Example ACH Submission Subject Bundle 1 - National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide v0.1.0-cibuild

National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 0.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/nhsn-dqm/ and changes regularly. See the Directory of published versions

Example Bundle: Example ACH Submission Subject Bundle 1

Bundle bundle-example-ach-subject-ach-pass1 of type collection

Entry 1 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass1

Resource MeasureReport:

Generated Narrative: MeasureReport
ResourceMeasureReport "measurereport-example-individual-ach-ach-pass1"
Profile: DEQM Individual MeasureReport Profile
DEQM Measure Scoring Extension: Cohort (MeasureScoring#cohort)
identifier: http://example.org/fhir/measurereport/id/123456789-pass1
status: COMPLETE
type: INDIVIDUAL
measure: NHSN dQM Acute Care Hospital Initial Population
subject: See on this page: Patient/patient-example-ach-ach-pass1
date: 2024-02-05 21:04:29+0000
reporter: Organization/organization-example-submitting-organization "Example NHSN Submitter"
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)
group
Populations
- Code Count
* Initial Population (MeasurePopulationType#initial-population) 1
evaluatedResource: See on this page: Specimen/specimen-example-ach-ach-pass1-csf

Entry 2 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass1

Resource Patient:

Anonymous Patient Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual))

Entry 3 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass1

Resource Encounter:

Not done yet

Entry 4 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass1

Resource Coverage:

Generated Narrative: Coverage
ResourceCoverage "coverage-example-ach-pass1"
Profile: QICore Coverage
identifier: Member Number/084536836
status: ACTIVE
type: subsidized supplemental health program (ActCode#SUBSUPP)
policyHolder: : Mom Parent
subscriberId: 98435938934
beneficiary: See on this page: Patient/patient-example-ach-ach-pass1
relationship: Child (SubscriberPolicyholder Relationship Codes#child)
period: 2020-08-01 --> (ongoing)

Entry 5 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass1

Resource Condition:

Generated Narrative: Condition
ResourceCondition "condition-example-diagnosis-ach-pass1"
Profile: US Core Condition Encounter Diagnosis Profile
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus[4.0.0]#confirmed)
category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Bacteremia (SNOMED CT#5758002 "Bacteremia (finding)"; International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#R78.81)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH

Entry 6 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass1-central-line

Resource Device:

Generated Narrative: Device
ResourceDevice "device-example-ach-ach-pass1-central-line"
Profile: QICore Device
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510341 (use: usual)
type: Central venous catheter, device (SNOMED CT#52124006 "Central venous catheter, device (physical object)")

Entry 7 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass1-vancomycin

Resource MedicationAdministration:

Generated Narrative: MedicationAdministration
ResourceMedicationAdministration "medicationadministration-example-ach-pass1-vancomycin"
Profile: QICore MedicationAdministration
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/1018888111 (use: usual)
status: COMPLETED
category: Inpatient (MedicationRequest Category Codes#inpatient)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
request: See on this page: MedicationRequest/medicationrequest-example-ach-pass1-vancomycin
Dosages
- Text Route Dose
* 15mg/kg IV (SNOMED CT#47625008 "Intravenous route") 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')

Entry 8 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass1-vancomycin

Resource MedicationRequest:

Generated Narrative: MedicationRequest
ResourceMedicationRequest "medicationrequest-example-ach-pass1-vancomycin"
Profile: QICore MedicationRequest
identifier: urn:oid:2.16.840.1.113883.19.5.1.798/101888811 (use: usual)
status: COMPLETED
intent: ORDER
category: Inpatient (MedicationRequest Category Codes#inpatient)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
authoredOn: 2024-02-02 13:43:00-0500
requester: See on this page: Patient/patient-example-ach-ach-pass1
dosageInstruction

Entry 9 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-blood

Resource Observation:

Generated Narrative: Observation
ResourceObservation "observation-example-ach-pass1-blood"
Profile: QICore Laboratory Result Observation
basedOn: See on this page: ServiceRequest/servicerequest-example-ach-ach-pass1-blood
status: FINAL
category: Laboratory (Observation Category Codes#laboratory)
code: Bacteria identified in Blood by Culture (LOINC#600-7)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
effective: 2024-02-02 18:12:00-0500
issued: Feb 3, 2024, 4:42:00 PM
value: Staphylococcus capitis (SNOMED CT#113962001 "Staphylococcus capitis ss capitis (organism)")
specimen: See on this page: Specimen/specimen-example-ach-ach-pass1-blood

Entry 10 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-csf

Resource Observation:

Generated Narrative: Observation
ResourceObservation "observation-example-ach-pass1-csf"
Profile: QICore Laboratory Result Observation
basedOn: See on this page: ServiceRequest/servicerequest-example-ach-ach-pass1-csf
status: FINAL
category: Laboratory (Observation Category Codes#laboratory)
code: Serratia marcescens DNA (LOINC#61402-4 "Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection")
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
effective: 2024-02-02 18:13:00-0500
issued: Feb 3, 2024, 4:47:00 PM
value: Detected (qualifier value) (SNOMED CT#260373001)
specimen: See on this page: Specimen/specimen-example-ach-ach-pass1-csf

Entry 11 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-gestational-age

Resource Observation:

Generated Narrative: Observation
ResourceObservation "observation-example-ach-pass1-gestational-age"
Profile: QICore Laboratory Result Observation
status: FINAL
category: Laboratory (Observation Category Codes#laboratory)
code: Gestational age at birth (LOINC#76516-4 "Gestational age--at birth")
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: Feb 1, 2024, 9:02:00 PM
value: 164 day (Details: UCUM coded = 'd')

Entry 12 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-vitals-weight

Resource Observation:

Generated Narrative: Observation
ResourceObservation "observation-example-ach-pass1-vitals-weight"
Profile: US Core Vital Signs Profile
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Birth Weight (LOINC#8339-4 "Birth weight Measured")
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: Feb 1, 2024, 9:02:00 PM
value: 0.58 kg (Details: UCUM codekg = 'kg')

Entry 13 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-central-line

Resource Procedure:

Generated Narrative: Procedure
ResourceProcedure "procedure-example-ach-ach-pass1-central-line"
Profile: QICore Procedure
identifier: urn:oid:2.16.840.1.113883.19.5.1.698.8/1000510352 (use: usual)
status: COMPLETED
code: Placement procedure (procedure) (SNOMED CT#312052002)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission

Entry 14 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-lumbar

Resource Procedure:

Generated Narrative: Procedure
ResourceProcedure "procedure-example-ach-ach-pass1-lumbar"
Profile: QICore 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 (ICD-10 Procedure Codes#009U3ZX)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
bodySite: Structure of superior articular process of lumbar vertebra (SNOMED CT#272005 "Structure of superior articular process of lumbar vertebra (body structure)")

Entry 15 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-blood

Resource ServiceRequest:

Generated Narrative: ServiceRequest
ResourceServiceRequest "servicerequest-example-ach-ach-pass1-blood"
Profile: QICore ServiceRequest
identifier: Placer Identifier/1019631821 (use: usual)
status: COMPLETED
intent: ORIGINALORDER
category: Laboratory procedure (SNOMED CT#108252007)
code: Bacteria identified in Blood by Culture (LOINC#600-7)
quantity: 1
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:00-0500
specimen: See on this page: Specimen/specimen-example-ach-ach-pass1-blood

Entry 16 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-csf

Resource ServiceRequest:

Generated Narrative: ServiceRequest
ResourceServiceRequest "servicerequest-example-ach-ach-pass1-csf"
Profile: QICore ServiceRequest
identifier: Placer Identifier/1019631822 (use: usual)
status: COMPLETED
intent: ORIGINALORDER
category: Laboratory procedure (SNOMED CT#108252007)
code: Differential panel - Cerebral spinal fluid (LOINC#29584-0)
quantity: 1
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
encounter: See on this page: Encounter/encounter-example-ach-ach-pass1: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:30-0500
specimen: See on this page: Specimen/specimen-example-ach-ach-pass1-csf

Entry 17 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-blood

Resource Specimen:

Generated Narrative: Specimen
ResourceSpecimen "specimen-example-ach-ach-pass1-blood"
Profile: US Core Specimen Profile
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: Blood venous (specimenType#BLDV)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
- Collected[x] BodySite
* 2024-02-02 18:12:00-0500 Heel structure (SNOMED CT#76853006 "Heel structure (body structure)")

Entry 18 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-csf

Resource Specimen:

Generated Narrative: Specimen
ResourceSpecimen "specimen-example-ach-ach-pass1-csf"
Profile: US Core Specimen Profile
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: Cerebral spinal fluid (specimenType#CSF)
subject: See on this page: Patient/patient-example-ach-ach-pass1: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
- Collected[x] BodySite
* 2024-02-02 18:13:00-0500 Structure of superior articular process of lumbar vertebra (SNOMED CT#272005 "Structure of superior articular process of lumbar vertebra (body structure)")