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 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Knowledge Artifacts: Measure

These define measures as part of content in this implementation guide.

BedCapacityMeasure

NHSN bed capacity example measure

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

BedCapacityMeasure
FHIRHelpers

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

NHSN MeasureReport Bundle

This profile defines a valid Submission Bundle to NHSN with all resources contained within. The Bundle is comprised of entry slices representing the data source Organization, a Patients of Interest (POI) List, one Subject List MeasureReport per reportable measure, an Individual MeasureReport List, individual MeasureReports, and the underlying patient-centric clinical information.

NHSN Subject Bundle

This profile defines a valid subject-specific dQM Bundle. The Bundle is comprised of entry slices representing the a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

NHSN Submission Header Bundle

This profile defines a valid Submission Header Bundle. The Bundle is comprised of entry slices representing the a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

NHSN Submitting Device

This profile includes the name and version of the device or software submitting the report Bundle, and may include other information about the device.

NHSN Submitting Organization

This profile includes the name and identifier of the organization submitting the report Bundle, and may include other information about the organization.

Patients-Of-Interest List

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

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Acute Care Hospital Encounter Class ValueSet

Acute Care Hospital Encounter Class ValueSet

Acute Care Hospital Encounter Status ValueSet

Acute Care Hospital Encounter Status ValueSet

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Healthcare Capacity Reporting Code System

This CodeSystem defines coded concepts for Healthcare Capacity reporting to NHSN

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

ACH Submission Header Bundle

Example of separately submittable Submission Header Bundle for ACH

Acute Care Hospital Initial Population Library

Library of Acute Care Hospital (ACH) Initial Population Measure

Acute Care Hospital Initial Population Measure

The Acute Care Hospital (ACH) Initial Population includes all encounters for patients of any age in an ED, observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.

Condition - Example Diagnosis ACH Pass1

Condition - Example Diagnosis ACH Pass1 - Encounter Diagnosis: Bacteremia

Condition - Example Diagnosis ACH Pass2

Condition - Example Diagnosis ACH Pass2 - Encounter Diagnosis: Thrombophlebitis of deep femoral vein

Condition - Example Diagnosis ACH Pass2 Problem

Condition - Example Diagnosis ACH Pass2 - Problem List: Type 2 diabetes mellitus without complications

Condition - Example Diagnosis ACH Pass3

Condition - Example Diagnosis ACH Pass3 - Encounter Diagnosis: Enterocolitis due to Clostridium difficile

Condition - Example Diagnosis ACH Pass3 Problem

Condition - Example Diagnosis ACH Pass3 - Problem List: Acute sinusitis

Coverage - Example ACH Pass1

Coverage - Example ACH Pass1 - Medicaid: Child Beneficiary

Coverage - Example ACH Pass2

Coverage - Example ACH Pass2 - Commercial HMO

Coverage - Example ACH Pass3

Coverage - Example ACH Pass3 - Commercial PPO

Device - Example ACH Pass1 Central Line

Device - Example ACH Pass1 - Central venous catheter

Device - Example ACH Pass2 Compress Hose

Device - Example ACH Pass2 - Graduated compression elastic hosiery

Device - Example ACH Pass3 Ivcs Pump

Device - Example ACH Pass3 - Intermittent venous compression system pump

Device - Example Submitting Device 1

Device - Submitting Device Example 1

DiagnosticReport - Example ACH Pass2 Cardiopulmonary

DiagnosticReport - Example ACH Pass2 - Cardiovascular stress testing

DiagnosticReport - Example ACH Pass2 Lab CBC

DiagnosticReport - Example ACH Pass2 - CBC panel - Blood by Automated count

DiagnosticReport - Example ACH Pass2 Radiology

DiagnosticReport - Example ACH Pass2 - Ultrasonography of right lower limb

Effective - Data Requirements

Effective - Data Requirements

Encounter - Example ACH Pass1 - Inpatient

Encounter - Example ACH Pass1 - Hospital Admission

Encounter - Example ACH Pass2 - Emergency

Encounter - Example ACH Pass2 - Emergency department visit

Encounter - Example ACH Pass2 - Inpatient

Encounter - Example ACH Pass2 - Hospital admission

Encounter - Example ACH Pass3 - Acute

Encounter - Example ACH Pass3 - Acute critical care visit

Encounter - Example ACH Pass3 - Short Stay

Encounter - Example ACH Pass3 - Hospital admission short stay

Example ACH Submission Subject Bundle 1

Example Separated ACH Submission Subject Bundle 1 for LOS/MEN

Example ACH Submission Subject Bundle 2

Example Separated ACH Submission Subject Bundle 2 for Hypoglycemia and VTE

Example ACH Submission Subject Bundle 3

Example Separated ACH Submission Subject Bundle 3 for CDI and VTE

Full Submission Bundle Example 1

Measure Bundle - Full Submission Bundle Example 1

Jurisdiction Capacity Full Report Bundle Example

Example Bundle of jurisidictional report for capacity reporting

List - Example ACH Individual Measure Report List

List - Example ACH Individual Measure Report List Example

List - Example ACH Patients Of Interest

List - Example ACH Patients Of Interest

List - Example Patients of Interest List 1

List - Patients of Interest Example 1

Location - Example ACH - Crit

Location - Example ACH - Medical Critical Care

Location - Example ACH - Emergency

Location - Example ACH - Emergency Department

Location - Example ACH - Inpatient

Location - Example ACH - Inpatient Hospital Ward

Location - Example ACH - Medsurg

Location - Example ACH - Medical-Surgical Ward

Location - Example ACH - Nicu

Location - Example ACH - Neonatal Critical Care (Level III)

