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 MeasureReport Bundle
Bundle submission-full-example1 of type collection
Entry 1 - fullUrl = http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization
Resource Organization:
Profile: NHSN Submitting Organization
identifier:
http://www.cy118119.com/nhsn/OrgID/ExampleNHSNSubmitterOrgIDactive: true
type: Healthcare Provider
name: Example NHSN Submitter
Contacts
Telecom Address ph: 5555555551
Entry 2 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-submitting-device
Resource Device:
Profile: NHSN Submitting Device
version
component: api
value: 0.9.0
version
component: api
value: 20230713.1
version
component: api
value: 3f9662a8
version
component: cqf-ruler
value: 0.13.0
Entry 3 - fullUrl = http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest
Resource List:
Profile: Patients-Of-Interest List
Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Entry 4 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1
Resource MeasureReport:
Profile: Subject-List MeasureReport Profile
status: Complete
type: Subject List
measure: NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)
period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000
group
Populations
Code Count SubjectResults Initial Population 1 List for 'Unspecified List Type' for 'Unspecified Subject' Profile: NHSN Individual MeasureReport List
Mode: Snapshot List Status: Current
Entry 5 - 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 6 - 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 7 - 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 8 - 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 9 - 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 10 - 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 11 - 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 12 - 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 13 - 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 14 - 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 15 - 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 16 - 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 17 - 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 18 - 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 19 - 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 20 - 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 21 - 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 22 - 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))
Entry 23 - fullUrl = http://nhsnlink.org/fhir/MeasureReport/measurereport-example-individual-ach-monthly-pass2
Resource MeasureReport:
DEQM Measure Scoring Extension: Cohort
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(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#10005104252a?(use:?usual,?); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b?(use:?usual,?); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Diabetes mellitus type 2 (disorder)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Condition Thrombophlebitis of deep femoral vein (disorder)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034?(use:?usual,?); type = Graduated compression elastic hosiery (physical object)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH'
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893?(use:?usual,?); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500
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 = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
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] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation aPTT in Blood by Coagulation assay
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Glucose [Mass/volume] in Capillary blood by Glucometer
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Glucose [Mass/volume] in Capillary blood by Glucometer
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Observation Hemoglobin A1c/Hemoglobin.total in Blood
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 Body weight
Measure Report Supplemental Data Element Reference (R5 surrogate extension): Procedure Percutaneous insertion of inferior vena cava filter (procedure)
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest aPTT in Blood by Coagulation assay
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Hemoglobin A1c [Mass/volume] in Blood
Measure Report Supplemental Data Element Reference (R5 surrogate extension): ServiceRequest Hemoglobin [Mass/volume] in Venous blood
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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500
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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500
identifier:
http://example.org/fhir/measurereport/id/123456789-pass2status: 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:
- Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
- Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a?(use:?usual,?); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --> 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg
- Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b?(use:?usual,?); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --> 2024-02-02 16:22:00-0500
- Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self
- Condition Diabetes mellitus type 2 (disorder)
- Condition Thrombophlebitis of deep femoral vein (disorder)
- Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034?(use:?usual,?); type = Graduated compression elastic hosiery (physical object)
- Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '->Pass2 ACH'
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893?(use:?usual,?); status = completed; category = Outpatient; medication[x] = ->Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500
- MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945?(use:?usual,?); status = completed; category = Inpatient; medication[x] = ->Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892?(use:?usual,?); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = ->Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500
- MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894?(use:?usual,?); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = ->Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500
- 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] = ->Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500
- Observation aPTT in Blood by Coagulation assay
