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: Informative |
<Measure xmlns="http://hl7.org/fhir">
<id value="NHSNdQMAcuteCareHospitalInitialPopulation"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Measure NHSNdQMAcuteCareHospitalInitialPopulation</b></p><a name="NHSNdQMAcuteCareHospitalInitialPopulation"> </a><a name="hcNHSNdQMAcuteCareHospitalInitialPopulation"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-shareablemeasure.html">CRMI Shareable Measure</a></p></div><p><b>CQFM Population Basis</b>: Encounter</p><p><b>CRMI Effective Data Requirements</b>: <a href="Library-effective-data-requirements.html">EffectiveDataRequirements</a></p><p><b>url</b>: <a href="Measure-NHSNdQMAcuteCareHospitalInitialPopulation.html">Measure NHSN dQM Acute Care Hospital Initial Population</a></p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.25.316204395913842452684237438142819890580.29.2</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: NHSNdQMAcuteCareHospitalInitialPopulation</p><p><b>title</b>: NHSN dQM Acute Care Hospital Initial Population</p><p><b>status</b>: Draft</p><p><b>experimental</b>: false</p><p><b>date</b>: 2024-02-29 17:44:38-0500</p><p><b>publisher</b>: HL7 International / Public Health</p><p><b>contact</b>: HL7 International / Public Health: <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a></p><p><b>description</b>: </p><div><p>The Acute Care Hospital 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.</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>copyright</b>: </p><div><p>Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.</p>
</div><p><b>library</b>: <a href="Library-NHSNdQMAcuteCareHospitalInitialPopulationLibrary.html">NHSNdQMAcuteCareHospitalInitialPopulation</a></p><p><b>disclaimer</b>: </p><div><p>This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. This measure and specifications are subject to further revisions.</p>
</div><p><b>scoring</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}">Cohort</span></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}">Outcome</span></p><p><b>rationale</b>: </p><div><p>The NHSN Acute Care Hospital dQM allows for facilities to report line level patient data electronically to NHSN for the following modules that are reported monthly: Glycemic Control, Hypoglycemia; Healthcare facility-onset, antibiotic-Treated Clostridioides difficile (C. difficile) Infection (HT-CDI); Hospital-Onset Bacteremia & Fungemia (HOB); Venous Thromboembolism (VTE); Late Onset Sepsis / Meningitis. *Please see <a href="https://www.cdc.gov/nhsn/acute-care-hospital/index.html">Acute Care / Critical Access Hospitals (ACH) | NHSN | CDC</a> for the individual measure protocols.</p>
</div><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>description</b>: 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.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Initial Population</td></tr></table></blockquote></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-condition</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Condition</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Condition</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-device</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Device</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Device</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-lab</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Lab</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Lab</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-note</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Note</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Note</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-others</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Others</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Others</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-encounter</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Encounter</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Encounter</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-location</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Location</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Location</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication-administration</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Medication Administration</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Medication Administration</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication-request</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Medication Request</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Medication Request</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Medication</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Medication</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-lab-category</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Observation Lab Category</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Observation Lab Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-vital-signs-category</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Observation Vital Signs Category</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Observation Vital Signs Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-category</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Observation Category</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Observation Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-coverage</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Coverage</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Coverage</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-procedure</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Procedure</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Procedure</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-specimen</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Specimen</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Specimen</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-service-request</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Service Request</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Service Request</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-minimal-patient</blockquote><p><b>usage</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>description</b>: SDE Minimal Patient</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>SDE Minimal Patient</td></tr></table></blockquote></div>
</text>
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<version value="1.0.0"/>
<name value="NHSNdQMAcuteCareHospitalInitialPopulation"/>
<title value="NHSN dQM Acute Care Hospital Initial Population"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2024-02-29T17:44:38-05:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
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<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
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<description
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<copyright
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<library
value="http://hl7.org/fhir/us/nhsn-dqm/Library/NHSNdQMAcuteCareHospitalInitialPopulationLibrary"/>
<disclaimer
value="This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. This measure and specifications are subject to further revisions."/>
<scoring>
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<system
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<coding>
<system
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<code value="supplemental-data"/>
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<supplementalData id="sde-location">
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<system
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<system
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<coding>
<system
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<system
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<system
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<code value="supplemental-data"/>
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<criteria>
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<coding>
<system
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<system
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<description value="SDE Coverage"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Coverage"/>
</criteria>
</supplementalData>
<supplementalData id="sde-procedure">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Procedure"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Procedure"/>
</criteria>
</supplementalData>
<supplementalData id="sde-specimen">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Specimen"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Specimen"/>
</criteria>
</supplementalData>
<supplementalData id="sde-service-request">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Service Request"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Service Request"/>
</criteria>
</supplementalData>
<supplementalData id="sde-minimal-patient">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Minimal Patient"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Minimal Patient"/>
</criteria>
</supplementalData>
</Measure>
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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