National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
1.0.0 - STU 1
National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
1.0.0 - STU 1
This page is part of the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "CapabilityStatement",
"id" : "NHSNCapabilityStatementMeasureReportRecipient",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n <!-- TODO \r\n Jurisdiction \r\n Prohibited extension - http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited -->\r\n <!-- set include_symbols = false to turn off confonrmance symbols and legen, true to turn on -->\r\n \r\n \r\n <h2 id=\"title\">NHSN MeasureReport Recipient CapabilityStatement</h2>\r\n <ul>\r\n <li><b>Title:</b>NHSN MeasureReport Recipient CapabilityStatement</li>\r\n <li><b>Implementation Guide Version:</b> 1.0.0</li>\r\n <li><b>FHIR Version:</b> 4.0.1</li>\r\n <li><b>Intended Use:</b> Requirements</li>\r\n <li><b>Supported Formats: </b> \r\n\r\n \r\n \r\n \r\n json;\r\n \r\n \r\n \r\n xml;\r\n \r\n\r\n </li>\r\n \r\n <li><b>Published:</b> 2024-07-30</li>\r\n \r\n <li><b>Published by:</b> HL7 International / Public Health</li>\r\n <li><b>Status:</b> Active</li>\r\n <li><b>Copyright:</b> </li>\r\n </ul>\r\n <br/>\r\n\r\n\r\n\r\n \r\n <strong>Description:</strong> <div><div><p>This statement defines the expected capabilities of a system at NHSN that receives MeasureReport bundles from the dQM Evaluation Engine and validates the result against the profiles in this IG, and potentially other measure-specific profiles that are distributed with the measures themselves (NHSN refers to this kind of validation as “pre-qualification”). The MeasureReport Recipient acts as a <a href=\"https://www.hl7.org/fhir/us/davinci-deqm/STU4/CapabilityStatement-receiver-server.html\">DEQM Receiver Server</a>, provides write access to Bundle resources containing MeasureReport and other related resources, and implements the $validate operation.</p>\n</div></div>\r\n \r\n <br/>\r\n \r\n \r\n\r\n\r\n \r\n <h3>Support and Requirements for Other Artifacts</h3>\r\n <table>\r\n <tbody>\r\n \r\n \r\n <tr>\r\n <th>Imports other capabilities:</th>\r\n <td>\r\n <ul>\r\n \r\n <li>\r\n \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/CapabilityStatement-receiver-server.html\">Receiver Server CapabilityStatement</a>\r\n </li>\r\n \r\n </ul>\r\n </td>\r\n </tr>\r\n \r\n \r\n </tbody>\r\n </table>\r\n \r\n\r\n <br/>\r\n <!-- TODO - Make this a summary of capabilities, including system wide and each paradigm -->\r\n <p>\r\n <b>Jump to:</b>\r\n </p>\r\n <ul>\r\n \r\n <li><a href=\"#Server\">REST Server</a></li>\r\n \r\n \r\n \r\n </ul>\r\n\r\n\r\n\r\n <!-- REST Capabilities -->\r\n \r\n <br/>\r\n <a name=\"Server\"> </a>\r\n <h3 id=\"behavior\">FHIR Server RESTful Capabilities</h3>\r\n \r\n\r\n <!-- REST Security -->\r\n \r\n <br/>\r\n <p id=\"security\"><strong>Security:</strong></p>\r\n \r\n <div><div><p>Implementations <strong>SHOULD</strong> consider the guidance included <a href=\"security.html\">Security & Privacy</a> section.</p>\n</div></div>\r\n \r\n \r\n \r\n\r\n <!-- REST System wide Capabilities -->\r\n \r\n <h3>System-wide Server Capabilities</h3>\r\n \r\n <!-- REST System wide interactions -->\r\n \r\n\r\n <!-- REST System wide operations -->\r\n \r\n\r\n\r\n <!-- REST System wide search parameters -->\r\n \r\n \r\n\r\n\r\n\r\n <!-- Resource Capabilities -->\r\n \r\n\r\n <h4>Summary of Resource/Profile Capabilities</h4>\r\n <!-- TODO need include conformance verb legend -->\r\n \r\n <table class=\"grid\">\r\n <thead>\r\n <tr>\r\n <th>Resource Type</th>\r\n <th>Supported Interactions</th>\r\n <th>Supported Profiles</th>\r\n <th>Supported Searches</th>\r\n <th>Supported <code>_includes</code></th>\r\n <th>Supported <code>_revincludes</code></th>\r\n <th>Supported Operations</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n \r\n <tr>\r\n <td>\r\n <a href=\"#Server_Bundle\"><span style=\"white-space: nowrap;\">Bundle</span></a>\r\n </td>\r\n\r\n <!-- Supported Interactions -->\r\n <td>\r\n \r\n \r\n <span style=\"white-space: nowrap;\">create</span>,\r\n \r\n <span style=\"white-space: nowrap;\">read</span>,\r\n \r\n <span style=\"white-space: nowrap;\">search-type</span>,\r\n \r\n \r\n </td>\r\n\r\n <!