National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
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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

CodeSystem: Healthcare Capacity Reporting Code System (Experimental)

Official URL: http://hl7.org/fhir/us/nhsn-dqm/CodeSystem/healthcare-capacity-codes Version: 1.0.0-ballot
Standards status: Informative Computable Name: HealthareCapacityCodeSystem
Other Identifiers: OID:2.25.316204395913842452684237438142819890580.16.1

Copyright/Legal: This Valueset is not copyrighted.

This CodeSystem defines coded concepts for Healthcare Capacity reporting to NHSN. This CodeSystem is experimental, and is expected to be replaced by LOINC codes once they have been assigned.

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Generated Narrative: CodeSystem healthcare-capacity-codes

This case-insensitive code system http://hl7.org/fhir/us/nhsn-dqm/CodeSystem/healthcare-capacity-codes defines the following codes:

CodeDisplay
HOSP Hospital
IRF Inpatient Rehabilitation
IPF Inpatient Psychiatric
CHLD Children's or Pediatric
OTH Other facility-within-facility or subunit
BedCapacityReporting Hospital bed capaicty report
AllBedsOccupied Census across all beds, including all specialty beds (i.e., CMS-certified rehabilitation, CMS-certified psychiatric, obstetrics, NICU [all levels], and nursery beds).
AllBedsUnoccupied Count of unoccupied staffed and unblocked beds across all beds, including specialty beds (i.e., CMS-certified rehabilitation, CMS-certified psychiatric, obstetrics, NICU [all levels], and nursery).
AdultTotalOccupied Census across all adult beds (Adult ICU, Adult PCU, Adult MT/MS and Adult OBS), excluding CMS-certified rehabilitation, CMS-certified psychiatric, and obstetrics beds.
AdultTotalUnoccupied Count of unoccupied staffed and unblocked beds across all adult beds (Adult ICU, Adult PCU, Adult MT/MS and Adult OBS), excluding CMS-certified rehabilitation, CMS-certified psychiatric, and obstetrics beds.
AdultICUOccupied Census across all adult intensive care or critical care beds. Adult Critical Care Units provide care and treatment for the highest acuity patients. Interventions may include ventilators, hemodynamic monitoring, IV drug therapies and a variety of procedures.
AdultICUUnoccupied Count of unoccupied staffed and unblocked beds across all adult intensive care or critical care beds. Adult Critical Care Units provide care and treatment for the highest acuity patients. Interventions may include ventilators, hemodynamic monitoring, IV drug therapies and a variety of procedures.
AdultICU_LOCOccupied Census of all patients meeting the admission criteria for critical care (i.e. require ICU level of care) across all adult intensive care or critical care beds. Excludes patients in these beds that do not meet ICU criteria.
AdultNonICUOccupied Census across all adult PCU, MT/MS and OBS beds.
AdultNonICUUnoccupied Count of unoccupied staffed and unblocked beds across all adult PCU, MT, MS and OBS beds.
AdultPCUOccupied Important note for PCU beds: if adult PCU bed census is unable to be separately collected, please make sure the adult PCU census is included in the adult MT/MS census, adult non-ICU census, and adult total bed census. Census across all adult progressive care, intermediate care or step-down beds. Units that provide care for adult moderate severity of illness and comorbid patients.
AdultPCUUnoccupied Important note for PCU beds: if adult PCU unoccupied bed count is unable to be separately collected, please make sure the adult PCU unoccupied bed count is included in the adult MT/MS unoccupied bed count, adult non-ICU unoccupied bed count, and adult total unoccupied bed count. Count of unoccupied staffed and unblocked beds across all adult progressive care, intermediate care or step-down beds. Units that provide care for adult moderate severity of illness and comorbid patients.
AdultMTMSOccupied Census across all adult telemetry and general medicine/surgery/acute care beds. Telemetry units provide continuous electrocardiographic (ECG) monitoring of the adult patient’s heart rhythm using specialized technology and equipment. General medicine units, surgery units or units with combination of both medical and surgical adult patients. Also known as general care or acute care units.
AdultMTMSUnoccupied Count of unoccupied staffed and unblocked beds across all adult telemetry and general medicine/surgery/acute care beds. Telemetry units provide continuous electrocardiographic (ECG) monitoring of the adult patient’s heart rhythm using specialized technology and equipment. General medicine units, surgery units or units with combination of both medical and surgical adult patients. Also known as general care or acute care units.
AdultObsOccupied Census across all adult observation beds. Adult patient status is observation (outpatient status) and may be housed on an observation unit.
