dQM CMS Content Implementation Guide
2026.1.0 - CI Build

dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2026/ and changes regularly. See the Directory of published versions

## : HOB Elements - TTL Representation

Page standards status: Informative | Maturity Level: 1

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Library ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "HOB"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b style=\"color: maroon\">Exception generating Narrative: Unable to Parse HTML - node 'DateTime' has unexpected content ' ' (last text = ' \n  default Interval[@2026-01-01T00:00:00.0, @2026-01-31T23:59:59.999]\n\ncontext Patient\n\n/*\nED/OBS encounter: Any patient visit to an emergency department (ED) or observation (OBS) location. One patient visit equals one encounter. ED/OBS are considered outpatient locations.\nHospital Stay: NHSN defines a hospital stay to be inclusive of any: (a) ED/OBS encounters, (b) inpatient admissions, or (c) ED/OBS encounters that lead to inpatient admissions (within 1 hour of ED/OBS encounters).\nInpatient admission: For NHSN reporting purposes, the ‘date admitted to the facility’ is hospital day (HD) 1. NHSN defines an inpatient as any patient cared for or housed on an inpatient location. Local status may differ from NHSN definition; all days spent in an inpatient unit, regardless of local admission status and/or billing status are included in the counts of admissions and inpatient days. For NHSN reporting purposes, the date admitted to the facility is the calendar date that the patient physically locates to an inpatient location.\nMeasurement Period: Time period selected for report generation/metric calculation\nAdult: Patients who are ≥18 years old on the calendar day of the start of the Hospital Stay\nPediatric: Patients who are ' at line 205 column 30</b></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 1     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "cds"     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "informative"     ]
      ] ) ; #
      fhir:url [ fhir:v "https://madie.cms.gov/Library/HOB"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "2026.1.0"] ; #
      fhir:name [ fhir:v "HOB"] ; #
      fhir:title [ fhir:v "HOB Elements"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v true] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "logic-library" ]     ] )
      ] ; #
      fhir:date [ fhir:v "2026-06-16T17:19:32+00:00"^^xsd:dateTime] ; #
      fhir:description [ fhir:v "DRAFT Data elements used in the calculation of Hospital-onset Bacteremia and Fungemia measures."] ; #
      fhir:topic ( [
    fhir:text [ fhir:v "FHIR" ]
      ] [
    fhir:text [ fhir:v "CQL" ]
      ] ) ; #
      fhir:content ( [
    fhir:contentType [ fhir:v "text/cql" ] ;
    fhir:data [ fhir:v " "^^xsd:base64Binary ]
      ] ) . #