MeasureReport - Example ACH Subject List 1

Measure Report - Example ACH Subject List Example 1

MeasureReport - Example Individual ACH Pass1 - LOS/MEN

MeasureReport - Example Individual ACH Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

MeasureReport - Example Individual ACH Pass2 - Hypo

MeasureReport - Example Individual ACH Pass2 - Hypoglycemia

MeasureReport - Example Individual ACH Pass3 - C. diff

MeasureReport - Example Individual ACH Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

Medication - Example Cipro 500

Medication - Example - Ciprofloxacin 500 MG

Medication - Example Dex4 Tablet

Medication - Example - Metformin hydrochloride 1000 MG

Medication - Example Enoxaparin

Medication - Example - Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

Medication - Example Heparin

Medication - Example - Heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

Medication - Example Insulin Lispro

Medication - Example - Insulin lispro

Medication - Example Metformin 1000

Medication - Example - Metformin hydrochloride 1000 MG

Medication - Example Metronidazole

Medication - Example - Metronidazole 500 MG

Medication - Example Vancomycin 15

Medication - Example - Vancomycin Injectable Solution

MedicationAdministration - Example ACH Pass1 Vancomycin

MedicationAdministration - Example ACH Pass1 - Vancomycin Injectable Solution 50MG

MedicationAdministration - Example ACH Pass2 Dex4

MedicationAdministration - Example ACH Pass2 - Dex4 4 gm chewable tablet X1

MedicationAdministration - Example ACH Pass2 Heparin 1

MedicationAdministration - Example ACH Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - First Encounter Administration

MedicationAdministration - Example ACH Pass2 Heparin 2

MedicationAdministration - Example ACH Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe - Second Encounter Administration

MedicationAdministration - Example ACH Pass2 Insulin Lispro 1

MedicationAdministration - Example ACH Pass2 - Insulin Lispro - First Encounter Administration

MedicationAdministration - Example ACH Pass2 Insulin Lispro 2

MedicationAdministration - Example ACH Pass2 - Insulin Lispro - Second Encounter Administration

MedicationAdministration - Example ACH Pass2 Insulin Lispro 3

MedicationAdministration - Example ACH Pass2 - Insulin Lispro - Third Encounter Administration

MedicationAdministration - Example ACH Pass2 Insulin Lispro 4

MedicationAdministration - Example ACH Pass2 Insulin Lispro 4

MedicationAdministration - Example ACH Pass3 Enoxaparin

MedicationAdministration - Example ACH Pass3 - Enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

MedicationAdministration - Example ACH Pass3 Metronidazole 1

MedicationAdministration - Example ACH Pass3 - Metronidazole 500 MG - First Encounter Administration

MedicationAdministration - Example ACH Pass3 Metronidazole 2

MedicationAdministration - Example ACH Pass3 - Metronidazole 500 MG - Second Encounter Administration

MedicationAdministration - Example ACH Pass3 Metronidazole 3

MedicationAdministration - Example ACH Pass3 - Metronidazole 500 MG - Third Encounter Administration

MedicationRequest - Example ACH Pass1 Vancomycin

MedicationRequest - Example ACH Pass1 - Vancomycin Injectable Solution 50MG

MedicationRequest - Example ACH Pass2 Dex4 Tablet

MedicationRequest - Example ACH Pass2 - Dex4 4 gm chewable tablet X1

MedicationRequest - Example ACH Pass2 Heparin

MedicationRequest - Example ACH Pass2 - heparin sodium, 0.5 ML, porcine 10000 UNT/ML Prefilled Syringe

MedicationRequest - Example ACH Pass2 Insulin Lispro

MedicationRequest - Example ACH Pass2 - Insulin Lispro

MedicationRequest - Example ACH Pass2 Metformin

MedicationRequest - Example ACH Pass2 - Metformin hydrochloride 1000 MG

MedicationRequest - Example ACH Pass3 Cipro

MedicationRequest - Example ACH Pass3 - Ciprofloxacin 500 MG

MedicationRequest - Example ACH Pass3 Enoxaparin

MedicationRequest - Example ACH Pass3 - enoxaparin sodium, 0.4 ML, 100 MG/ML Prefilled Syringe

