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 1.0.0-ballot 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
Generated Narrative: Bundle submission-full-example1
Bundle submission-full-example1 of type collection
Entry 1 - fullUrl = http://example.com/fhir/Organization/organization-example-submitting-organization
Resource Organization:
Generated Narrative: Organization organization-example-submitting-organization
identifier:
https://www.cdc.gov/nhsn/OrgID
/ExampleNHSNSubmitterOrgIDactive: true
type: Healthcare Provider
name: Example NHSN Submitter
Contacts
Telecom Address ph: 5555555551
Entry 2 - fullUrl = http://example.com/fhir/Device/device-example-submitting-device
Resource Device:
Generated Narrative: Device device-example-submitting-device
version
component: api
value: 0.9.0
version
component: api
value: 20230713.1
version
component: api
value: 3f9662a8
version
component: cqf-ruler
value: 0.13.0
Entry 3 - fullUrl = http://example.com/fhir/List/list-example-patients-of-interest
Resource List:
Generated Narrative: List list-example-patients-of-interest
Date: 2021-07-28 00:00:00+0000 Mode: Change List Status: Current
Items Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))
Entry 4 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-ach-subjectlist1
Resource MeasureReport:
Generated Narrative: MeasureReport measurereport-example-ach-subjectlist1
status: Complete
type: Subject List
measure: NHSN dQM Acute Care Hospital Initial Population
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2022-08-01 00:00:00+0000 --> 2022-08-31 23:59:59+0000
group
Populations
Code Count SubjectResults Initial Population 3 List for 'Unspecified List Type' for 'Unspecified Subject'
Entry 5 - fullUrl = http://example.com/fhir/Patient/patient-example-sameresultdiffday
Resource Patient:
Generated Narrative: Patient patient-example-sameresultdiffday
Sameresultdiffday Hypo Male, DoB: 1952-12-31 ( MRN: 100000889 (use: usual, ))
Active: true Deceased: false Alt. Name: Sameresultdiffday Hypo(Official) Contact Detail
- ph: 999-999-9999(Home)
- 5678 Sesame Lansing MI 48864 US (old)
- 5678 Sesame Lansing MI 48864 US (home)
US Core Ethnicity Extension:
- ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
- text: Not Hispanic or Latino
US Core Birth Sex Extension M US Core Race Extension:
- ombCategory: CDC Race and Ethnicity 2106-3: White
- text: White or Caucasian
Entry 6 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass1
Resource MeasureReport:
Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass1
identifier:
http://example.org/fhir/measurereport/id
/123456789-pass1status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
Code Count Initial Population 1
Entry 7 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass1
Resource Patient:
Generated Narrative: Patient patient-example-ach-ach-pass1
Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
Active: true Deceased: false Contact Detail
- ph: 999-999-9999(Home)
- 456 Alphabet Street Lansing MI 48864 US (home)
Language: English (United States) Next-of-Kin:
- Mom Parent
- 456 Alphabet Street Lansing MI 48864
US Core Ethnicity Extension:
- ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino
- text: Hispanic or Latino
US Core Birth Sex Extension M US Core Race Extension:
- ombCategory: CDC Race and Ethnicity 2054-5: Black or African American
- text: Black or African American
Entry 8 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass1
Resource Encounter:
Generated Narrative: Encounter encounter-example-ach-ach-pass1
Not done yet
Entry 9 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass1
Resource Coverage:
Generated Narrative: Coverage coverage-example-ach-pass1
identifier: Member Number/084536836
status: Active
type: subsidized supplemental health program
policyHolder: Mom Parent
subscriberId: 98435938934
beneficiary: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
relationship: Child
period: 2020-08-01 --> (ongoing)
Entry 10 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass1
Resource Condition:
Generated Narrative: Condition condition-example-diagnosis-ach-pass1
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Bacteremia
subject: Pass1 ACH
Entry 11 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass1-central-line
Resource Device:
Generated Narrative: Device device-example-ach-ach-pass1-central-line
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/1000510341 (use: usual, )type: Central venous catheter, device
Entry 12 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass1-vancomycin
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass1-vancomycin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888111 (use: usual, )status: completed
category: Inpatient
subject: Pass1 ACH
Dosages
