInstruction
text: 15mg/kg every 12 hours
timing: Once per 12 hours
route: IV
DoseAndRates
Type Dose[x] calculated 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')
Entry 9 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-blood
Resource Observation:
basedOn: ServiceRequest Bacteria identified in Blood by Culture
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:12:00-0500
issued: 2024-02-03 11:42:00-0500
value: Staphylococcus capitis
Entry 10 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-csf
Resource Observation:
basedOn: ServiceRequest Differential panel - Cerebral spinal fluid
status: Final
category: Laboratory
code: Serratia marcescens DNA
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:13:00-0500
issued: 2024-02-03 11:47:00-0500
value: Detected (qualifier value)
Entry 11 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-gestational-age
Resource Observation:
Profile: ACH Monthly Event Observation
status: Final
category: Exam
code: Gestational age at birth
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
value: 164 day (Details: UCUM coded = 'd')
Entry 12 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass1-vitals-weight
Resource Observation:
status: Final
category: Vital Signs
code: Weight
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
value: 0.58 kg (Details: UCUM codekg = 'kg')
Entry 13 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-central-line
Resource Procedure:
Profile: ACH Monthly Event Procedure
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352?(use:?usual,?)status: Completed
code: Placement procedure (procedure)
subject: Pass1 ACH
encounter: Hospital Admission
Entry 14 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass1-lumbar
Resource Procedure:
Profile: ACH Monthly Event Procedure
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352?(use:?usual,?)status: Completed
code: Drainage of Spinal Canal, Percutaneous Approach, Diagnostic
subject: Pass1 ACH
encounter: Hospital Admission
bodySite: Structure of superior articular process of lumbar vertebra
Entry 15 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-blood
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631821?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Bacteria identified in Blood by Culture)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:00-0500
Entry 16 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass1-csf
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631822?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Differential panel - Cerebral spinal fluid)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:30-0500
Entry 17 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-blood
Resource Specimen:
Profile: ACH Monthly Event Specimen
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:41type: Venous blood specimen (specimen)
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
Collected[x] BodySite 2024-02-02 18:12:00-0500 No display for Specimen.collection.bodySite (concept: Heel structure (body structure))
Entry 18 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass1-csf
Resource Specimen:
Profile: ACH Monthly Event Specimen
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:42type: Cerebrospinal fluid specimen (specimen)
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
Collected[x] BodySite 2024-02-02 18:13:00-0500 No display for Specimen.collection.bodySite (concept: Structure of superior articular process of lumbar vertebra (body structure))
