Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass1

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-pass1

status: 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

-CodeCount
*Initial Population1

evaluatedResource:

Generated Narrative: Patient patient-example-ach-monthly-pass1

Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))


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

Generated Narrative: Encounter encounter-example-ach-monthly-pass1

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104251 (use: usual, )

status: In Progress

class: ActCode ACUTE: inpatient acute (version = 9.0.0 )

type: Hospital Admission

subject: Pass1 ACH

period: 2024-02-01 16:02:00-0500 --> 2024-02-04 19:00:00-0500

reasonCode: Fever

Diagnoses

-Condition
*Thrombophlebitis

Hospitalizations

-AdmitSourceDischargeDisposition
*Born in hospitalOther

Locations

-LocationPhysicalTypePeriod
*ACH Monthly Neonatal critical careWard2024-02-01 16:02:00-0500 --> 2024-02-02 16:02:00-0500

Generated Narrative: Coverage coverage-example-ach-monthly-pass1

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)

payor: Medicaid

Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass1

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Bacteremia

subject: Pass1 ACH

Generated Narrative: Device device-example-ach-monthly-pass1-central-line

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510341 (use: usual, )

type: Central venous catheter, device

patient: Pass1 ACH

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass1-vancomycin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888111 (use: usual, )

status: Completed

category: Inpatient

medication: vancomycin Injectable Solution 50MG

subject: Pass1 ACH

context: Hospital Admission

effective: 2024-02-02 14:34:00-0500

request: 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

Dosages

-TextRouteDose
*15mg/kgIV15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass1-vancomycin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888811 (use: usual, )

status: Completed

intent: Order

category: Inpatient

reported: false

medication: vancomycin Injectable Solution 50MG

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

asNeeded: false

route: IV

DoseAndRates

-TypeDose[x]
*calculated15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')

Generated Narrative: Observation observation-example-ach-monthly-pass1-blood

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

specimen: 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

Generated Narrative: Observation observation-example-ach-monthly-pass1-csf

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)

specimen: 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

Generated Narrative: Observation observation-example-ach-monthly-pass1-gestational-age

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')

Generated Narrative: Observation observation-example-ach-monthly-pass1-vitals-weight

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')

Generated Narrative: Procedure procedure-example-ach-monthly-pass1-central-line

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

performed: 2024-02-02 18:12:00-0500

Generated Narrative: Procedure procedure-example-ach-monthly-pass1-lumbar

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

performed: 2024-02-02 18:56:00-0500

bodySite: Structure of superior articular process of lumbar vertebra

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        Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-blood

        identifier: Placer Identifier/1019631821 (use: usual, )

        status: Completed

        intent: Original Order

        category: Laboratory procedure

        code: 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

        specimen: 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

        Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass1-csf

        identifier: Placer Identifier/1019631822 (use: usual, )

        status: Completed

        intent: Original Order

        category: Laboratory procedure

        code: 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

        specimen: 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

        Generated Narrative: Specimen specimen-example-ach-monthly-pass1-blood

        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)

        subject: Pass1 ACH

        receivedTime: 2024-02-02 18:20:00-0500

        Collections

        -Collected[x]BodySite
        *2024-02-02 18:12:00-0500Heel structure

        Generated Narrative: Specimen specimen-example-ach-monthly-pass1-csf

        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)

        subject: Pass1 ACH

        receivedTime: 2024-02-02 18:20:00-0500

        Collections

        -Collected[x]BodySite
        *2024-02-02 18:13:00-0500Structure of superior articular process of lumbar vertebra
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