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        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        2.0.0 - Release 2 US

        This page is part of the NHSN Digital Quality Measures (dQM) Content Package Implementation Guide (v2.0.0: 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

        Artifacts Summary

        This page provides a list of the FHIR artifacts defined as part of this implementation guide.

        Knowledge Artifacts: Measure

        These define measures as part of content in this implementation guide.

        Title Description
        NHSN dQM Acute Care Hospital Daily Initial Population Measure

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

        NHSN dQM Acute Care Hospital Monthly Initial Population Measure

        The Acute Care Hospital Monthly Initial Population includes all encounters for patients of any age in an 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.

        Knowledge Artifacts: Libraries

        These define logic, asset collections and other libraries as part of content in this implementation guide.

        Title Description
        FHIR Helpers

        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 locally defined version includes modifications from the original library.

        NHSN Acute Care Hospital Daily Initial Population Library

        Library of NHSN dQM Acute Care Hospital Daily Initial Population Measure

        NHSN Acute Care Hospital Monthly Initial Population Library

        Library of NHSN dQM Acute Care Hospital Monthly Initial Population Measure

        NHSN Helpers

        This library defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation.

        Shared Resource Creation

        Shared Resource Creation Library

        Structures: Abstract Profiles

        These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles but do not declare conformance to the abstract profiles themselves.

        Title Description
        QICore Simple Observation (Substitute)

        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.

        Structures: Resource Profiles

        These define constraints on FHIR resources for systems conforming to this implementation guide.

        Title Description
        ACH Daily Event Diagnostic Report (Lab)

        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.

        ACH Daily Event Encounter

        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.

        ACH Daily Event Lab Result Observation

        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.

        ACH Daily Event Location

        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.

        ACH Daily Event Medication

        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.

        ACH Daily Event Medication Administration

        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.

        ACH Daily Event Medication Request

        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.

        ACH Daily Event Observation

        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.

        ACH Daily Event Procedure

        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.

        ACH Daily Event ServiceRequest

        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.

        ACH Daily Event Specimen

        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.

        ACH Monthly Event Condition

        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.

        ACH Monthly Event Coverage

        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.

        ACH Monthly Event Device

        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.

        ACH Monthly Event Diagnostic Report (Lab)

        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.

        ACH Monthly Event Diagnostic Report - Report and Note

        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.

        ACH Monthly Event Encounter

        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.

        ACH Monthly Event Lab Result Observation

        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.

        ACH Monthly Event Location

        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.

        ACH Monthly Event Medication

        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.

        ACH Monthly Event MedicationAdministration

        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.

        ACH Monthly Event MedicationRequest

        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.

        ACH Monthly Event Observation

        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.

        ACH Monthly Event Observation - Vital Signs

        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

        ACH Monthly Event Procedure

        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.

        ACH Monthly Event ServiceRequest

        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.

        ACH Monthly Event Specimen

        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.

        Cross-Measure Patient 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.

        NHSN Individual MeasureReport

        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.

        NHSN Individual MeasureReport List

        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.

        NHSN MeasureReport Bundle

        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.

        NHSN Subject Bundle

        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.

        NHSN Submission Header Bundle

        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.

        Subject-List MeasureReport Profile

        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.

        Structures: Extension Definitions

        These define constraints on FHIR data types for systems conforming to this implementation guide.

        Title Description
        Original Element Value

        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.

        Original Mapped Concept

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

        Original Resource ID

        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.

        Patient List Applicable Period

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

        Received Date

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

        Terminology: Value Sets

        These define sets of codes used by systems conforming to this implementation guide.

        Title Description
        ACH Daily Diagnostic Report Status ValueSet

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

        ACH Daily Encounter Class ValueSet

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

        ACH Daily Encounter Status ValueSet

        A set of codes indicating the status of the encounter.

        ACH Monthly Encounter Class ValueSet

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

        ACH Monthly Encounter Initial Population Type ValueSet

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

        ACH Monthly Encounter Status ValueSet

        A set of codes indicating the status of the encounter.

        Medication Request Reason ValueSet

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

        Procedure Reason ValueSet

        This value set defines the set of codes that can be used to indicate the reason a procedure was or was not performed.

        Example: Example Instances

        These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

        Title Description
        Condition - ACH Daily Condition Example Influenza Therapeutic

        Condition - Example ACH Daily Condition Influenza Therapeutic

        Condition - ACH Daily Condition Example Initial Population Pass

        Condition - Example ACH Daily Condition Initial Population Pass

        Condition - ACH Daily Condition Example Negative PCR

        Condition - Example ACH Daily Condition Negative PCR

        Condition - ACH Daily Condition Example RSV Lab BTG

        Condition - Example ACH Daily Condition RSV Lab BTG

        Condition - Example Diagnosis ACH Monthly Pass1

        Condition - Example Diagnosis ACH Monthly Pass1 - Encounter Diagnosis: Bacteremia

        Condition - Example Diagnosis ACH Monthly Pass2

        Condition - Example Diagnosis ACH Monthly Pass2 - Encounter Diagnosis: Thrombophlebitis of deep femoral vein

        Condition - Example Diagnosis ACH Monthly Pass2 Problem

        Condition - Example Diagnosis ACH Monthly Pass2 - Problem List: Type 2 diabetes mellitus without complications

        Condition - Example Diagnosis ACH Monthly Pass3

        Condition - Example Diagnosis ACH Monthly Pass3 - Encounter Diagnosis: Enterocolitis due to Clostridium difficile

        Condition - Example Diagnosis ACH Monthly Pass3 Problem

        Condition - Example Diagnosis ACH Monthly Pass3 - Problem List: Acute sinusitis

        Coverage - ACH Daily Condition Example Influenza Therapeutic

        Coverage - Example ACH Daily Condition Influenza Therapeutic

        Coverage - ACH Daily Condition Example Initial Population Pass

        Coverage - Example ACH Daily Condition Initial Population Pass

        Coverage - ACH Daily Condition Example Negative PCR

        Coverage - Example ACH Daily Condition Negative PCR

        Coverage - ACH Daily Condition Example RSV Lab BTG

        Coverage - Example ACH Daily Condition RSV Lab BTG

        Coverage - Example ACH Monthly Pass1

        Coverage - Example ACH Monthly Pass1 - Medicaid: Child Beneficiary

        Coverage - Example ACH Monthly Pass2

        Coverage - Example ACH Monthly Pass2 - Commercial HMO

        Coverage - Example ACH Monthly Pass3

        Coverage - Example ACH Monthly Pass3 - Commercial PPO

        Device - Example ACH Monthly Pass1 Central Line

        Device - Example ACH Monthly Pass1 - Central venous catheter

        Device - Example ACH Monthly Pass2 Compress Hose

        Device - Example ACH Monthly Pass2 - Graduated compression elastic hosiery

        Device - Example ACH Monthly Pass3 Ivcs Pump

        Device - Example ACH Monthly Pass3 - Intermittent venous compression system pump

        Device - Example Submitting Device 1

        Device - Submitting Device Example 1

        DiagnosticReport - Example ACH Daily - Initial Population Pass

        DiagnosticReport - Example ACH Daily - Initial Population Pass

        DiagnosticReport - Example ACH Monthly Initial Population Pass

        DiagnosticReport - Example Initial Population Pass - CBC panel - Blood by Automated count

        DiagnosticReport - Example ACH Monthly Pass2 Radiology

        DiagnosticReport - Example ACH Monthly Pass2 - Ultrasonography of right lower limb