AdultObsUnoccupied Count of unoccupied staffed and unblocked beds across all adult observation beds. Adult patient status is observation (outpatient status) and may be housed on an observation unit.
PedsTotalOccupied Census across all pediatric beds (Peds ICU, Peds PCU, Peds MT/MS and Peds OBS), excluding specialty nursery and NICU [all levels] specialty beds.
PedsTotalUnoccupied Count of unoccupied staffed and unblocked beds across all pediatric beds (Peds ICU, Peds PCU, Peds MT/MS and Peds OBS), excluding specialty nursery and NICU [all levels] specialty beds.
PedsICUOccupied Census across all pediatric intensive care or critical care beds. Pediatric Intensive Care Unit (PICU) also known as Pediatric Critical Care Unit. Interventions may include ventilators, hemodynamic monitoring, IV drug therapies and a variety of procedures.
PedsICUUnoccupied Count of unoccupied staffed and unblocked beds across all pediatric intensive care or critical care beds. Pediatric Intensive Care Unit (PICU) also known as Pediatric Critical Care Unit. Interventions may include ventilators, hemodynamic monitoring, IV drug therapies and a variety of procedures.
PedsICU_LOCOccupied Census of all patients meeting the admission criteria for critical care (i.e. require ICU level of care) across all pediatric intensive care or critical care beds. Excludes patients in these beds that do not meet ICU criteria.
PedsNonICUOccupied Census across all pediatric PCU, MT/MS and OBS beds.
PedsNonICUUnoccupied Count of unoccupied staffed and unblocked beds across all pediatric PCU, MT, MS and OBS beds.
PedsPCUOccupied Important note for PCU beds: if pediatric PCU bed census is unable to be separately collected, please make sure the pediatric PCU census is included in the both the pediatric MT/MS census, pediatric non-ICU census, and pediatric total bed census. Census across all pediatric progressive care, intermediate care or step-down beds. Units that provide care for pediatric moderate severity of illness and comorbid patients.
PedsPCUUnoccupied Important note for PCU beds: if pediatric PCU unoccupied bed count is unable to be separately collected, please make sure the pediatric PCU unoccupied bed count is included in the pediatric MT/MS unoccupied bed count, pediatric non-ICU unoccupied bed count, and pediatric total unoccupied bed count. Count of unoccupied staffed and unblocked beds across all pediatric progressive care, intermediate care or step-down beds. Units that provide care for pediatric moderate severity of illness and comorbid patients.
PedsMTMSOccupied Census across all pediatric telemetry and general medicine/surgery/acute care beds. Pediatric telemetry units provide continuous electrocardiographic (ECG) monitoring of the patient’s heart rhythm using specialized technology and equipment. Pediatric general medicine units, surgery units or units with combination of both medical and surgical patients. Also known as general care or acute care units. Provides care for the least acute patients. Patient assessment and monitoring can range from 4-8 hours, floors have higher patient to nurse ratio than PCU/ICU.
PedsMTMSUnoccupied Count of unoccupied staffed and unblocked beds across all pediatric telemetry and general medicine/surgery/acute care beds. Pediatric telemetry units provide continuous electrocardiographic (ECG) monitoring of the patient’s heart rhythm using specialized technology and equipment. Pediatric general medicine units, surgery units or units with combination of both medical and surgical patients. Also known as general care or acute care units. Provides care for the least acute patients. Patient assessment and monitoring can range from 4-8 hours, floors have higher patient to nurse ratio than PCU/ICU.
PedsObsOccupied Census across all pediatric observation beds. Pediatric patient status is observation (outpatient status) and may be housed on observation unit.
PedsObsUnoccupied Count of unoccupied staffed and unblocked beds across all pediatric observation beds. Pediatric patient status is observation (outpatient status) and may be housed on observation unit.
SpecialtyTotalOccupied Census across all specialty beds (i.e., CMS-certified rehabilitation, CMS-certified psychiatric, obstetrics, NICU [all levels], and nursery beds).
SpecialtyTotalUnoccupied Count of unoccupied staffed and unblocked beds across all specialty beds (i.e., CMS-certified rehabilitation, CMS-certified psychiatric, obstetrics, NICU [all levels], and nursery beds).
SpecialtyNonCribOccupied Census across non-crib specialty beds (i.e. obstetrics, CMS-certified psychiatric, and CMS-certified rehabilitation specialty beds), excluding NICU (all levels) and nursery specialty beds.
SpecialtyNonCribUnoccupied Count of unoccupied staffed and unblocked beds across non-crib specialty beds (i.e. obstetrics, CMS-certified psychiatric, and CMS-certified rehabilitation specialty beds), excluding NICU (all levels) and nursery specialty beds.