-- Supported Profiles -->\r\n <td>\r\n \r\n <a href=\"StructureDefinition-nhsn-measurereport-bundle.html\">NHSN MeasureReport Bundle</a>,\r\n \r\n \r\n \r\n </td>\r\n\r\n <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported _includes -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported _revincludes -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported Operations -->\r\n <td>\r\n \r\n </td>\r\n </tr>\r\n \r\n <tr>\r\n <td>\r\n <a href=\"#Server_MeasureReport\"><span style=\"white-space: nowrap;\">MeasureReport</span></a>\r\n </td>\r\n\r\n <!-- Supported Interactions -->\r\n <td>\r\n \r\n \r\n <span style=\"white-space: nowrap;\">create</span>,\r\n \r\n <span style=\"white-space: nowrap;\">read</span>,\r\n \r\n <span style=\"white-space: nowrap;\">search-type</span>,\r\n \r\n \r\n </td>\r\n\r\n <!-- Supported Profiles -->\r\n <td>\r\n \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-subjectlist-measurereport-deqm.html\">DEQM Subject List MeasureReport</a>,\r\n \r\n \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a>,\r\n \r\n \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a>,\r\n \r\n \r\n \r\n </td>\r\n\r\n <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported _includes -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported _revincludes -->\r\n <td>\r\n \r\n </td>\r\n\r\n <!-- Supported Operations -->\r\n <td>\r\n \r\n </td>\r\n </tr>\r\n \r\n </tbody>\r\n </table>\r\n <br/>\r\n\r\n <h3 id=\"resource-details\" class=\"no_toc\">RESTful Server Capabilities by Resource/Profile:</h3>\r\n <!-- Each REST Resource Detail -->\r\n \r\n <h4 id=\"Server_Bundle\" class=\"no_toc\">Bundle</h4>\r\n\r\n <p>Conformance Expectation:\t<strong>SHALL</strong></p>\r\n\r\n \r\n\r\n \r\n\r\n <p>Supported Profiles:</p>\r\n <ul>\r\n \r\n <li><strong>SHALL</strong> support \r\n <a href=\"StructureDefinition-nhsn-measurereport-bundle.html\">NHSN MeasureReport Bundle</a>\r\n </li>\r\n \r\n </ul>\r\n \r\n \r\n\r\n\r\n <p>\r\n \r\n\r\n \r\n\r\n \r\n\r\n \r\n </p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n <!-- Resource Interactions -->\r\n \r\n\r\n <!-- Resource Operations -->\r\n \r\n\r\n\r\n\r\n <!-- TODO Nexted ul items do not appear with a subbullet style -->\r\n \r\n <br/>\r\n <p>Modify Criteria:</p> \r\n <ul>\r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>create</code> interaction creating a Bundle resource using:\r\n <code class=\"highlighter-rouge\">POST [base]/Bundle/[id]{?_format=[mime-type]}</code>\r\n \r\n </li>\r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n </ul>\r\n \r\n\r\n\r\n \r\n <br/>\r\n <p>Fetch and Search Criteria:</p>\r\n <ul>\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>read</code> interaction returning a Bundle resource using:\r\n <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code>\r\n \r\n </li>\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>search-type</code> interaction returning Bundle resources matching a search query using:\r\n <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]{?[parameters]{&_format=[mime-type]}}</code>\r\n </li>\r\n \r\n \r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n </ul>\r\n \r\n\r\n \r\n\r\n <!-- Search Combination -->\r\n \r\n \r\n \r\n\r\n \r\n <h4 id=\"Server_MeasureReport\" class=\"no_toc\">MeasureReport</h4>\r\n\r\n <p>Conformance Expectation:\t<strong>SHALL</strong></p>\r\n\r\n \r\n\r\n \r\n\r\n <p>Supported Profiles:</p>\r\n <ul>\r\n \r\n <li><strong>SHALL</strong> support \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-subjectlist-measurereport-deqm.html\">DEQM Subject List MeasureReport</a>\r\n </li>\r\n \r\n <li><strong>SHALL</strong> support \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a>\r\n </li>\r\n \r\n <li><strong>MAY</strong> support \r\n <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a>\r\n </li>\r\n \r\n </ul>\r\n \r\n \r\n\r\n\r\n <p>\r\n \r\n\r\n \r\n\r\n \r\n\r\n \r\n </p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n <!-- Resource Interactions -->\r\n \r\n\r\n <!-- Resource Operations -->\r\n \r\n\r\n\r\n\r\n <!