        Encounter - ACH Daily Encounter Example Influenza Therapeutic

        Encounter - Example ACH Daily Encounter Influenza Therapeutic

        Encounter - ACH Daily Encounter Example Initial Population Pass 1

        Encounter - Example ACH Daily Encounter Initial Population Pass 1

        Encounter - ACH Daily Encounter Example Initial Population Pass 2

        Encounter - Example ACH Daily Encounter Initial Population Pass 2

        Encounter - ACH Daily Encounter Example Negative PCR 1

        Encounter - Example ACH Daily Encounter Negative PCR 1

        Encounter - ACH Daily Encounter Example Negative PCR 2

        Encounter - Example ACH Daily Encounter Negative PCR 2

        Encounter - ACH Daily Encounter Example RSV Lab BTG

        Encounter - Example ACH Daily Encounter RSV Lab BTG

        Encounter - Example ACH Monthly Pass1 - Inpatient

        Encounter - Example ACH Monthly Pass1 - Hospital Admission

        Encounter - Example ACH Monthly Pass2 - Emergency

        Encounter - Example ACH Monthly Pass2 - Emergency department visit

        Encounter - Example ACH Monthly Pass2 - Inpatient

        Encounter - Example ACH Monthly Pass2 - Hospital admission

        Encounter - Example ACH Monthly Pass3 - Acute

        Encounter - Example ACH Monthly Pass3 - Acute critical care visit

        Encounter - Example ACH Monthly Pass3 - Short Stay

        Encounter - Example ACH Monthly Pass3 - Hospital admission short stay

        Example ACH Daily Submission Header Bundle

        Example Separated ACH Daily Submission Header Bundle

        Example ACH Daily Submission Influenza Therapeutic Bundle

        Example Separated ACH Daily Submission Influenza Therapeutic Bundle

        Example ACH Daily Submission Initial Population Pass Bundle

        Example Separated ACH Daily Submission Initial Population Pass Bundle

        Example ACH Daily Submission Negative PCR Bundle

        Example Separated ACH Daily Submission Negative PCR Bundle

        Example ACH Daily Submission RSV Lab BTG Bundle

        Example Separated ACH Daily Submission RSV Lab BTG Bundle

        Example ACH Monthly Submission Header Bundle

        Example Separated ACH Monthly Submission Header Bundle

        Example ACH Monthly Submission Subject Bundle 1

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

        Example ACH Monthly Submission Subject Bundle 2

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

        Example ACH Monthly Submission Subject Bundle 3

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

        Full ACH Daily Measure Submission Bundle

        Measure Bundle - Full ACH Daily Measure Submission Example

        Full ACH Monthly Measure Submission Bundle

        Measure Bundle - Full ACH Monthly Measure Submission Bundle

        Immunization - ACH Daily Immunization Example Influenza Therapeutic

        Immunization - Example ACH Daily Immunization Influenza Therapeutic

        Lab Observation - ACH Daily Observation Example Initial Population Pass

        Lab Observation - Example ACH Daily Observation Initial Population Pass

        Lab Observation - ACH Daily Observation Example Negative PCR 1

        Lab Observation - Example ACH Daily Observation Negative PCR 1

        Lab Observation - ACH Daily Observation Example Negative PCR 2

        Lab Observation - Example ACH Daily Observation Negative PCR 2

        Lab Observation - ACH Daily Observation Example RSV Lab BTG

        Lab Observation - Example ACH Daily Observation RSV Lab BTG

        List - Example ACH Daily Individual Measure Report List

        List - Example ACH Daily Individual Measure Report List Example

        List - Example ACH Daily Patients Of Interest

        List - Example ACH Daily Patients Of Interest

        List - Example ACH Monthly Individual Measure Report List

        List - Example ACH Monthly Individual Measure Report List Example

        List - Example ACH Monthly Patients Of Interest

        List - Example ACH Monthly Patients Of Interest

        Location (part of)- Example ACH Monthly - Medical Critical Care

        Location (part of) - Example ACH Monthly - Medical Critical Care, demonstrating location that is part of another