MedicationRequest - Example ACH Pass3 Metronidazole

MedicationRequest - Example ACH Pass3 - Metronidazole 500 MG

Observation - Example ACH Pass1 Blood

Observation - Example ACH Pass1 - Lab: Bacteria identified in Blood by Culture

Observation - Example ACH Pass1 Csf

Observation - Example ACH Pass1 - Lab: Serratia marcescens DNA in Specimen by NAA with probe detection

Observation - Example ACH Pass1 Gestational Age

Observation - Example ACH Pass1 - Lab: Gestational age at birth

Observation - Example ACH Pass1 Vitals Weight

Observation - Example ACH Pass1 - Vitals Signs: Birth weight Measured

Observation - Example ACH Pass2 Hemo

Observation - Example ACH Pass2 - Lab: Bacteria identified in Blood by Culture

Observation - Example ACH Pass2 Hemo A1C

Observation - Example ACH Pass2 Hemo - Lab: Glucose in Capillary blood by Glucometer

Observation - Example ACH Pass2 Poc 1

Observation - Example ACH Pass2 Lab: Glucose in Capillary blood by Glucometer - First Encounter Observation

Observation - Example ACH Pass2 Poc 2

Observation - Example ACH Pass2 Lab: Glucose in Capillary blood by Glucometer - Second Encounter Observation

Observation - Example ACH Pass2 Vitals Weight

Observation - Example ACH Pass2 Vitals Signs: Body weight

Observation - Example ACH Pass2 aPTT

Observation - Example ACH Pass2 Lab: aPTT in Blood by Coagulation assay

Observation - Example ACH Pass3 C. diff

Observation - Example ACH Pass3 - Lab: Clostridioides difficile (C. diff)

Observation - Example ACH Pass3 Vitals Height

Observation - Example ACH Pass3 Vitals Signs: Body height

Observation - Example ACH Pass3 Vitals Weight

Observation - Example ACH Pass3 Vitals Signs: Body weight

Organization - Example Submitting Organization

Organization - Submitting Organization Example

Patient - Example ACH Pass1 - LOS/MEN

Patient - Example ACH Pass1 - Late Onset Sepsis and Meningitis (LOS/MEN)

Patient - Example ACH Pass2 - Hypo

Patient - Example ACH Pass2 - Hypoglycemia

Patient - Example ACH Pass3 - CDI/HOB

Patient - Example ACH Pass3 - Healthcare facility-onset, antibiotic-treated Clostridioides difficile infection / Hospital-onset bacteremia and fungemia (CDI/HOB)

Patient - Example Sameresultdiffday

Patient - Example Sameresultdiffday - Hypoglycemia

Procedure - Example ACH Pass1 Central Line

Procedure - Example ACH Pass1 - Placement procedure

Procedure - Example ACH Pass1 Lumbar

Procedure - Example ACH Pass1 - Drainage of Spinal Canal, Percutaneous Approach, Diagnostic

Procedure - Example ACH Pass2 IVCF

Procedure - Example ACH Pass2 - Percutaneous insertion of inferior vena cava filter

Procedure - Example ACH Pass3 Transfusion

Procedure - Example ACH Pass3 - Transfusion of red blood cells

ServiceRequest - Example ACH Pass1 Blood

ServiceRequest - Example ACH Pass1 Blood

ServiceRequest - Example ACH Pass1 CSF

ServiceRequest - Example ACH Pass1 - Differential panel - Cerebral spinal fluid

ServiceRequest - Example ACH Pass2 Glucose

ServiceRequest - Example ACH Pass2 - Glucose in Capillary blood by Glucometer

ServiceRequest - Example ACH Pass2 Hemo

ServiceRequest - Example ACH Pass2 - Hemoglobin in Venous blood

ServiceRequest - Example ACH Pass2 Hemo A1C

ServiceRequest - Example ACH Pass2 Hemo - Hemoglobin A1c in Blood

ServiceRequest - Example ACH Pass2 aPTT

ServiceRequest - Example ACH Pass2 - aPTT in Blood by Coagulation assay

ServiceRequest - Example ACH Pass3 Cdiff

ServiceRequest - Example ACH Pass3 - Clostridioides difficile toxin A in Stool by Immunoassay

Specimen - Example ACH Pass1 Blood

Specimen - Example ACH Pass1 - Blood venous from heel

Specimen - Example ACH Pass1 CSF

Specimen - Example ACH Pass1 - Cerebral spinal fluid from superior articular process of lumbar vertebra

Specimen - Example ACH Pass2 Blood 1

Specimen - Example ACH Pass2 - Blood venous from blood vessel of left upper arm - First encounter collection

Specimen - Example ACH Pass2 Blood 2

Specimen - Example ACH Pass2 - Blood venous from blood vessel of left upper arm - Second encounter collection

Specimen - Example ACH Pass3 Stool

Specimen - Example ACH Pass3 - Bloody stool

bed-capacity-measurereport-example-chld
bed-capacity-measurereport-example-hosp
bed-capacity-measurereport-example-ipf
options

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

cqf-tooling