Text Route Dose 15mg/kg IV 15 mg/kg (Details: UCUM codemg/kg = 'mg/kg')
Entry 13 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass1-vancomycin
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass1-vancomycin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888811 (use: usual, )status: Completed
intent: Order
category: Inpatient
subject: Pass1 ACH
encounter: Hospital Admission
authoredOn: 2024-02-02 13:43:00-0500
requester: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
dosageInstruction
Entry 14 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-blood
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass1-blood
basedOn: ServiceRequest Bacteria identified in Blood by Culture
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:12:00-0500
issued: 2024-02-03 11:42:00-0500
performer: Practitioner Example Practitioner
value: Staphylococcus capitis
Entry 15 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-csf
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass1-csf
basedOn: ServiceRequest Differential panel - Cerebral spinal fluid
status: Final
category: Laboratory
code: Serratia marcescens DNA
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-02 18:13:00-0500
issued: 2024-02-03 11:47:00-0500
performer: Practitioner Example Practitioner
value: Detected (qualifier value)
Entry 16 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-gestational-age
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass1-gestational-age
status: Final
category: Laboratory
code: Gestational age at birth
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
performer: Practitioner Example Practitioner
value: 164 day (Details: UCUM coded = 'd')
Entry 17 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass1-vitals-weight
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass1-vitals-weight
status: Final
category: Vital Signs
code: Birth Weight
subject: Pass1 ACH
encounter: Hospital Admission
effective: 2024-02-01 16:02:00-0500
issued: 2024-02-01 16:02:00-0500
performer: Practitioner Example Practitioner
value: 0.58 kg (Details: UCUM codekg = 'kg')
Entry 18 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-central-line
Resource Procedure:
Generated Narrative: Procedure procedure-example-ach-ach-pass1-central-line
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/1000510352 (use: usual, )status: Completed
code: Placement procedure (procedure)
subject: Pass1 ACH
encounter: Hospital Admission
Entry 19 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass1-lumbar
Resource Procedure:
Generated Narrative: Procedure procedure-example-ach-ach-pass1-lumbar
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/1000510352 (use: usual, )status: Completed
code: Drainage of Spinal Canal, Percutaneous Approach, Diagnostic
subject: Pass1 ACH
encounter: Hospital Admission
bodySite: Structure of superior articular process of lumbar vertebra
Entry 20 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-blood
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-blood
identifier: Placer Identifier/1019631821 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Bacteria identified in Blood by Culture)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:00-0500
Entry 21 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass1-csf
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass1-csf
identifier: Placer Identifier/1019631822 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Differential panel - Cerebral spinal fluid)
quantity: 1
subject: Pass1 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 17:22:30-0500 , Count 1 times, Once
authoredOn: 2024-02-02 17:22:30-0500
Entry 22 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-blood
Resource Specimen:
Generated Narrative: Specimen specimen-example-ach-ach-pass1-blood
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32
/C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800
/C10408290:41type: Blood venous
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
Collected[x] BodySite 2024-02-02 18:12:00-0500 No display for Specimen.collection.bodySite (concept: Heel structure (body structure))
Entry 23 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass1-csf
Resource Specimen:
Generated Narrative: Specimen specimen-example-ach-ach-pass1-csf
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32
/C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800
/C10408290:42type: Cerebral spinal fluid
subject: Pass1 ACH
receivedTime: 2024-02-02 18:20:00-0500
Collections
Collected[x] BodySite 2024-02-02 18:13:00-0500 No display for Specimen.collection.bodySite (concept: Structure of superior articular process of lumbar vertebra (body structure))
Entry 24 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass2
Resource MeasureReport:
Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass2