        Location - Example ACH Daily - Emergency

        Location - Example ACH Daily - Emergency Department Synthetic 001

        Location - Example ACH Daily - Hospital

        Location - Example ACH Daily - Health Hospital

        Location - Example ACH Daily - Inpatient

        Location - Example ACH Daily - Inpatient Hospital Ward

        Location - Example ACH Monthly - Emergency

        Location - Example ACH Monthly - Emergency Department

        Location - Example ACH Monthly - Inpatient

        Location - Example ACH Monthly - Inpatient Hospital Ward

        Location - Example ACH Monthly - Medical Critical Care

        Location - Example ACH Monthly - Medical Critical Care

        Location - Example ACH Monthly - Medsurg

        Location - Example ACH Monthly - Medical-Surgical Ward

        Location - Example ACH Monthly - NICU

        Location - Example ACH Monthly - Neonatal Critical Care (Level III)

        MeasureReport - Example ACH Daily Subject List

        Measure Report - Example ACH Daily Subject List Example

        MeasureReport - Example ACH Monthly Subject List 1

        Measure Report - Example ACH Monthly Subject List Example 1

        MeasureReport - Example Individual ACH Daily Influenza Therapeutic

        MeasureReport - Example Individual ACH Daily Influenza Therapeutic

        MeasureReport - Example Individual ACH Daily Initial Population Pass

        MeasureReport - Example Individual ACH Daily Initial Population Pass

        MeasureReport - Example Individual ACH Daily Negative Polymerase Chain Reaction (PCR)

        MeasureReport - Example Individual ACH Daily Negative Polymerase Chain Reaction (PCR)

        MeasureReport - Example Individual ACH Daily RSV Lab Break The Glass (BTG)

        MeasureReport - Example Individual ACH Daily RSV Lab Break The Glass (BTG)

        MeasureReport - Example Individual ACH Monthly Pass1 - LOS/MEN

        MeasureReport - Example Individual ACH Monthly Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

        MeasureReport - Example Individual ACH Monthly Pass2 - Hypo

        MeasureReport - Example Individual ACH Monthly Pass2 - Hypoglycemia

        MeasureReport - Example Individual ACH Monthly Pass3 - C. diff

        MeasureReport - Example Individual ACH Monthly Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

        Medication - ACH Daily Medication Example Influenza Therapeutic

        Medication - Example ACH Daily Medication Influenza Therapeutic

        Medication - ACH Daily Medication Example Initial Population Pass

        Medication - Example ACH Daily Medication Initial Population Pass

        Medication - ACH Daily Medication Example RSV Lab BTG 1

        Medication - Example ACH Daily Medication RSV Lab BTG 1

        Medication - ACH Daily Medication Example RSV Lab BTG 2

        Medication - Example ACH Daily Medication RSV Lab BTG 2

        Medication - Example ACH Monthly Cipro 500

        Medication - Example ACH Monthly - Ciprofloxacin 500 MG

        Medication - Example ACH Monthly Dex4 Tablet

        Medication - Example ACH Monthly - Metformin hydrochloride 1000 MG

        Medication - Example ACH Monthly Heparin

        Medication - Example ACH Monthly - Heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

        Medication - Example ACH Monthly Insulin Lispro

        Medication - Example ACH Monthly - Insulin lispro

        Medication - Example ACH Monthly Metformin 1000

        Medication - Example ACH Monthly - Metformin hydrochloride 1000 MG

        Medication - Example ACH Monthly Vancomycin 15

        Medication - Example ACH Monthly - Vancomycin Injectable Solution

        Medication Administration - ACH Daily Medication Administration Example Influenza Therapeutic

        Medication Administration - Example ACH Daily Medication Administration Influenza Therapeutic

        Medication Administration - ACH Daily Medication Administration Example Initial Population Pass 1

        Medication Administration - ACH Daily Medication Administration Example Initial Population Pass 1

