This profile defines a valid Submission Bundle to NHSN with all resources contained within. The Bundle is comprised of entry slices representing the data source Organization, a Patients of Interest (POI) List, one Subject List MeasureReport per reportable measure, an Individual MeasureReport List, individual MeasureReports, and the underlying patient-centric clinical information.

This profile inherits from the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide 1.0.0 NHSN MeasureReport Bundle profile.

This profile defines a valid Submission Header Bundle. The Bundle is comprised of entry slices representing a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

This profile defines a valid subject-specific dQM Bundle. The Bundle is comprised of entry slices representing a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

A Subject-List MeasureReport contains the count of subjects (i.e., patients) in the Initial Population. It also references the Individual MeasureReport List.

This profile is based on the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG 5.0.0 DEQM Subject List MeasureReport profile.

An Individual MeasureReport List contains references to all Individual MeasureReports for a given NHSN measure; each MeasureReport pertains to an individual patient within the Initial Population of a given measure.

This profile is based on the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG 5.0.0 DEQM Individual MeasureReport List profile.

This profile applies NHSN Measure specific resource inclusion rules for all on the NHSN dQMs. This profile inherits from the Da Vinci DEQM 5.0.0 Individual MeasureReport profile.

This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to NHSN.

This profile inherits from the QI Core 6.0.0 Patient profile, which inherits from the US Core 6.1.0 Patient profile.

NHSN only recognizes the data element “sex”, with male and female as the only accepted responses. These data are mapped from either the patient.extension (sex), patient.extension (birthsex), or patient.gender FHIR standard data elements. These three FHIR standard data elements provide male/female options, per US Core 6.1.0.

For data submitted for patient.extension (sex), patient.extension (birthsex) and/or patient.gender that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated.

Please note that patient.extension(genderIdentity) appears in the Formal Views of the Profile Content in the Key Elements Table Tab and the Snapshot Table as [0..*] and reflects the USCDI/QI Core standard. The Differential Table Tab, which represents the NHSN specific requirements, does not contain the patient.extension (genderIdentity) data element and is not part of data collection.

This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures.

Profile of Simple Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. The profile is a recration of the QICore Simple Observation profile, but without a slice on valueCodeableConcept. This is intended to be used as a substitute for the QICore Simple Observation profile in because the slice is causing an error when the Observation needs to include a valueCodeableConcept.

This profile contains Required and Must Support data elements for reporting encounter information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Encounter profile, which inherits from the US Core 6.1.0 Encounter profile.

This resource is required for the ACH Monthly Measure and must be referenced in all Individual MeasureReport resources for this measure.

This profile contains Required and Must Support data elements for reporting location information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Location profile, which inherits from the US Core 6.1.0 Location profile.

This resource is required for the ACH Monthly Measure and must be referenced in all Individual MeasureReport resources for this measure.

This profile contains Required and Must Support data elements for reporting laboratory result information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Laboratory Result Observation profile, which inherits from the US Core 6.1.0 Laboratory Result Observation profile.

This profile contains Required and Must Support data elements for reporting observation-vital signs information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Vital Signs

This profile contains Required and Must Support data elements for reporting observation information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Simple Observation profile, which inherits from the US Core 6.1.0 Simple Observation profile.

This profile contains Required and Must Support data elements for reporting service request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 ServiceRequest profile and applies capabilities from the QI Core 6.0.0 ServiceRequest profile and QI Core 6.0.0 Service Not Requested profile.

This profile contains Required and Must Support data elements for reporting specimen information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Specimen profile.

This profile contains Required and Must Support data elements for reporting patient condition information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Condition Encounter Diagnosis profile, which inherits from US Core 6.1.0 Condition Encounter Diagnosis profile.

This profile contains Required and Must Support data elements for reporting procedure information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Procedure profile and applies capabilities from the QI Core 6.0.0 Procedure profile and QI Core 6.0.0 Procedure Not Done profile.

This profile contains Required and Must Support data elements for reporting coverage information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Coverage profile, which inherits from the US Core 6.1.0 Coverage profile.

This profile contains Required and Must Support data elements for reporting device information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile covers both implantable and other types of devices and inherits from the QI Core 6.0.0 Device profile, and applies some of the requirements from the US Core 6.1.0 Implantable Device profile.

This profile contains Required and Must Support data elements for reporting diagnostic report lab information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 DiagnosticReport Profile for Laboratory Results Reporting profile, which inherits from the US Core 6.1.0 DiagnosticReport Profile for Laboratory Results Reporting profile.

This profile contains Required and Must Support data elements for reporting diagnostic report- report and note information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 DiagnosticReport Profile for Report and Note Exchange profile, which inherits from the US Core 6.1.0 DiagnosticReport Profile for Report and Note Exchange profile.

This profile contains Required and Must Support data elements for reporting medication information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Medication profile, which inherits from the US Core 6.1.0 Medication profile.