identifier:
http://example.org/fhir/measurereport/id
/123456789-pass2status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
Code Count Initial Population 1
Entry 25 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass2
Resource Patient:
Generated Narrative: Patient patient-example-ach-ach-pass2
Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
Active: true Deceased: 2024-02-02 16:22:00-0500 Contact Detail
- ph: 999-999-9999(Home)
- 123 Sesame Street Lansing Lansing MI 48864 US
US Core Ethnicity Extension:
- ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
- text: Non Hispanic or Latino
US Core Birth Sex Extension F US Core Race Extension:
- ombCategory: CDC Race and Ethnicity 2106-3: White
- text: White
Entry 26 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-emergency
Resource Encounter:
Generated Narrative: Encounter encounter-example-ach-ach-pass2-emergency
Not done yet
Entry 27 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass2-inpatient
Resource Encounter:
Generated Narrative: Encounter encounter-example-ach-ach-pass2-inpatient
Not done yet
Entry 28 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass2
Resource Coverage:
Generated Narrative: Coverage coverage-example-ach-pass2
identifier: Member Number/93565936
status: Active
type: health maintenance organization policy
subscriberId: 89345743
beneficiary: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
relationship: Self
Entry 29 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2-problem
Resource Condition:
Generated Narrative: Condition condition-example-diagnosis-ach-pass2-problem
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus without complication
subject: Pass2 ACH
Entry 30 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass2
Resource Condition:
Generated Narrative: Condition condition-example-diagnosis-ach-pass2
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Thrombophlebitis
subject: Pass2 ACH
Entry 31 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass2-compress-hose
Resource Device:
Generated Narrative: Device device-example-ach-ach-pass2-compress-hose
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/100051034 (use: usual, )type: Graduated compression elastic hosiery
Entry 32 - fullUrl = http://example.com/fhir/DiagnosticReport/diagnosticreport-example-ach-ach-pass2-radiology
Resource DiagnosticReport:
Generated Narrative: DiagnosticReport diagnosticreport-example-ach-ach-pass2-radiology
ultrasonography of right lower limb (Radiology)
Subject Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, )) When For 2024-02-01 23:14:00-0500 Reported 2024-02-02 08:52:00-0500 Report Details
Coded Conclusions:
- Deep venous thrombosis (disorder)
Entry 33 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-dex4
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-dex4
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888893 (use: usual, )status: completed
category: Outpatient
subject: Pass2 ACH
Dosages
Text Route Dose 4 gm chewable tablet X1 Oral 4 g (Details: UCUM codeg = 'g')
Entry 34 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-1
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-1
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888895 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')
Entry 35 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-heparin-2
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-heparin-2
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888895 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.5 mL Structure of blood vessel of left upper arm (body structure) IV 5000 uL (Details: UCUM codeuL = 'uL')
Entry 36 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-1
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-1
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888942 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
Entry 37 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-2
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-2
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888943 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
Entry 38 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-3
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-3
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888944 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before breakfast Structure of blood vessel of left upper arm (body structure) IV 5
Entry 39 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass2-insulin-lispro-4
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass2-insulin-lispro-4
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888945 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose Give 5 units before dinner Structure of blood vessel of left upper arm (body structure) IV 4
