Generated Narrative: MeasureReport measurereport-example-individual-ach-monthly-pass3

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-pass3

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-pass3

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
Language:Chinese
US Core Ethnicity Extension:
US Core Birth Sex ExtensionM
US Core Race Extension:

Generated Narrative: Encounter encounter-example-ach-monthly-pass3-acute

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a (use: usual, )

status: Finished

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

type: Critical care visit

subject: Pass3 ACH

period: 2024-02-02 16:43:00-0500 --> 2024-02-03 19:58:00-0500

Hospitalizations

-AdmitSourceDischargeDisposition
*From Short StayHome

Locations

-LocationPhysicalTypePeriod
*ACH Monthly Medical Critical CareWard2024-02-02 16:43:00-0500 --> 2024-03-02 19:58:00-0500

Generated Narrative: Encounter encounter-example-ach-monthly-pass3-short-stay

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104253a (use: usual, )

status: In Progress

class: ActCode SS: short stay (version = 9.0.0 )

type: Hospital Admission, Elective Procedure

subject: Pass3 ACH

period: 2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500

reasonCode: Diarrhea

Diagnoses

-Condition
*Enterocolitis due to Clostridium difficile

Hospitalizations

-AdmitSource
*Outpatient

Locations

-LocationPhysicalTypePeriod
*ACH Monthly Medical-Surgical WardWard2024-02-01 14:12:00-0500 --> 2024-02-02 16:43:00-0500

Generated Narrative: Coverage coverage-example-ach-monthly-pass3

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

payor: Nation First Health Care

Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3-problem

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

Generated Narrative: Condition condition-example-diagnosis-ach-monthly-pass3

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Enterocolitis due to Clostridium difficile

subject: Pass3 ACH

Generated Narrative: Device device-example-ach-monthly-pass3-ivcs-pump

identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/100051035 (use: usual, )

type: Intermittent venous compression system pump

patient: Pass3 ACH

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-enoxaparin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888833 (use: usual, )

status: Not Done

category: Inpatient Medication

medication: 0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe

subject: Pass2 ACH

context: Critical care visit

effective: 2024-02-02 21:04:00-0500

request: 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

Dosages

-TextSiteRouteDose
*0.4ml subcutaneous once daily in abdomenSubcutaneous tissue structure of anterior abdominal wall (body structure)Oral4000 uL (Details: UCUM codeuL = 'uL')

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-1

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888321 (use: usual, )

status: Completed

category: Inpatient Medication

medication: Metronidazole 500 MG

subject: Pass2 ACH

context: Short Stay

effective: 2024-02-01 21:02:00-0500

request: 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

Dosages

-TextRouteDose
*5mg tablet by mouth twice dailyOral5 mg (Details: UCUM codemg = 'mg')

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-2

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888322 (use: usual, )

status: Completed

category: Inpatient Medication

medication: Metronidazole 500 MG

subject: Pass2 ACH

context: Short Stay

effective: 2024-02-02 21:09:00-0500

request: 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

Dosages

-TextRouteDose
*5mg tablet by mouth twice dailyOral5 mg (Details: UCUM codemg = 'mg')

Generated Narrative: MedicationAdministration medadmin-example-ach-monthly-pass3-metronidazole-3

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888323 (use: usual, )

status: Completed

category: Inpatient Medication

medication: Metronidazole 500 MG

subject: Pass2 ACH

context: Short Stay

effective: 2024-02-03 09:09:00-0500

request: 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

Dosages

-TextRouteDose
*5mg tablet by mouth twice dailyOral5 mg (Details: UCUM codemg = 'mg')

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-cipro

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888892 (use: usual, )

status: Active

intent: Plan

category: Home Medication

reported: true

medication: Ciprofloxacin 500 MG

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

asNeeded: false

route: Oral

DoseAndRates

-TypeDose[x]
*calculated500 mg (Details: UCUM codemg = 'mg')

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-enoxaparin

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888833 (use: usual, )

status: Active

intent: Order

category: Inpatient Medication

reported: false

medication: 0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe

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

asNeeded: false

site: Subcutaneous tissue structure of anterior abdominal wall (body structure)

route: Oral

DoseAndRates

-TypeDose[x]
*calculated4000 uL (Details: UCUM codeuL = 'uL')

Generated Narrative: MedicationRequest medicationrequest-example-ach-monthly-pass3-metronidazole

identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888832 (use: usual, )

status: Active

intent: Order

category: Inpatient Medication

reported: false

medication: Metronidazole 500 MG

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

asNeeded: false

route: Oral

DoseAndRates

-TypeDose[x]
*calculated5 mg (Details: UCUM codemg = 'mg')

Generated Narrative: Observation observation-example-ach-monthly-pass3-cdiff

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)

specimen: 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

Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-height

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')

Generated Narrative: Observation observation-example-ach-monthly-pass3-vitals-weight

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')

Generated Narrative: Procedure procedure-example-ach-monthly-pass3-transfusion

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

performed: 2024-02-02 20:43:00-0500

Generated Narrative: ServiceRequest servicerequest-example-ach-monthly-pass3-cdiff

identifier: Placer Identifier/1019631826 (use: usual, )

status: Completed

intent: Original Order

category: Laboratory procedure

code: C. Diff. toxin

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

specimen: 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

Generated Narrative: Specimen specimen-example-ach-monthly-pass3-stool

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)

subject: Pass3 ACH

receivedTime: 2024-02-01 19:12:00-0500

Collections

-Collected[x]BodySite
*2024-02-01 19:02:00-0500Entire rectum (body structure)
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