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

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• Detailed Descriptions
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Resource Profile: Patients-Of-Interest List

A Patients of Interest List defines all individual Patients considered for inclusion in NHSN Measure reporting.

Usage:

• Use this Resource Profile: NHSN MeasureReport Bundle and NHSN Submission Header Bundle
• Examples for this Resource Profile: List/list-example-ach-patients-of-interest and List/list-example-patients-of-interest

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List			List
identifier		1..*	Identifier	Business identifier
entry
item		1..1	Reference(QICore Patient(6.0.0))	Patient Of Interest reference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(QICore Patient(6.0.0))	Patient Of Interest reference
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	ExampleUseCodesForList http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Maturity: 1

Differential View

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List			List
identifier		1..*	Identifier	Business identifier
entry
item		1..1	Reference(QICore Patient(6.0.0))	Patient Of Interest reference
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(QICore Patient(6.0.0))	Patient Of Interest reference
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	ExampleUseCodesForList http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron