CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## : Example ACH Monthly Submission Header Bundle - TTL Representation

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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:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "bundle-example-ach-monthly-header"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle>     ] )
      ] ; #
      fhir:identifier [
    fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "urn:uuid:1eaddf4c-2ec0-4dc4-b26f-9586d7a777e9" ]
      ] ; #
      fhir:type [ fhir:v "collection"] ; #
      fhir:timestamp [ fhir:v "2024-02-05T21:04:29.481+00:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [ fhir:v "http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization"^^xsd:anyURI ] ;
        ( fhir:resource <http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization> )
      ] [
    fhir:fullUrl [ fhir:v "http://nhsnlink.org/fhir/Device/device-example-submitting-device"^^xsd:anyURI ] ;
        ( fhir:resource <http://nhsnlink.org/fhir/Device/device-example-submitting-device> )
      ] [
    fhir:fullUrl [ fhir:v "http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest"^^xsd:anyURI ] ;
        ( fhir:resource <http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest> )
      ] [
    fhir:fullUrl [ fhir:v "http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1"^^xsd:anyURI ] ;
        ( fhir:resource <http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1> )
      ] ) . #

    <http://nhsnlink.org/fhir/Organization/organization-example-submitting-organization> a fhir:Organization ;
      fhir:id [ fhir:v "organization-example-submitting-organization"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-example-submitting-organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-example-submitting-organization</b></p><a name=\"organization-example-submitting-organization\"> </a><a name=\"hcorganization-example-submitting-organization\"> </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=\"StructureDefinition-nhsn-submitting-organization.html\">NHSN Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/ExampleNHSNSubmitterOrgID</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Example NHSN Submitter</p><p><b>telecom</b>: ph: 5555555551</p><p><b>address</b>: </p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "https://www.cdc.gov/nhsn/OrgID"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ExampleNHSNSubmitterOrgID" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "prov" ] ;
    fhir:display [ fhir:v "Healthcare Provider" ]     ] )
      ] ) ; #
      fhir:name [ fhir:v "Example NHSN Submitter"] ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "5555555551" ] ;
    fhir:rank [ fhir:v "1"^^xsd:positiveInteger ]
      ] ) ; #
      fhir:address ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/data-absent-reason"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "unknown"       ]     ] )
      ] ) . #

    <http://nhsnlink.org/fhir/Device/device-example-submitting-device> a fhir:Device ;
      fhir:id [ fhir:v "device-example-submitting-device"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-example-submitting-device\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-example-submitting-device</b></p><a name=\"device-example-submitting-device\"> </a><a name=\"hcdevice-example-submitting-device\"> </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=\"StructureDefinition-nhsn-submitting-device.html\">NHSN Submitting Device</a></p></div><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>NHSN Link</td><td>Model name</td></tr></table><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 0.9.0</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 20230713.1</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: api</p><p><b>value</b>: 3f9662a8</p></blockquote><blockquote><p><b>version</b></p><p><b>component</b>: cqf-ruler</p><p><b>value</b>: 0.13.0</p></blockquote></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:deviceName ( [
    fhir:name [ fhir:v "NHSN Link" ] ;
    fhir:type [ fhir:v "model-name" ]
      ] ) ; #
      fhir:version ( [
    fhir:component [
    fhir:value [ fhir:v "api" ]     ] ;
    fhir:value [ fhir:v "0.9.0" ]
      ] [
    fhir:component [
    fhir:value [ fhir:v "api" ]     ] ;
    fhir:value [ fhir:v "20230713.1" ]
      ] [
    fhir:component [
    fhir:value [ fhir:v "api" ]     ] ;
    fhir:value [ fhir:v "3f9662a8" ]
      ] [
    fhir:component [
    fhir:value [ fhir:v "cqf-ruler" ]     ] ;
    fhir:value [ fhir:v "0.13.0" ]
      ] ) . #

