National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
1.0.0-ballot - STU1 Ballot United States of America flag

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

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Page standards status: Informative

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Package File

The following package file includes an NPM (Node Package Manager) package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and URLs in the implementation guide (IG), etc. defined as part of this version of the IG. This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply to make a conformant implementation. See the overview on validating FHIR profiles and resources:

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.us.nhsn-dqm.r4) and R4B (hl7.fhir.us.nhsn-dqm.r4b) are available.

Dependency Table

IGPackageFHIRComment
.. National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guidehl7.fhir.us.nhsn-dqm#1.0.0-ballotR4
... HL7 Terminology (THO)hl7.terminology.r4#6.1.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
... US Core Implementation Guidehl7.fhir.us.core#6.1.0R4
.... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4
.... Bulk Data Access IGhl7.fhir.uv.bulkdata#2.0.0R4
.... SMART App Launchhl7.fhir.uv.smart-app-launch#2.1.0R4
.... VSACus.nlm.vsac#0.11.0R4
.... Structured Data Capturehl7.fhir.uv.sdc#3.0.0R4
.... PHINVadsus.cdc.phinvads#0.12.0R4
.... IHE FormatCode Vocabularyihe.formatcode.fhir#1.1.0R4
... Clinical Quality Framework Common FHIR Assetsfhir.cqf.common#4.0.1R4
.... Clinical Practice Guidelineshl7.fhir.uv.cpg#1.0.0R4
... Canonical Resource Management Infrastructure Implementation Guidehl7.fhir.uv.crmi#1.0.0R4
.... HL7 Terminology (THO)hl7.terminology#5.5.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.1.0R4
... Quality Measure Implementation Guide (STU4)hl7.fhir.us.cqfmeasures#4.0.0R4
.... QI-Core Implementation Guidehl7.fhir.us.qicore#5.0.0R4
..... US Core Implementation Guidehl7.fhir.us.core#5.0.1R4
...... HL7 Terminology (THO)hl7.terminology.r4#3.1.0R4
...... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
...... VSACus.nlm.vsac#0.7.0R4
.... HL7 Terminology (THO)hl7.terminology#5.2.0R4
... Data Exchange For Quality Measures Implementation Guidehl7.fhir.us.davinci-deqm#5.0.0-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#6.0.2R4
.... QI-Core Implementation Guidehl7.fhir.us.qicore#6.0.0R4
..... fhir.dicomfhir.dicom#2024.1.20240120R4
..... HL7 Terminology (THO)hl7.terminology#5.4.0R4
.... Quality Measure Implementation Guide (STU5)hl7.fhir.us.cqfmeasures#5.0.0-ballot2R4
..... FHIR Extensions Packhl7.fhir.uv.extensions#5.1.0R5
...... HL7 Terminology (THO)hl7.terminology.r5#5.5.0R5
..... Canonical Resource Management Infrastructure Implementation Guidehl7.fhir.uv.crmi#1.0.0-snapshotR4
..... Using CQL with FHIRhl7.fhir.uv.cql#1.0.0-snapshotR4

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0

FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.sdc#3.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR.
This includes two components:
* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.
*Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package ihe.formatcode.fhir#1.1.0

Implementation Guide for IHE defined FormatCode vocabulary. (built Thu, Feb 24, 2022 16:55-0600-06:00)

Package hl7.fhir.us.core#6.1.0

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Fri, Jun 30, 2023 14:02+0000+00:00)

Package hl7.fhir.uv.cpg#1.0.0

Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1

This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.crmi#1.0.0

This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Fri, May 31, 2024 16:38+0000+00:00)

Package hl7.fhir.us.core#5.0.1

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, Jun 22, 2022 19:44+0000+00:00)

Package hl7.fhir.us.qicore#5.0.0

The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Tue, Apr 4, 2023 13:39+0000+00:00)

Package hl7.fhir.us.cqfmeasures#4.0.0

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Mon, Aug 28, 2023 20:07+0000+00:00)

Package hl7.fhir.us.qicore#6.0.0

The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Fri, Mar 1, 2024 18:46+0000+00:00)

Package hl7.fhir.uv.extensions#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.crmi#1.0.0-snapshot

This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Sat, Apr 6, 2024 06:47+1100+11:00)

Package hl7.fhir.uv.cql#1.0.0-snapshot

This implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. (built Sat, Apr 6, 2024 09:37+1100+11:00)

Package hl7.fhir.us.cqfmeasures#5.0.0-ballot2

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Tue, Apr 9, 2024 13:15+0000+00:00)

Globals Table

Global Profiles:

TypeSourceProfile
Encounterhl7.fhir.us.qicore#5.0.0QICore Encounter
Encounterhl7.fhir.us.qicore#6.0.0QICore Encounter
Immunizationhl7.fhir.us.qicore#5.0.0QICore Immunization
Immunizationhl7.fhir.us.qicore#6.0.0QICore Immunization
Observationhl7.fhir.us.qicore#5.0.0QICore Observation
Observationhl7.fhir.us.qicore#6.0.0QICore Simple Observation
Organizationhl7.fhir.us.qicore#5.0.0QICore Organization
Organizationhl7.fhir.us.qicore#6.0.0QICore Organization
Patienthl7.fhir.us.qicore#5.0.0QICore Patient
Patienthl7.fhir.us.qicore#6.0.0QICore Patient
Practitionerhl7.fhir.us.qicore#5.0.0QICore Practitioner
Practitionerhl7.fhir.us.qicore#6.0.0QICore Practitioner
PractitionerRolehl7.fhir.us.qicore#5.0.0QICore PractitionerRole
PractitionerRolehl7.fhir.us.qicore#6.0.0QICore PractitionerRole

All resources of these types must conform to these profiles.

IP Statements

This publication includes IP covered under the following statements.