OBOccupied Census across all obstetric beds. Obstetrical or post-partum units provide care to low and high-risk pregnant women.
OBUnoccupied Count of unoccupied staffed and unblocked beds across all obstetric beds. Obstetrical or postpartum units provide care to low and high-risk pregnant women.
NICUOccupied Census across all NICU beds (includes all levels: level 1, level 2, level 3, level 3 Plus, and level 4). Neonatal Intensive Care Units - specializes in the care of ill or premature newborn infants.
NICUUnoccupied Count of unoccupied staffed and unblocked beds across all NICU beds (includes all levels: level 1, level 2, level 3, level 3 Plus, and level 4). Neonatal Intensive Care Units - specializes in the care of ill or premature newborn infants.
NICU4Occupied Census across all level 4 NICU beds. Level 4: units include the capabilities of level 3 Plus with additional capabilities and considerable experience in the care of the most complex and critically ill newborn infants and should have pediatric medical and pediatric surgical specialty consultants continuously available 24 hours a day.
NICU4Unoccupied Count of unoccupied staffed and unblocked beds across all level 4 NICU beds. Level 4: units include the capabilities of level 3 Plus with additional capabilities and considerable experience in the care of the most complex and critically ill newborn infants and should have pediatric medical and pediatric surgical specialty consultants continuously available 24 hours a day.
NICU3Unoccupied Count of unoccupied staffed and unblocked beds across all level 3 Plus NICU beds. Level 3 Plus: includes level 3 care with general pediatric surgery.
NICU3PlusOccupied Census across all level 3 Plus NICU beds. Level 3 Plus: includes level 3 care with general pediatric surgery.
NICU3PlusUnoccupied Count of unoccupied staffed and unblocked beds across all level 3 NICU beds. Level 3: should be reserved for infants who are born at <32 weeks’ gestation, weigh <1500g at birth, or have medical or surgical conditions, regardless of gestational age.
NICU3Occupied Census across all level 3 NICU beds. Level 3: should be reserved for infants who are born at <32 weeks’ gestation, weigh <1500g at birth, or have medical or surgical conditions, regardless of gestational age.
NICU2Occupied Census across all level 2 NICU beds. Level 2: should be reserved for stable or moderately ill newborn infants who are born at ≥32 weeks’ gestation or who weigh ≥1500g at birth with problems that are expected to resolve rapidly and who would not be anticipated to need subspecialty-level services on an urgent basis.
NICU2Unoccupied Count of unoccupied staffed and unblocked beds across all level 2 NICU beds. Level 2: should be reserved for stable or moderately ill newborn infants who are born at ≥32 weeks’ gestation or who weigh ≥1500g at birth with problems that are expected to resolve rapidly and who would not be anticipated to need subspecialty-level services on an urgent basis.
NurseryOccupied Census across all nursery beds. Also called a newborn or a well-baby nursery. Goal is to examine, treat and monitor the health of the newborn. Well-baby nursery includes any room housing newborns who do not need continuing care or special care of intensive care newborn services. The nursery houses healthy babies that do not have any complications.
NurseryUnoccupied Count of unoccupied staffed and unblocked beds across all nursery beds. Also called a newborn or a well-baby nursery. Goal is to examine, treat and monitor the health of the newborn. Well-baby nursery includes any room housing newborns who do not need continuing care or special care of intensive care newborn services.The nursery houses healthy babies that do not have any complications.
NICU1Occupied Important note for level 1 NICU beds: this field should only be used if you have newborn or well-baby nursery beds with additional level of care that does not meet the criteria of level 2 NICU beds. Census across all level 1 NICU beds. Level 1: facilities provide a basic level of care to neonates who are low risk. They have the capability to perform neonatal resuscitation at every delivery and to evaluate and provide routine postnatal care for healthy newborn infants.
NICU1Unoccupied Important note for level 1 NICU beds: this field should only be used if you have newborn or well-baby nursery beds with additional level of care that does not meet the criteria of level 2 NICU beds.Count of unoccupied staffed and unblocked beds across all level 1 NICU beds. Level 1: facilities provide a basic level of care to neonates who are low risk. They have the capability to perform neonatal resuscitation at every delivery and to evaluate and provide routine postnatal care for healthy newborn infants.
AdultPsychOccupied Census across all CMS-certified adult psychiatric beds. Psychiatric units specialize in the treatment of serious mental disorders. Care includes monitoring and providing appropriate interventions for behavioral or psychosocial issues.
