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-pass3 of type collection
Entry 1 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass3
Resource MeasureReport:
DEQM Measure Scoring Extension: Cohort
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Acute sinusitis (disorder)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Enterocolitis due to Clostridium difficile
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035?(use:?usual,?); type = Intermittent venous compression system pump (physical object)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a?(use:?usual,?); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --> 2024-02-03 19:58:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a?(use:?usual,?); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833?(use:?usual,?); status = not-done; category = Inpatient; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892?(use:?usual,?); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Clostridioides difficile (organism)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Body height
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Body weight
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Transfusion of red blood cells (procedure)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500
identifier:
http://example.org/fhir/measurereport/id/123456789-pass3status: 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:
- Condition Acute sinusitis (disorder)
- Condition Enterocolitis due to Clostridium difficile
- Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self
- Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035?(use:?usual,?); type = Intermittent venous compression system pump (physical object)
- Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a?(use:?usual,?); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --> 2024-02-03 19:58:00-0500
- Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a?(use:?usual,?); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833?(use:?usual,?); status = not-done; category = Inpatient; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892?(use:?usual,?); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = ->Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832?(use:?usual,?); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500
- Observation Clostridioides difficile (organism)
- Observation Body height
- Observation Body weight
- Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
- Procedure Transfusion of red blood cells (procedure)
- ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay
- Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500
Entry 2 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass3
Resource Patient:
Profile: Cross-Measure Patient Profile
Security Label: Restricted (Details: Confidentiality code R = 'Restricted')
Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
Active: true Contact Detail
- ACHtestcase@testcase.com
- 5678 Sesame Lansing Lansing MI 48864 US
Language: Chinese US Core Ethnicity Extension:
- ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino
- text: Non Hispanic or Latino
US Core Birth Sex Extension M US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2028-9: Asian
- text: White
Entry 3 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-acute
Resource Encounter:
Profile: ACH Monthly Event Encounter
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a?(use:?usual,?)status: completed
class: inpatient acute
type: Critical care visit
subject: Pass3 ACH
Locations
Location Period ACH Monthly Medical Critical Care 2024-02-02 16:43:00-0500 --> 2024-03-02 19:58:00-0500
Entry 4 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass3-short-stay
Resource Encounter:
Profile: ACH Monthly Event Encounter
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a?(use:?usual,?)status: In Progress
class: short stay
type: Hospital Admission, Elective Procedure
subject: Pass3 ACH
Diagnoses
Condition No display for Encounter.diagnosis.condition (reference: ->Enterocolitis due to Clostridium difficile) Locations
Location Period ACH Monthly Medical-Surgical Ward 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500
Entry 5 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass3
Resource Coverage:
Profile: ACH Monthly Event Coverage
identifier: Member Number/0945345
status: Active
type: preferred provider organization policy
subscriberId: 7843574536
beneficiary: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
relationship: Self
Entry 6 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3-problem
Resource Condition:
Profile: ACH Monthly Event Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Acute sinusitis
subject: Pass3 ACH
onset: 2024-01-21 07:32:00-0500
abatement: 2024-02-02 16:43:00-0500
Entry 7 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass3
Resource Condition:
Profile: ACH Monthly Event Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Enterocolitis due to Clostridium difficile
subject: Pass3 ACH
Entry 8 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass3-ivcs-pump
Resource Device:
Profile: ACH Monthly Event Device
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/100051035?(use:?usual,?)type: Intermittent venous compression system pump
Entry 9 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888833?(use:?usual,?)status: not-done
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.4ml subcutaneous once daily in abdomen Subcutaneous tissue structure of anterior abdominal wall (body structure) Oral 4000 uL (Details: UCUM codeuL = 'uL')
Entry 10 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888321?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 11 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888322?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 12 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888323?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 13 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888892?(use:?usual,?)status: Active
intent: Plan
category: Home Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 19:15:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
recorder: Patient Identified
dosageInstruction
text: 500mg tablet by mouth twice daily
timing: 2 per 1 day
route: Oral
DoseAndRates
Type Dose[x] calculated 500 mg (Details: UCUM codemg = 'mg')
Entry 14 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888833?(use:?usual,?)status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Critical care visit
authoredOn: 2024-02-02 12:21:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
dosageInstruction
text: 0.4ml subcutaneous once daily in abdomen
timing: Once per 1 day
site: Subcutaneous tissue structure of anterior abdominal wall (body structure)
route: Oral
DoseAndRates
Type Dose[x] calculated 4000 uL (Details: UCUM codeuL = 'uL')
Entry 15 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888832?(use:?usual,?)status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 20:33:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN:?1601191903010308?(use:?usual,?))
dosageInstruction
text: 5mg tablet by mouth twice daily
timing: 2 per 1 day
route: Oral
DoseAndRates
Type Dose[x] calculated 5 mg (Details: UCUM codemg = 'mg')
Entry 16 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-cdiff
Resource Observation:
basedOn: ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay
status: Final
category: Laboratory
code: C. Diff.
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
effective: 2024-02-01 19:02:00-0500
issued: 2024-02-02 15:30:00-0500
value: Positive (qualifier value)
Entry 17 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-height
Resource Observation:
status: Final
category: Vital Signs
code: Height
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
value: 176.8 cm (Details: UCUM codecm = 'cm')
Entry 18 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass3-vitals-weight
Resource Observation:
status: Final
category: Vital Signs
code: Weight
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
value: 54.4 kg (Details: UCUM codekg = 'kg')
Entry 19 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass3-transfusion
Resource Procedure:
Profile: ACH Monthly Event Procedure
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/100051035264?(use:?usual,?)status: Completed
code: Transfusion of red blood cells (procedure)
subject: Pass3 ACH
encounter: Critical care visit
Entry 20 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631826?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Clostridioides difficile toxin A [Presence] in Stool by Immunoassay)
quantity: 1
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
occurrence: Code , Events: 2024-02-01 18:12:00-0500 , Count 1 times, Once
authoredOn: 2024-02-01 18:12:00-0500
Entry 21 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass3-stool
Resource Specimen:
Profile: ACH Monthly Event Specimen
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32/C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800/C10408290:45type: Bloody stool specimen (specimen)
subject: Pass3 ACH
receivedTime: 2024-02-01 19:12:00-0500
Collections
Collected[x] BodySite 2024-02-01 19:02:00-0500 No display for Specimen.collection.bodySite (concept: Entire rectum (body structure))