Entry 40 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-dex4-tablet
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-dex4-tablet
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888892 (use: usual, )status: Active
intent: Plan
category: Outpatient
subject: Pass2 ACH
encounter: Emergency Encounter
authoredOn: 2024-01-31 04:46:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
Entry 41 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-heparin
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-heparin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888895 (use: usual, )status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
Entry 42 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-insulin-lispro
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-insulin-lispro
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888894 (use: usual, )status: Completed
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Hospital Admission
authoredOn: 2024-02-01 12:00:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
dosageInstruction
dosageInstruction
Entry 43 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass2-metformin
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass2-metformin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888892 (use: usual, )status: Active
intent: Plan
category: Home Medication
subject: Pass2 ACH
encounter: Emergency Encounter
authoredOn: 2024-01-31 04:22:00-0500
requester: Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))
recorder: Patient Identified
dosageInstruction
Entry 44 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-aptt
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-aptt
basedOn: ServiceRequest aPTT in Blood by Coagulation assay
status: Final
category: Laboratory
code: aPTT
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
performer: Practitioner Example Practitioner
value: 8 s (Details: UCUM codes = 's')
Entry 45 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-poc-1
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-poc-1
basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:02:00-0500
performer: Practitioner Example Practitioner
value: 53 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 46 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-poc-2
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-poc-2
basedOn: ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 10:14:00-0500
issued: 2024-02-02 10:15:00-0500
performer: Practitioner Example Practitioner
value: 105 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 47 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-hemo-a1c
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-hemo-a1c
basedOn: ServiceRequest Hemoglobin A1c [Mass/volume] in Blood
status: Final
category: Laboratory
code: Glucose
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-01-31 23:01:00-0500
issued: 2024-01-31 23:52:00-0500
performer: Practitioner Example Practitioner
value: 7.5 % (Details: UCUM code% = '%')
Entry 48 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-hemo
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-hemo
basedOn: ServiceRequest Hemoglobin [Mass/volume] in Venous blood
status: Final
category: Laboratory
code: Bacteria identified in Blood by Culture
subject: Pass2 ACH
encounter: Hospital Admission
effective: 2024-02-02 11:24:00-0500
issued: 2024-02-02 11:29:00-0500
performer: Practitioner Example Practitioner
value: 8 d/gL (Details: UCUM codeg/dL = 'g/dL')
Entry 49 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass2-vitals-weight
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass2-vitals-weight
status: Final
category: Vital Signs
code: Weight
subject: Pass2 ACH
encounter: Emergency Encounter
effective: 2024-01-31 01:42:00-0500
issued: 2024-01-31 01:42:00-0500
performer: Practitioner Example Practitioner
value: 113.4 kg (Details: UCUM codekg = 'kg')
Entry 50 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass2-ivcf
Resource Procedure:
Generated Narrative: Procedure procedure-example-ach-ach-pass2-ivcf
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/10005103526 (use: usual, )status: Completed
code: Percutaneous insertion of inferior vena cava filter (procedure)
subject: Pass2 ACH
encounter: Hospital Admission
Entry 51 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-aptt
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-aptt
identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: aPTT in Blood by Coagulation assay)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
Entry 52 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-glucose
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-glucose
identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Glucose [Mass/volume] in Capillary blood by Glucometer)