- Observation Glucose [Mass/volume] in Capillary blood by Glucometer
- Observation Glucose [Mass/volume] in Capillary blood by Glucometer
- Observation Hemoglobin A1c/Hemoglobin.total in Blood
- Observation Bacteria identified in Blood by Culture
- Observation Body weight
- Procedure Percutaneous insertion of inferior vena cava filter (procedure)
- ServiceRequest aPTT in Blood by Coagulation assay
- ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
- ServiceRequest Hemoglobin A1c [Mass/volume] in Blood
- ServiceRequest Hemoglobin [Mass/volume] in Venous blood
- 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 = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500
- 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 = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500
Entry 24 - fullUrl = http://nhsnlink.org/fhir/Patient/patient-example-ach-monthly-pass2
Resource Patient:
Profile: Cross-Measure Patient Profile
Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
Active: true Deceased: 2024-02-02 16:22:00-0500 Contact Detail
- ph: 999-999-9999(Home)
- 123 Sesame Street Lansing Lansing MI 48864 US
US Core Ethnicity Extension:
- ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino
- text: Non Hispanic or Latino
US Core Birth Sex Extension F US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2106-3: White
- text: White
Entry 25 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-emergency
Resource Encounter:
Profile: ACH Monthly Event Encounter
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252a?(use:?usual,?)status: In Progress
class: emergency
type: Emergency department patient visit
subject: Pass2 ACH
Diagnoses
Condition No display for Encounter.diagnosis.condition (reference: ->Thrombophlebitis) Locations
Location Period ACH Monthly Emergency Department 2024-01-31 02:35:00-0500 --> 2024-02-01 01:02:00-0500
Entry 26 - fullUrl = http://nhsnlink.org/fhir/Encounter/encounter-example-ach-monthly-pass2-inpatient
Resource Encounter:
Profile: ACH Monthly Event Encounter
Original Resource ID: eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005104252b?(use:?usual,?)status: completed
class: inpatient encounter
type: Hospital Admission
subject: Pass2 ACH
Locations
Location Period ACH Monthly Inpatient Hospital Ward 2024-02-01 01:02:00-0500 --> 2024-02-02 16:22:00-0500
Entry 27 - fullUrl = http://nhsnlink.org/fhir/Coverage/coverage-example-ach-monthly-pass2
Resource Coverage:
Profile: ACH Monthly Event Coverage
identifier: Member Number/93565936
status: Active
type: health maintenance organization policy
subscriberId: 89345743
beneficiary: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
relationship: Self
Entry 28 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2-problem
Resource Condition:
Profile: ACH Monthly Event Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus without complication
subject: Pass2 ACH
Entry 29 - fullUrl = http://nhsnlink.org/fhir/Condition/condition-example-diagnosis-ach-monthly-pass2
Resource Condition:
Profile: ACH Monthly Event Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Thrombophlebitis
subject: Pass2 ACH
Entry 30 - fullUrl = http://nhsnlink.org/fhir/Device/device-example-ach-monthly-pass2-compress-hose
Resource Device:
Profile: ACH Monthly Event Device
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/100051034?(use:?usual,?)type: Graduated compression elastic hosiery
Entry 31 - fullUrl = http://nhsnlink.org/fhir/DiagnosticReport/diagnosticreport-example-ach-monthly-pass2-radiology
Resource DiagnosticReport:
ultrasonography of right lower limb (Radiology)
Subject Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?)) When For 2024-02-01 23:14:00-0500 Reported 2024-02-02 08:52:00-0500 Report Details
Coded Conclusions:
- Deep venous thrombosis (disorder)
Entry 32 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888893?(use:?usual,?)status: completed
category: Outpatient
subject: Pass2 ACH
Dosages
Text Route Dose 4 gm chewable tablet X1 Oral 4 g (Details: UCUM codeg = 'g')
Entry 33 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888895?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')
Entry 34 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888895?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')
Entry 35 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888942?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
Entry 36 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888943?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
Entry 37 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888944?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
Entry 38 - fullUrl = http://nhsnlink.org/fhir/MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4
Resource MedicationAdministration:
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/1018888945?(use:?usual,?)status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
Entry 39 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet
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: Outpatient
subject: Pass2 ACH
encounter: Emergency Encounter
authoredOn: 2024-01-31 04:46:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
dosageInstruction
text: 4 gm chewable tablet X1
timing: Once per 1 day
route: Oral
DoseAndRates
Type Dose[x] calculated 4 g (Details: UCUM codeg = 'g')
Entry 40 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888895?(use:?usual,?)status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
dosageInstruction
text: 0.5 mL
timing: 2 per 1 day
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
Dose[x] 5000 uL (Details: UCUM codeuL = 'uL')
Entry 41 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro
Resource MedicationRequest:
Profile: ACH Monthly Event MedicationRequest
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798/101888894?(use:?usual,?)status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
dosageInstruction
text: Give 5 units before breakfast
timing: Code , Once per 1 day
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
Dose[x] 5 dosageInstruction
text: Give 4 units before dinner
timing: Code , Once per 1 day
site: Structure of blood vessel of left upper arm (body structure)
route: IV
DoseAndRates
Dose[x] 4
Entry 42 - fullUrl = http://nhsnlink.org/fhir/MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin
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: Emergency Encounter
authoredOn: 2024-01-31 04:22:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN:?1601191902010308?(use:?usual,?))