AdultPsychUnoccupied Count of unoccupied staffed and unblocked beds across all CMS-certified adult psychiatric beds. Psychiatric units specialize in the treatment of serious mental disorders. Care includes monitoring and providing appropriate interventions for behavioral or psychosocial issues.
PedsPsychOccupied Census across all CMS-certified pediatric psychiatric beds. Specialize in the treatment of serious mental disorders. Care includes monitoring and providing appropriate interventions for behavioral or psychosocial issues.
PedsPsychUnoccupied Count of unoccupied staffed and unblocked beds across all CMS-certified pediatric psychiatric beds. Specialize in the treatment of serious mental disorders. Care includes monitoring and providing appropriate interventions for behavioral or psychosocial issues.
RehabOccupied Census across all CMS-certified rehabilitation beds. Inpatient rehabilitation units provide services to people who have had an acute illness, injury, or accident resulting in significant functional decline. Intensive physical medicine therapies and treatment regimens are delivered by a multidisciplinary team of nurses, PT, OT and specially trained physicians.
RehabUnoccupied Count of unoccupied staffed and unblocked beds across all CMS-certified rehabilitation beds. Inpatient rehabilitation units provide services to people who have had an acute illness, injury, or accident resulting in significant functional decline. Intensive physical medicine therapies and treatment regimens are delivered by a multidisciplinary team of nurses, PT, OT and specially trained physicians.
SurgeActiveTotalOccupied Census across all activated surge beds. Active surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use as ICU, PCU, MT/MS or OBS beds.
SurgeActiveTotalUnoccupied Count of unoccupied activated surge beds across all levels of care. Active surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use as ICU, PCU, MT/MS or OBS beds.
SurgeInactiveTotalOccupied Count of occupied inactive surge beds across all levels of care. Inactive surge beds are any non-licensed beds that can be utilized in an emergency for surge locations for use as ICU, PCU, MT/MS or OBS beds but are not currently in use or active.
SurgeInactiveTotalUnoccupied Count of unoccupied inactive surge beds across all levels of care. Inactive surge beds are any non-licensed beds that can be utilized in an emergency for surge locations for use as ICU, PCU, MT/MS or OBS beds but are not currently in use or active.
SurgeActiveICUOccupied Census across all activated intensive care or critical care surge beds. Active ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use for intensive or critical care patients.
SurgeActiveICUUnoccupied Count of unoccupied activated intensive or critical care surge beds. Active ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use for intensive or critical care patients.
SurgeInactiveICUUnoccupied Count of unoccupied inactive intensive or critical care surge beds. Inactive ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations for use for intensive or critical care patients but are not currently in use or active.
SurgeActiveNonICUOccupied Census across all activated PCU, MT, MS and OBS surge beds. Active Non-ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use as PCU, MT/MS or OBS beds.
SurgeActiveNonICUUnoccupied Count of unoccupied activated PCU, MT, MS and OBS surge beds. Active Non-ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations and are currently in use or available for use as PCU, MT/MS or OBS beds.
SurgeInactiveNonICUOccupied Count of occupied inactive PCU, MT, MS and OBS surge beds. Inactive Non-ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations for use as PCU, MT/MS or OBS beds but are not currently in use or active.
SurgeInactiveNonICUUnoccupied Count of unoccupied inactive PCU, MT, MS and OBS surge beds. Inactive Non-ICU surge beds are any non-licensed beds that can be utilized in an emergency for surge locations for use as PCU, MT/MS or OBS beds but are not currently in use or active.
BurnOccupied Census across all burn unit beds.
BurnUnoccupied Count of unoccupied burn unit beds.
NegativePressureOccupied Census across all negative pressure beds.
NegativePressureUnoccupied Count of unoccupied negative pressure beds.
AdultEDCensus Census of all adult patients in the emergency department
AdultEDAdmittedCensus Census of all adult patients in the emergency department that have an admit to inpatient or observation order
PedsEDCensus Census of all pediatric patients in the emergency department
PedsEDAdmittedCensus Census of all pediatric patients in the emergency department that have an admit to inpatient or observation order
TotalEDCensus Census of all patients in the emergency department
TotalEDAdmittedCensus Census of all patients in the emergency department that have an admit to inpatient or observation order