quantity: 2
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Count 2 times, Once per1 days
authoredOn: 2024-01-31 22:21:00-0500
Entry 53 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo-a1c
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo-a1c
identifier: Placer Identifier/1019631823 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Hemoglobin A1c [Mass/volume] in Blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-01-31 22:21:00-0500 , Count 1 times, Once
authoredOn: 2024-01-31 22:21:00-0500
Entry 54 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass2-hemo
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass2-hemo
identifier: Placer Identifier/1019631824 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
priority: STAT
code: No display for ServiceRequest.code (concept: Hemoglobin [Mass/volume] in Venous blood)
quantity: 1
subject: Pass2 ACH
encounter: Hospital Admission
occurrence: Code , Events: 2024-02-02 11:22:00-0500 , Count 1 times, Once
authoredOn: 2024-02-02 11:22:00-0500
Entry 55 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-1
Resource Specimen:
Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-1
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32
/C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800
/C10408290:42type: Blood venous
subject: Pass1 ACH
receivedTime: 2024-01-31 22:50:00-0500
Collections
Collected[x] BodySite 2024-01-31 22:42:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))
Entry 56 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass2-blood-2
Resource Specimen:
Generated Narrative: Specimen specimen-example-ach-ach-pass2-blood-2
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32
/C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800
/C10408290:42type: Blood venous
subject: Pass1 ACH
receivedTime: 2024-02-02 11:26:00-0500
Collections
Collected[x] BodySite 2024-02-02 11:24:00-0500 No display for Specimen.collection.bodySite (concept: Structure of blood vessel of left upper arm (body structure))
Entry 57 - fullUrl = http://example.com/fhir/MeasureReport/measurereport-example-individual-ach-ach-pass3
Resource MeasureReport:
Generated Narrative: MeasureReport measurereport-example-individual-ach-ach-pass3
identifier:
http://example.org/fhir/measurereport/id
/123456789-pass3status: Complete
type: Individual
measure: NHSN dQM Acute Care Hospital Initial Population
subject: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))
date: 2024-02-05 21:04:29+0000
reporter: Organization Example NHSN Submitter
period: 2024-01-05 00:00:00+0000 --> 2024-02-04 00:00:00+0000
improvementNotation: Increased score indicates improvement
group
Populations
Code Count Initial Population 1
Entry 58 - fullUrl = http://example.com/fhir/Patient/patient-example-ach-ach-pass3
Resource Patient:
Generated Narrative: Patient patient-example-ach-ach-pass3
Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
Active: true Contact Detail
- ACHtestcase@testcase.com
- 5678 Sesame Lansing Lansing MI 48864 US
Language: Chinese US Core Ethnicity Extension:
- ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
- text: Non Hispanic or Latino
US Core Birth Sex Extension M US Core Race Extension:
- ombCategory: CDC Race and Ethnicity 2028-9: Asian
- text: White
Entry 59 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-acute
Resource Encounter:
Generated Narrative: Encounter encounter-example-ach-ach-pass3-acute
Not done yet
Entry 60 - fullUrl = http://example.com/fhir/Encounter/encounter-example-ach-ach-pass3-short-stay
Resource Encounter:
Generated Narrative: Encounter encounter-example-ach-ach-pass3-short-stay
Not done yet
Entry 61 - fullUrl = http://example.com/fhir/Coverage/coverage-example-ach-pass3
Resource Coverage:
Generated Narrative: Coverage coverage-example-ach-pass3
identifier: Member Number/0945345
status: Active
type: preferred provider organization policy
subscriberId: 7843574536
beneficiary: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
relationship: Self
Entry 62 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3-problem
Resource Condition:
Generated Narrative: Condition condition-example-diagnosis-ach-pass3-problem
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Acute sinusitis
subject: Pass3 ACH
onset: 2024-01-21 07:32:00-0500
abatement: 2024-02-02 16:43:00-0500
Entry 63 - fullUrl = http://example.com/fhir/Condition/condition-example-diagnosis-ach-pass3
Resource Condition:
Generated Narrative: Condition condition-example-diagnosis-ach-pass3
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Enterocolitis due to Clostridium difficile
subject: Pass3 ACH
Entry 64 - fullUrl = http://example.com/fhir/Device/device-example-ach-ach-pass3-ivcs-pump
Resource Device:
Generated Narrative: Device device-example-ach-ach-pass3-ivcs-pump
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/100051035 (use: usual, )type: Intermittent venous compression system pump
Entry 65 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-enoxaparin
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-enoxaparin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888833 (use: usual, )status: not-done
statusReason: Drug declined by patient - reason unknown (situation)
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Site Route Dose 0.4ml subcutaneous once daily in abdomen Subcutaneous tissue structure of anterior abdominal wall (body structure) Oral 4000 uL (Details: UCUM codeuL = 'uL')
Entry 66 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-1
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-1
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888321 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 67 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-2
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-2
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888322 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 68 - fullUrl = http://example.com/fhir/MedicationAdministration/medicationadministration-example-ach-pass3-metronidazole-3
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-example-ach-pass3-metronidazole-3
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/1018888323 (use: usual, )status: completed
category: Inpatient Medication
subject: Pass2 ACH
Dosages
Text Route Dose 5mg tablet by mouth twice daily Oral 5 mg (Details: UCUM codemg = 'mg')
Entry 69 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-cipro
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-cipro
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888892 (use: usual, )status: Active
intent: Plan
category: Home Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 19:15:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
recorder: Patient Identified
dosageInstruction
Entry 70 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-enoxaparin
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-enoxaparin
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888833 (use: usual, )status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Critical care visit
authoredOn: 2024-02-02 12:21:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
dosageInstruction
Entry 71 - fullUrl = http://example.com/fhir/MedicationRequest/medicationrequest-example-ach-pass3-metronidazole
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-example-ach-pass3-metronidazole
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798
/101888832 (use: usual, )status: Active
intent: Order
category: Inpatient Medication
subject: Pass2 ACH
encounter: Short Stay
authoredOn: 2024-02-01 20:33:00-0500
requester: Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))
dosageInstruction
Entry 72 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-cdiff
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass3-cdiff
basedOn: ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay
status: Final
category: Laboratory
code: C. Diff.
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
effective: 2024-02-01 19:02:00-0500
issued: 2024-02-02 15:30:00-0500
performer: Practitioner Example Practitioner
value: Positive (qualifier value)
Entry 73 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-height
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass3-vitals-height
status: Final
category: Vital Signs
code: Height
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
performer: Practitioner Example Practitioner
value: 176.8 cm (Details: UCUM codecm = 'cm')
Entry 74 - fullUrl = http://example.com/fhir/Observation/observation-example-ach-pass3-vitals-weight
Resource Observation:
Generated Narrative: Observation observation-example-ach-pass3-vitals-weight
status: Final
category: Vital Signs
code: Weight
subject: Pass3 ACH
encounter: Short Stay
effective: 2024-02-01 19:21:00-0500
issued: 2024-02-01 19:21:00-0500
performer: Practitioner Example Practitioner
value: 54.4 kg (Details: UCUM codekg = 'kg')
Entry 75 - fullUrl = http://example.com/fhir/Procedure/procedure-example-ach-ach-pass3-transfusion
Resource Procedure:
Generated Narrative: Procedure procedure-example-ach-ach-pass3-transfusion
identifier:
urn:oid:2.16.840.1.113883.19.5.1.698.8
/100051035264 (use: usual, )status: Completed
code: Transfusion of red blood cells (procedure)
subject: Pass3 ACH
encounter: Critical care visit
Entry 76 - fullUrl = http://example.com/fhir/ServiceRequest/servicerequest-example-ach-ach-pass3-cdiff
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-example-ach-ach-pass3-cdiff
identifier: Placer Identifier/1019631826 (use: usual, )