        Medication Administration - ACH Daily Medication Administration Example Initial Population Pass 2

        Medication Administration - Example ACH Daily Medication Administration Initial Population Pass 2

        Medication Administration - ACH Daily Medication Administration Example Negative PCR

        Medication Administration - Example ACH Daily Medication Administration Negative PCR

        Medication Administration - ACH Daily Medication Administration Example RSV Lab BTG 1

        Medication Administration - Example ACH Daily Medication Administration RSV Lab BTG 1

        Medication Administration - ACH Daily Medication Administration Example RSV Lab BTG 2

        Medication Administration - Example ACH Daily Medication Administration RSV Lab BTG 2

        Medication Request - ACH Daily Medication Request Example Influenza Therapeutic

        Medication Request - Example ACH Daily Medication Request Influenza Therapeutic

        Medication Request - ACH Daily Medication Request Example Initial Population Pass

        Medication Request - Example ACH Daily Medication Request Initial Population Pass

        Medication Request - ACH Daily Medication Request Example Negative PCR

        Medication Request - Example ACH Daily Medication Request Negative PCR

        Medication Request - ACH Daily Medication Request Example RSV Lab BTG 1

        Medication Request - Example ACH Daily Medication Request RSV Lab BTG 1

        Medication Request - ACH Daily Medication Request Example RSV Lab BTG 2

        Medication Request - Example ACH Daily Medication Request RSV Lab BTG 2

        MedicationAdministration - Example ACH Monthly Pass1 Vancomycin

        MedicationAdministration - Example ACH Monthly Pass1 - Vancomycin Injectable Solution 50MG

        MedicationAdministration - Example ACH Monthly Pass2 Dex4

        MedicationAdministration - Example ACH Monthly Pass2 - Dex4 4 gm chewable tablet X1

        MedicationAdministration - Example ACH Monthly Pass2 Heparin 1

        MedicationAdministration - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - First Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass2 Heparin 2

        MedicationAdministration - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - Second Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 1

        MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - First Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 2

        MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - Second Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 3

        MedicationAdministration - Example ACH Monthly Pass2 - Insulin Lispro - Third Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 4

        MedicationAdministration - Example ACH Monthly Pass2 Insulin Lispro 4

        MedicationAdministration - Example ACH Monthly Pass3 Enoxaparin

        MedicationAdministration - Example ACH Monthly Pass3 - Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

        MedicationAdministration - Example ACH Monthly Pass3 Metronidazole 1

        MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - First Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass3 Metronidazole 2

        MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - Second Encounter Administration

        MedicationAdministration - Example ACH Monthly Pass3 Metronidazole 3

        MedicationAdministration - Example ACH Monthly Pass3 - Metronidazole 500 MG - Third Encounter Administration

        MedicationRequest - Example ACH Monthly Pass1 Vancomycin

        MedicationRequest - Example ACH Monthly Pass1 - Vancomycin Injectable Solution 50MG

        MedicationRequest - Example ACH Monthly Pass2 Dex4 Tablet

        MedicationRequest - Example ACH Monthly Pass2 - Dex4 4 gm chewable tablet X1

        MedicationRequest - Example ACH Monthly Pass2 Heparin

        MedicationRequest - Example ACH Monthly Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

        MedicationRequest - Example ACH Monthly Pass2 Insulin Lispro

        MedicationRequest - Example ACH Monthly Pass2 - Insulin Lispro

        MedicationRequest - Example ACH Monthly Pass2 Metformin

        MedicationRequest - Example ACH Monthly Pass2 - Metformin hydrochloride 1000 MG

        MedicationRequest - Example ACH Monthly Pass3 Cipro

        MedicationRequest - Example ACH Monthly Pass3 - Ciprofloxacin 500 MG

        MedicationRequest - Example ACH Monthly Pass3 Enoxaparin

        MedicationRequest - Example ACH Monthly Pass3 - enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

