National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
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This page is part of the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: Patient - Example ACH Pass1 - LOS/MEN - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-example-ach-ach-pass1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient patient-example-ach-ach-pass1</b></p><a name="patient-example-ach-ach-pass1"> </a><a name="hcpatient-example-ach-ach-pass1"> </a><a name="patient-example-ach-ach-pass1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 999-999-9999(Home)</li><li>456 Alphabet Street Lansing MI 48864 US (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-US}">English (United States)</span></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-Kin">Next-of-Kin:</td><td colspan="3"><ul><li>Mom Parent</li><li>456 Alphabet Street Lansing MI 48864 </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">M</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2054-5">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2054-5"/>
        <display value="Black or African American"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Black or African American"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2135-2"/>
        <display value="Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="M"/>
  </extension>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical record number"/>
      </coding>
      <text value="MRN"/>
    </type>
    <system value="urn:oid:1.2.5.8.2.7"/>
    <value value="1601191901010308"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="official"/>
    <text value="Pass1 ACH"/>
    <family value="ACH"/>
    <given value="Pass1"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="999-999-9999"/>
    <use value="home"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="2024-02-01"/>
  <deceasedBoolean value="false"/>
  <address>
    <use value="home"/>
    <type value="both"/>
    <line value="456 Alphabet Street"/>
    <city value="Lansing"/>
    <district value="Ingham County"/>
    <state value="MI"/>
    <postalCode value="48864"/>
    <country value="US"/>
  </address>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
        <code value="N"/>
        <display value="Next-of-Kin"/>
      </coding>
    </relationship>
    <name>
      <text value="Mom Parent"/>
      <family value="Parent"/>
      <given value="Mom"/>
    </name>
    <address>
      <line value="456 Alphabet Street"/>
      <city value="Lansing"/>
      <state value="MI"/>
      <postalCode value="48864"/>
    </address>
  </contact>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="en-US"/>
        <display value="English (United States)"/>
      </coding>
    </language>
  </communication>
</Patient>