recorder: Patient Identified
dosageInstruction
text: 1000 mg tablet by mouth twice daily
timing: 2 per 1 day
route: Oral
DoseAndRates
Type Dose[x] calculated 1000 mg (Details: UCUM codemg = 'mg')
Entry 43 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-aptt
Resource Observation:
basedOn: ServiceRequest aPTT in Blood by Coagulation assay
status: Final
category: Laboratory
code: aPTT
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
value: 8 s (Details: UCUM codes = 's')
Entry 44 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-1
Resource Observation:
basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:02:00-0500
value: 53 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 45 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-poc-2
Resource Observation:
basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 10:14:00-0500
issued: 2024-02-02 10:15:00-0500
value: 105 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 46 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo-a1c
Resource Observation:
basedOn: ServiceRequest Hemoglobin A1c [Mass/volume] in Blood
status: Final
category: Laboratory
code: Hemoglobin A1c
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:52:00-0500
value: 7.5 % (Details: UCUM code% = '%')
Entry 47 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-hemo
Resource Observation:
basedOn: ServiceRequest Hemoglobin [Mass/volume] in Venous blood
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
value: 8 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 48 - fullUrl = http://nhsnlink.org/fhir/Observation/observation-example-ach-monthly-pass2-vitals-weight
Resource Observation:
status: Final
category: Vital Signs
code: Weight
subject: Pass2 ACH
encounter: Emergency Encounter
effective: 2024-01-31 01:42:00-0500
issued: 2024-01-31 01:42:00-0500
value: 113.4 kg (Details: UCUM codekg = 'kg')
Entry 49 - fullUrl = http://nhsnlink.org/fhir/Procedure/procedure-example-ach-monthly-pass2-ivcf
Resource Procedure:
Profile: ACH Monthly Event Procedure
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8/10005103526?(use:?usual,?)status: Completed
code: Percutaneous insertion of inferior vena cava filter (procedure)
subject: Pass2 ACH
encounter: Hospital Admission
Entry 50 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: aPTT in Blood by Coagulation assay)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
Entry 51 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Glucose [Mass/volume] in Capillary blood by Glucometer)
quantity: 2
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Count 2 times, Once per 1 day
authoredOn: 2024-01-31 22:21:00-0500
Entry 52 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631823?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Hemoglobin A1c [Mass/volume] in Blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
Entry 53 - fullUrl = http://nhsnlink.org/fhir/ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo
Resource ServiceRequest:
Profile: ACH Monthly Event ServiceRequest
identifier: Placer Identifier/1019631824?(use:?usual,?)
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: Hemoglobin [Mass/volume] in Venous blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 11:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 11:22:00-0500
Entry 54 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-1
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: Venous blood specimen (specimen)
subject: Pass1 ACH
receivedTime: 2024-01-31 22:50:00-0500
Collections
Collected[x] BodySite 2024-01-31 22:42:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))
Entry 55 - fullUrl = http://nhsnlink.org/fhir/Specimen/specimen-example-ach-monthly-pass2-blood-2
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: Venous blood specimen (specimen)
subject: Pass1 ACH
receivedTime: 2024-02-02 11:26:00-0500
Collections
Collected[x] BodySite 2024-02-02 11:24:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))
Entry 56 - 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 57 - 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 58 - 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 59 - 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 60 - 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 61 - 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 62 - 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 63 - 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 64 - 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 65 - 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 66 - 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 67 - 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 68 - 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 69 - 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 70 - 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 71 - 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 72 - 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 73 - 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 74 - 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 75 - 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 76 - 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))