-- TODO Nexted ul items do not appear with a subbullet style -->\r\n \r\n <br/>\r\n <p>Modify Criteria:</p> \r\n <ul>\r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>create</code> interaction creating a MeasureReport resource using:\r\n <code class=\"highlighter-rouge\">POST [base]/MeasureReport/[id]{?_format=[mime-type]}</code>\r\n \r\n </li>\r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n\r\n \r\n\r\n \r\n </ul>\r\n \r\n\r\n\r\n \r\n <br/>\r\n <p>Fetch and Search Criteria:</p>\r\n <ul>\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>read</code> interaction returning a MeasureReport resource using:\r\n <code class=\"highlighter-rouge\">GET [base]/MeasureReport/[id]</code>\r\n \r\n </li>\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n <li>\r\n A Server <strong>SHOULD</strong> be capable of a <code>search-type</code> interaction returning MeasureReport resources matching a search query using:\r\n <code class=\"highlighter-rouge\">GET [base]/MeasureReport/[id]{?[parameters]{&_format=[mime-type]}}</code>\r\n </li>\r\n \r\n \r\n \r\n \r\n\r\n \r\n\r\n \r\n\r\n </ul>\r\n \r\n\r\n \r\n\r\n <!-- Search Combination -->\r\n \r\n \r\n \r\n\r\n \r\n \r\n\r\n\r\n\r\n \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n <!-- Messaging Capabilities -->\r\n \r\n\r\n <!-- Document Capabilities -->\r\n \r\n\r\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pher"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/nhsn-dqm/ImplementationGuide/hl7.fhir.us.nhsn-dqm"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/nhsn-dqm/ImplementationGuide/hl7.fhir.us.nhsn-dqm"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/nhsn-dqm/CapabilityStatement/NHSNCapabilityStatementMeasureReportRecipient",
"version" : "1.0.0",
"name" : "NHSNCapabilityStatementMeasureReportRecipient",
"title" : "NHSN MeasureReport Recipient CapabilityStatement",
"status" : "active",
"experimental" : false,
"date" : "2024-07-30",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"name" : "HL7 International / Public Health",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
}
],
"description" : "This statement defines the expected capabilities of a system at NHSN that receives MeasureReport bundles from the dQM Evaluation Engine and validates the result against the profiles in this IG, and potentially other measure-specific profiles that are distributed with the measures themselves (NHSN refers to this kind of validation as “pre-qualification”). The MeasureReport Recipient acts as a [DEQM Receiver Server](https://www.hl7.org/fhir/us/davinci-deqm/STU4/CapabilityStatement-receiver-server.html), provides write access to Bundle resources containing MeasureReport and other related resources, and implements the $validate operation.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"kind" : "requirements",
"imports" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/CapabilityStatement/receiver-server"
],
"fhirVersion" : "4.0.1",
"format" : [
"json",
"xml"
],
"rest" : [
{
"mode" : "server",
"security" : {
"description" : "Implementations **SHOULD** consider the guidance included [Security & Privacy](security.html) section."
},
"resource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"type" : "Bundle",
"supportedProfile" : [
🔗 "http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-measurereport-bundle"
],
"_supportedProfile" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "create"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "search-type"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"type" : "MeasureReport",
"supportedProfile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm"🔗 ,
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"🔗 ,
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
],
"_supportedProfile" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
]
}
],
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "create"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "search-type"
}
]
}
]
}
]
}
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.nhsn-dqm#1.0.0 based on FHIR 4.0.1. Generated 2025-07-09
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