        MedicationRequest - Example ACH Monthly Pass3 Metronidazole

        MedicationRequest - Example ACH Monthly Pass3 - Metronidazole 500 MG

        Observation - Example ACH Daily Initial Population Pass Isolation

        Observation - Example ACH Daily Initial Population Pass - Lab: Isolation

        Observation - Example ACH Monthly Pass1 Blood

        Observation - Example ACH Monthly Pass1 - Lab: Bacteria identified in Blood by Culture

        Observation - Example ACH Monthly Pass1 Csf

        Observation - Example ACH Monthly Pass1 - Lab: Serratia marcescens DNA in Specimen by NAA with probe detection

        Observation - Example ACH Monthly Pass1 Gestational Age

        Observation - Example ACH Monthly Pass1 - Lab: Gestational age at birth

        Observation - Example ACH Monthly Pass1 Vitals Weight

        Observation - Example ACH Monthly Pass1 - Vitals Signs: Birth weight Measured

        Observation - Example ACH Monthly Pass2 Hemo

        Observation - Example ACH Monthly Pass2 - Lab: Bacteria identified in Blood by Culture

        Observation - Example ACH Monthly Pass2 Hemo A1C

        Observation - Example ACH Monthly Pass2 Hemo - Lab: Glucose in Capillary blood by Glucometer

        Observation - Example ACH Monthly Pass2 Poc 1

        Observation - Example ACH Monthly Pass2 Lab: Glucose in Capillary blood by Glucometer - First Encounter Observation

        Observation - Example ACH Monthly Pass2 Poc 2

        Observation - Example ACH Monthly Pass2 Lab: Glucose in Capillary blood by Glucometer - Second Encounter Observation

        Observation - Example ACH Monthly Pass2 Vitals Weight

        Observation - Example ACH Monthly Pass2 Vitals Signs: Body weight

        Observation - Example ACH Monthly Pass2 aPTT

        Observation - Example ACH Monthly Pass2 Lab: aPTT in Blood by Coagulation assay

        Observation - Example ACH Monthly Pass3 C. diff

        Observation - Example ACH Monthly Pass3 - Lab: Clostridioides difficile (C. diff)

        Observation - Example ACH Monthly Pass3 Vitals Height

        Observation - Example ACH Monthly Pass3 Vitals Signs: Body height

        Observation - Example ACH Monthly Pass3 Vitals Weight

        Observation - Example ACH Monthly Pass3 Vitals Signs: Body weight

        Organization - Example Payer Commercial 1

        Organization - Example Payer Organization - PayerComm

        Organization - Example Payer Commercial 3

        Organization - Example Payer Organization - NationFirst

        Organization - Example Payer Medicaid

        Organization - Example Payer Organization - Medicaid

        Organization - Example Submitting Organization 1

        Organization - Submitting Organization Example 1

        Patient - ACH Daily Patient Example Influenza Therapeutic

        Patient - Example ACH Daily Patient Influenza Therapeutic

        Patient - ACH Daily Patient Example Initial Population Pass

        Patient - Example ACH Daily Patient Initial Population Pass

        Patient - ACH Daily Patient Example Negative PCR

        Patient - Example ACH Daily Patient Negative PCR

        Patient - ACH Daily Patient Example RSV Lab BTG

        Patient - Example ACH Daily Patient RSV Lab BTG

        Patient - Example ACH Monthly Pass1 - LOS/MEN

        Patient - Example ACH Monthly Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

        Patient - Example ACH Monthly Pass2 - Hypo

        Patient - Example ACH Monthly Pass2 - Hypoglycemia

        Patient - Example ACH Monthly Pass3 - CDI/HOB

        Patient - Example ACH Monthly Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

