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

• Narrative Content
• XML
• JSON

: Encounter - Example ACH Pass1 - Inpatient - JSON Representation

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{
  "resourceType" : "Encounter",
  "id" : "encounter-example-ach-ach-pass1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-example-ach-ach-pass1</b></p><a name=\"encounter-example-ach-ach-pass1\"> </a><a name=\"hcencounter-example-ach-ach-pass1\"> </a><a name=\"encounter-example-ach-ach-pass1-en-US\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.1.698.8</code>/10005104251\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ACUTE\">ActCode ACUTE</a>: inpatient acute</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 32485007}\">Hospital Admission</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-ach-ach-pass1.html\">Pass1 ACH</a></p><p><b>period</b>: 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm R50.9}\">Fever</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-condition-example-diagnosis-ach-pass1.html\">Thrombophlebitis</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source born}\">Born in hospital</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition oth}\">Other</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-example-ach-nicu-level-iii.html\">ACH Neonatal critical care</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}\">Ward</span></td><td>2024-02-01 16:02:00-0500 --&gt; 2024-02-02 16:02:00-0500</td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "usual",
      "system" : "urn:oid:2.16.840.1.113883.19.5.1.698.8",
      "value" : "10005104251"
    }
  ],
  "status" : "in-progress",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "ACUTE",
    "display" : "inpatient acute"
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "32485007",
          "display" : "Hospital admission (procedure)"
        }
      ],
      "text" : "Hospital Admission"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/patient-example-ach-ach-pass1",
    "display" : "Pass1 ACH"
  },
  "period" : {
    "start" : "2024-02-01T16:02:00-05:00",
    "end" : "2024-02-04T19:00:00-05:00"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "R50.9",
          "display" : "Fever, unspecified"
        }
      ],
      "text" : "Fever"
    }
  ],
  "diagnosis" : [
    {
      "condition" : {
        🔗 "reference" : "Condition/condition-example-diagnosis-ach-pass1",
        "display" : "Thrombophlebitis"
      }
    }
  ],
  "hospitalization" : {
    "admitSource" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
          "code" : "born",
          "display" : "Born in hospital"
        }
      ],
      "text" : "Born in hospital"
    },
    "dischargeDisposition" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
          "code" : "oth",
          "display" : "Other"
        }
      ],
      "text" : "Other"
    }
  },
  "location" : [
    {
      "location" : {
        🔗 "reference" : "Location/location-example-ach-nicu-level-iii",
        "display" : "ACH Neonatal critical care"
      },
      "physicalType" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
            "code" : "wa",
            "display" : "Ward"
          }
        ]
      },
      "period" : {
        "start" : "2024-02-01T16:02:00-05:00",
        "end" : "2024-02-02T16:02:00-05:00"
      }
    }
  ]
}