status: Completed
intent: Original Order
category: Laboratory procedure
code: No display for ServiceRequest.code (concept: Clostridioides difficile toxin A [Presence] in Stool by Immunoassay)
quantity: 1
subject: Pass3 ACH
encounter: Hospital Admission, Short Stay
occurrence: Code , Events: 2024-02-01 18:12:00-0500 , Count 1 times, Once
authoredOn: 2024-02-01 18:12:00-0500
Entry 77 - fullUrl = http://example.com/fhir/Specimen/specimen-example-ach-ach-pass3-stool
Resource Specimen:
Generated Narrative: Specimen specimen-example-ach-ach-pass3-stool
identifier:
urn:oid:2.16.840.1.113883.19.5.1.798.32
/C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800
/C10408290:45type: Bloody stool
subject: Pass3 ACH
receivedTime: 2024-02-01 19:12:00-0500
Collections
Collected[x] BodySite 2024-02-01 19:02:00-0500 No display for Specimen.collection.bodySite (concept: Entire rectum (body structure))
Entry 78 - fullUrl = http://example.com/fhir/Medication/medication-example-vancomycin-15
Resource Medication:
Generated Narrative: Medication medication-example-vancomycin-15
code: Vancomycin Injectable Solution
status: Active
Entry 79 - fullUrl = http://example.com/fhir/Medication/medication-example-dex4-tablet
Resource Medication:
Generated Narrative: Medication medication-example-dex4-tablet
code: metformin hydrochloride 1000 MG
status: Active
Entry 80 - fullUrl = http://example.com/fhir/Medication/medication-example-heparin
Resource Medication:
Generated Narrative: Medication medication-example-heparin
code: 0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe
status: Active
Entry 81 - fullUrl = http://example.com/fhir/Medication/medication-example-insulin-lispro
Resource Medication:
Generated Narrative: Medication medication-example-insulin-lispro
code: insulin lispro
status: Active
Entry 82 - fullUrl = http://example.com/fhir/Medication/medication-example-metformin-1000
Resource Medication:
Generated Narrative: Medication medication-example-metformin-1000
code: Metformin hydrochloride 1000 MG
status: Active
Entry 83 - fullUrl = http://example.com/fhir/Medication/medication-example-metronidazole
Resource Medication:
Generated Narrative: Medication medication-example-metronidazole
code: Metronidazole 500 MG
status: Active
Entry 84 - fullUrl = http://example.com/fhir/Medication/medication-example-cipro-500
Resource Medication:
Generated Narrative: Medication medication-example-cipro-500
code: Ciprofloxacin 500 MG
status: Active
Entry 85 - fullUrl = http://example.com/fhir/Medication/medication-example-enoxaparin
Resource Medication:
Generated Narrative: Medication medication-example-enoxaparin
code: Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe
status: Active
Entry 86 - fullUrl = http://example.com/fhir/Location/location-example-ach-nicu-level-iii
Resource Location:
Generated Narrative: Location location-example-ach-nicu-level-iii
identifier:
http://www.example.org/location
/2933name: ACH Neonatal critical care
description:
ACH Neonatal critical care
type: Neonatal Critical Care (Level III)
Entry 87 - fullUrl = http://example.com/fhir/Location/location-example-ach-emergency
Resource Location:
Generated Narrative: Location location-example-ach-emergency
identifier:
http://www.example.org/location
/2934status: Active
name: ACH Emergency Department
description:
ACH Emergency Department
type: Emergency Department
Entry 88 - fullUrl = http://example.com/fhir/Location/location-example-ach-inpatient
Resource Location:
Generated Narrative: Location location-example-ach-inpatient
identifier:
http://www.example.org/location
/2935status: Active
name: ACH Inpatient Hospital Ward
description:
ACH Inpatient Hospital Ward
type: Medical ward
Entry 89 - fullUrl = http://example.com/fhir/Location/location-example-ach-crit
Resource Location:
Generated Narrative: Location location-example-ach-crit
identifier:
http://www.example.org/location
/2936status: Active
name: ACH Medical Critical Care
description:
ACH Medical Critical Care
type: Medical Critical Care
Entry 90 - fullUrl = http://example.com/fhir/Location/location-example-ach-medsurg
Resource Location:
Generated Narrative: Location location-example-ach-medsurg
identifier:
http://www.example.org/location
/2935status: Active
name: ACH Medical-Surgical Ward
description:
ACH Medical-Surgical Ward
type: Medical-Surgical Ward
Entry 91 - fullUrl = http://example.com/fhir/List/list-example-ach-individual-measurereport-list
Resource List:
Generated Narrative: List list-example-ach-individual-measurereport-list
Mode: Snapshot List Status: Current
Entry 92 - fullUrl = http://example.com/fhir/Practitioner/practitioner-example
Resource Practitioner:
Generated Narrative: Practitioner practitioner-example
identifier: United States National Provider Identifier/9941339100
name: Example Practitioner