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        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        1.0.0 - Release 1 United States of America flag

        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

        Resource Profile: ACH Daily Event Medication

        Official URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medication Version: 1.0.0
        Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalDailyEventMedication

        This profile contains Required and Must Support data elements for reporting medication information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR? US Core Medication Profile v3.1.1.

        Usages:

        You can also check for usages in the FHIR IG Statistics

        Formal Views of Profile Content

        Description of Profiles, Differentials, Snapshots and how the different presentations work.

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id Σ 1..1 id Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... status ?!SΣ 0..1 code active | inactive | entered-in-error
        Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount SΣ 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... Slices for item[x] 1..1 The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... itemCodeableConcept CodeableConcept
        ..... itemReference Reference(Substance | Medication)
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.statusrequiredMedication Status Codes
        http://hl7.org/fhir/ValueSet/medication-status|4.0.1
        From the FHIR Standard
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard

        Constraints

        IdGradePath(s)DetailsRequirements
        dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
        : contained.contained.empty()
        dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
        : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationProfile

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id 1..1 id Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... code 1..1 CodeableConcept Codes that identify this medication
        Binding: US Core Medication Codes (RxNorm) (extensible)
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount S 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... reference S 1..1 string Literal reference, Relative, internal or absolute URL

        doco Documentation for this format

        Terminology Bindings (Differential)

        PathConformanceValueSetURI
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard
        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id Σ 1..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... text 0..1 Narrative Text summary of the resource, for human interpretation
        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
        ... contained 0..* Resource Contained, inline Resources
        ... extension 0..* Extension Additional content defined by implementations
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... identifier Σ 0..* Identifier Business identifier for this medication
        ... code SΣ 1..1 CodeableConcept Codes that identify this medication
        Binding: US Core Medication Codes (RxNorm) (extensible)
        ... status ?!SΣ 0..1 code active | inactive | entered-in-error
        Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
        ... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount SΣ 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... Slices for item[x] 1..1 The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... itemCodeableConcept CodeableConcept
        ..... itemReference Reference(Substance | Medication)
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... id 0..1 string Unique id for inter-element referencing
        ...... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ...... display Σ 0..1 string Text alternative for the resource
        .... isActive 0..1 boolean Active ingredient indicator
        .... strength 0..1 Ratio Quantity of ingredient present
        ... batch 0..1 BackboneElement Details about packaged medications
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... lotNumber 0..1 string Identifier assigned to batch
        .... expirationDate 0..1 dateTime When batch will expire

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        Medication.meta.securityextensibleAll Security Labels
        http://hl7.org/fhir/ValueSet/security-labels|4.0.1
        From the FHIR Standard
        Medication.meta.tagexampleCommonTags
        http://hl7.org/fhir/ValueSet/common-tags|4.0.1
        From the FHIR Standard
        Medication.languagepreferredCommonLanguages
        http://hl7.org/fhir/ValueSet/languages
        From the FHIR Standard
        Additional Bindings Purpose
        AllLanguages Max Binding
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.statusrequiredMedication Status Codes
        http://hl7.org/fhir/ValueSet/medication-status|4.0.1
        From the FHIR Standard
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard
        Medication.ingredient.item[x]:itemReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard

        Constraints

        IdGradePath(s)DetailsRequirements
        dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
        : contained.contained.empty()
        dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
        : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationProfile

        Summary

        Mandatory: 1 element(1 nested mandatory element)
        Must-Support: 5 elements

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of Medication.ingredient.item[x]

        Maturity: 1

        Key Elements View

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id Σ 1..1 id Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... status ?!SΣ 0..1 code active | inactive | entered-in-error
        Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount SΣ 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... Slices for item[x] 1..1 The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... itemCodeableConcept CodeableConcept
        ..... itemReference Reference(Substance | Medication)
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.statusrequiredMedication Status Codes
        http://hl7.org/fhir/ValueSet/medication-status|4.0.1
        From the FHIR Standard
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard

        Constraints

        IdGradePath(s)DetailsRequirements
        dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
        : contained.contained.empty()
        dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
        : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        Differential View

        This structure is derived from USCoreMedicationProfile

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id 1..1 id Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... code 1..1 CodeableConcept Codes that identify this medication
        Binding: US Core Medication Codes (RxNorm) (extensible)
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount S 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... reference S 1..1 string Literal reference, Relative, internal or absolute URL

        doco Documentation for this format

        Terminology Bindings (Differential)

        PathConformanceValueSetURI
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard

        Snapshot View

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. Medication 0..* USCoreMedicationProfile Definition of a Medication
        ... id Σ 1..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... text 0..1 Narrative Text summary of the resource, for human interpretation
        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
        ... contained 0..* Resource Contained, inline Resources
        ... extension 0..* Extension Additional content defined by implementations
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... identifier Σ 0..* Identifier Business identifier for this medication
        ... code SΣ 1..1 CodeableConcept Codes that identify this medication
        Binding: US Core Medication Codes (RxNorm) (extensible)
        ... status ?!SΣ 0..1 code active | inactive | entered-in-error
        Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
        ... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
        ... form S 0..1 CodeableConcept powder | tablets | capsule +
        Binding: SNOMEDCTFormCodes (extensible)
        ... amount SΣ 0..1 Ratio Amount of drug in package
        ... ingredient S 0..* BackboneElement Active or inactive ingredient
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... Slices for item[x] 1..1 The actual ingredient or content
        Slice: Unordered, Open by type:$this
        ..... itemCodeableConcept CodeableConcept
        ..... itemReference Reference(Substance | Medication)
        ..... item[x]:itemReference 0..1 Reference(Substance | Medication) The actual ingredient or content
        ...... id 0..1 string Unique id for inter-element referencing
        ...... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ...... display Σ 0..1 string Text alternative for the resource
        .... isActive 0..1 boolean Active ingredient indicator
        .... strength 0..1 Ratio Quantity of ingredient present
        ... batch 0..1 BackboneElement Details about packaged medications
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... lotNumber 0..1 string Identifier assigned to batch
        .... expirationDate 0..1 dateTime When batch will expire

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        Medication.meta.securityextensibleAll Security Labels
        http://hl7.org/fhir/ValueSet/security-labels|4.0.1
        From the FHIR Standard
        Medication.meta.tagexampleCommonTags
        http://hl7.org/fhir/ValueSet/common-tags|4.0.1
        From the FHIR Standard
        Medication.languagepreferredCommonLanguages
        http://hl7.org/fhir/ValueSet/languages
        From the FHIR Standard
        Additional Bindings Purpose
        AllLanguages Max Binding
        Medication.codeextensibleUSCoreMedicationCodes
        http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes
        Medication.statusrequiredMedication Status Codes
        http://hl7.org/fhir/ValueSet/medication-status|4.0.1
        From the FHIR Standard
        Medication.formextensibleSNOMEDCTFormCodes
        http://hl7.org/fhir/ValueSet/medication-form-codes
        From the FHIR Standard
        Medication.ingredient.item[x]:itemReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard

        Constraints

        IdGradePath(s)DetailsRequirements
        dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
        : contained.contained.empty()
        dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
        : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationProfile

        Summary

        Mandatory: 1 element(1 nested mandatory element)
        Must-Support: 5 elements

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of Medication.ingredient.item[x]

        Maturity: 1

         

        Other representations of profile: CSV, Excel, Schematron


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