        Procedure - Example ACH Daily Negative PCR Intubation

        Procedure - Example ACH Daily Negative PCR - Intubation

        Procedure - Example ACH Monthly Pass1 Central Line

        Procedure - Example ACH Monthly Pass1 - Placement procedure

        Procedure - Example ACH Monthly Pass1 Lumbar

        Procedure - Example ACH Monthly Pass1 - Drainage of Spinal Canal, Percutaneous Approach, Diagnostic

        Procedure - Example ACH Monthly Pass2 IVCF

        Procedure - Example ACH Monthly Pass2 - Percutaneous insertion of inferior vena cava filter

        Procedure - Example ACH Monthly Pass3 Transfusion

        Procedure - Example ACH Monthly Pass3 - Transfusion of red blood cells

        ServiceRequest - Example ACH Daily Initial Population Pass COVID

        ServiceRequest - Example ACH Daily Initial Population Pass COVID

        ServiceRequest - Example ACH Daily Negative PCR COVID 1

        ServiceRequest - Example ACH Daily Negative PCR COVID 1

        ServiceRequest - Example ACH Daily Negative PCR COVID 2

        ServiceRequest - Example ACH Daily Negative PCR COVID 2

        ServiceRequest - Example ACH Daily RSV Lab BTG

        ServiceRequest - Example ACH Daily RSV Lab BTG

        ServiceRequest - Example ACH Monthly Pass1 Blood

        ServiceRequest - Example ACH Monthly Pass1 Blood

        ServiceRequest - Example ACH Monthly Pass1 CSF

        ServiceRequest - Example ACH Monthly Pass1 - Differential panel - Cerebral spinal fluid

        ServiceRequest - Example ACH Monthly Pass2 Glucose

        ServiceRequest - Example ACH Monthly Pass2 - Glucose in Capillary blood by Glucometer

        ServiceRequest - Example ACH Monthly Pass2 Hemo

        ServiceRequest - Example ACH Monthly Pass2 - Hemoglobin in Venous blood

        ServiceRequest - Example ACH Monthly Pass2 Hemo A1C

        ServiceRequest - Example ACH Monthly Pass2 Hemo - Hemoglobin A1c in Blood

        ServiceRequest - Example ACH Monthly Pass2 aPTT

        ServiceRequest - Example ACH Monthly Pass2 - aPTT in Blood by Coagulation assay

        ServiceRequest - Example ACH Monthly Pass3 Cdiff

        ServiceRequest - Example ACH Monthly Pass3 - Clostridioides difficile toxin A in Stool by Immunoassay

        Specimen - ACH Daily Specimen Example Initial Population Pass

        Specimen - Example ACH Daily Specimen Initial Population Pass

        Specimen - ACH Daily Specimen Example Negative PCR 1

        Specimen - Example ACH Daily Specimen Negative PCR 1

        Specimen - ACH Daily Specimen Example Negative PCR 2

        Specimen - Example ACH Daily Specimen Negative PCR 2

        Specimen - ACH Daily Specimen Example RSV Lab BTG

        Specimen - Example ACH Daily Specimen RSV Lab BTG

        Specimen - Example ACH Monthly Pass1 Blood

        Specimen - Example ACH Monthly Pass1 - Blood venous from heel

        Specimen - Example ACH Monthly Pass1 CSF

        Specimen - Example ACH Monthly Pass1 - Cerebral spinal fluid from superior articular process of lumbar vertebra

        Specimen - Example ACH Monthly Pass2 Blood 1

        Specimen - Example ACH Monthly Pass2 - Blood venous from blood vessel of left upper arm - First encounter collection

        Specimen - Example ACH Monthly Pass2 Blood 2

        Specimen - Example ACH Monthly Pass2 - Blood venous from blood vessel of left upper arm - Second encounter collection

        Specimen - Example ACH Monthly Pass3 Stool

        Specimen - Example ACH Monthly Pass3 - Bloody stool

        Other

        These are resources that are used within this implementation guide that do not fit into one of the other categories.

        Title Description
        cqf-tooling

        Device - Software System Example


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