This profile contains Required and Must Support data elements for reporting medication administration information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR? R4 MedicationAdministration Resource v4.0.1 and applies capabilities of the QI Core 6.0.0 MedicationAdministration profile and QI Core 6.0.0 MedicationAdministration Not Done profile.

This profile contains Required and Must Support data elements for reporting medication request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 MedicationRequest profile and applies capabilities from the QI Core 6.0.0 MedicationRequest profile and QI Core 6.0.0 Medication Not Requested profile.

This profile contains Required and Must Support data elements for reporting encounter information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Encounter profile, which inherits from the US Core 6.1.0 Encounter profile.

This resource is required for the ACH Daily Measure and must be referenced in all Individual MeasureReport resources for this measure.

This profile contains Required and Must Support data elements for reporting location information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Location profile, which inherits from the US Core 6.1.0 Location profile.

This resource is required for the ACH Daily Measure and must be referenced in all Individual MeasureReport resources for this measure.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) Daily laboratory result information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Laboratory Result Observation profile, which inherits from the US Core 6.1.0 Laboratory Result Observation profile.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) laboratory order information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 ServiceRequest profile and applies capabilities from the QI Core 6.0.0 ServiceRequest profile and QI Core 6.0.0 Service Not Requested profile.

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) specimen information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 Specimen profile.

This profile contains Required and Must Support data elements for reporting transmission-based precaution procedure information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 Procedure profile and applies capabilities from the QI Core 6.0.0 Procedure profile and QI Core 6.0.0 Procedure Not Done profile.

This profile contains Required and Must Support data elements for reporting diagnostic report lab information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 DiagnosticReport Profile for Laboratory Results Reporting profile, which inherits from the US Core 6.1.0 DiagnosticReport Profile for Laboratory Results Reporting profile.

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 inherits from the QI Core 6.0.0 Medication profile, which inherits from the US Core 6.1.0 Medication profile.

This profile contains Required and Must Support data elements for reporting medication administration information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR? R4 MedicationAdministration Resource v4.0.1 and applies capabilities of the QI Core 6.0.0 MedicationAdministration profile and QI Core 6.0.0 MedicationAdministration Not Done profile.

This profile contains Required and Must Support data elements for reporting medication request (order) information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 MedicationRequest profile and applies capabilities from the QI Core 6.0.0 MedicationRequest profile and QI Core 6.0.0 Medication Not Requested profile.

This profile contains Required and Must Support data elements for reporting observation information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Simple Observation profile, which inherits from the US Core 6.1.0 Simple Observation profile.

A set of codes indicating the status of the encounter.

A set of codes indicating the encounter class that represent inpatient, emergency, observation and short stay concepts.

A set of codes indicating the encounter type that represents encounter types that may be included in the ACH Monthly Initial Population.

A set of codes indicating the status of the encounter.

A set of codes indicating the encounter class that represent inpatient, observation and short stay concepts.

A set of codes indicating the status of the diagnostic report.

This value set defines the set of codes that can be used to indicate the reason medication was or was not requested.

The ACH Monthly Initial Population includes all encounters for patients of any age in an emergency department (ED), observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.

All encounters with an inpatient, observation, or short stay status for patients of any age during the measurement period.

Library of NHSN dQM ACH Monthly Initial Population Measure

Library of NHSN ACH Daily Initial Population Measure

A library used to remove data elements from FHIR resources that are deemed unnecessary and/or unwanted by NHSN.

This library is a collection of commonly used functions from various third-party libraries and other created functions for use within the NHSN Measures.

This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation. For more information, the FHIRHelpers wiki page: https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers

This extension stores the date and time a Resource was received by the processing system (e.g., NHSNLink).

This extension is used to indicate the reporting period associated with the POI List.

This extension stores the original {Resource}.id of a source that was modified by a processing system (e.g., NHSNLink) to make it usable for NHSN when the original did not meet FHIR-standard requirements. Resource IDs that are more than 64 characters long are not valid per the FHIR specification and must be modified.

This extension stores the original value of an element from a source that was modified by a processing system (e.g., NHSNLink) to make it usable for NHSN. Modification may include changing logically invalid data, changing data that does not match specification requirements (this modification is used sparingly, for specific instances only), or normalizing data.

This extension stores an original Concept that was mapped during processing.

Measure Bundle - Full ACH Monthly Measure Submission Example

Example Separated ACH Monthly Submission Header Bundle

Example Separated ACH Monthly Submission Subject Bundle 1 for LOS/MEN

Example Separated ACH Monthly Submission Subject Bundle 2 for Hypoglycemia and VTE

Example Separated ACH Monthly Submission Subject Bundle 3 for CDI and VTE

Measure Bundle - Full ACH Daily Measure Submission Example

Example Separated ACH Daily Submission Header Bundle

Example Separated ACH Daily Submission Initial Population Pass Bundle

Example Separated ACH Daily Submission Negative PCR Bundle

Example Separated ACH Daily Submission Influenza Therapeutic Bundle

Example Separated ACH Daily Submission RSV Lab BTG Bundle