    <http://nhsnlink.org/fhir/List/list-example-ach-monthly-patients-of-interest> a fhir:List ;
      fhir:id [ fhir:v "list-example-ach-monthly-patients-of-interest"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_list-example-ach-monthly-patients-of-interest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List list-example-ach-monthly-patients-of-interest</b></p><a name=\"list-example-ach-monthly-patients-of-interest\"> </a><a name=\"hclist-example-ach-monthly-patients-of-interest\"> </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=\"StructureDefinition-poi-list.html\">Patients-Of-Interest List</a></p></div><table class=\"clstu\"><tr><td>Date: 2021-07-28 00:00:00+0000 </td><td>Mode: Change List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass1.html\">Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, ))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass2.html\">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></td></tr><tr><td><a href=\"Patient-patient-example-ach-monthly-pass3.html\">Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, ))</a></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-patient-list-applicable-period-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-07-28T00:00:00Z"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2021-08-28T00:00:00Z"^^xsd:dateTime ]     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "https://nhsnlink.org"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "NHSNdQMAcuteCareHospitalMonthlyInitialPopulation" ]
      ] ) ; #
      fhir:status [ fhir:v "current"] ; #
      fhir:mode [ fhir:v "changes"] ; #
      fhir:date [ fhir:v "2021-07-28T00:00:00Z"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:item [
    fhir:reference [ fhir:v "Patient/patient-example-ach-monthly-pass1" ]     ]
      ] [
    fhir:item [
    fhir:reference [ fhir:v "Patient/patient-example-ach-monthly-pass2" ]     ]
      ] [
    fhir:item [
    fhir:reference [ fhir:v "Patient/patient-example-ach-monthly-pass3" ]     ]
      ] ) . #

    <http://nhsnlink.org/fhir/MeasureReport/measurereport-example-ach-monthly-subjectlist1> a fhir:MeasureReport ;
      fhir:id [ fhir:v "measurereport-example-ach-monthly-subjectlist1"] ; #
      fhir:meta [
        ( fhir:extension [
    fhir:url [ fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:dateTime ;
    fhir:v "2023-05-23T06:07:08Z"^^xsd:dateTime       ]     ] ) ;
        ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_measurereport-example-ach-monthly-subjectlist1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport measurereport-example-ach-monthly-subjectlist1</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1\"> </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=\"StructureDefinition-subjectlist-measurereport.html\">Subject-List MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Subject List</p><p><b>measure</b>: <a href=\"Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html\">NHSN dQM Acute Care Hospital Monthly Initial Populationversion: null1.0.0)</a></p><p><b>period</b>: 2022-08-01 00:00:00+0000 --&gt; 2022-08-31 23:59:59+0000</p><blockquote><p><b>group</b></p><h3>Populations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Count</b></td><td><b>SubjectResults</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></td><td>1</td><td><a href=\"#hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\">List for 'Unspecified List Type' for 'Unspecified Subject'</a></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: List #list-example-ach-monthly-individual-measurereport-list</b></p><a name=\"measurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </a><a name=\"hcmeasurereport-example-ach-monthly-subjectlist1/list-example-ach-monthly-individual-measurereport-list\"> </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=\"StructureDefinition-ip-measurereport-list.html\">NHSN Individual MeasureReport List</a></p></div><table class=\"clstu\"><tr><td>Mode: Snapshot List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass1.html\">MeasureReport: extension = Cohort,-&gt;Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN: 1601191901010308 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104251 (use: usual, ); status = in-progress; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = Hospital admission (procedure); period = 2024-02-01 16:02:00-0500 --&gt; 2024-02-04 19:00:00-0500; reasonCode = Fever, unspecified,-&gt;Coverage: identifier = Member Number: 084536836; status = active; type = subsidized health program; subscriberId = 98435938934; relationship = Child; period = 2020-08-01 --&gt; (ongoing),-&gt;Condition Bacteremia (finding),-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#1000510341 (use: usual, ); type = Central venous catheter, device (physical object),-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888111 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;vancomycin Injectable Solution 50MG; effective[x] = 2024-02-02 14:34:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888811 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;vancomycin Injectable Solution 50MG; authoredOn = 2024-02-02 13:43:00-0500,-&gt;Observation Bacteria identified in Blood by Culture,-&gt;Observation Serratia marcescens DNA [Presence] in Specimen by NAA with probe detection,-&gt;Observation Gestational age--at birth,-&gt;Observation Body weight,-&gt;Procedure Placement procedure (procedure),-&gt;Procedure Drainage of Spinal Canal, Percutaneous Approach, Diagnostic,-&gt;ServiceRequest Bacteria identified in Blood by Culture,-&gt;ServiceRequest Differential panel - Cerebral spinal fluid,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082901,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:41; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Cerebrospinal fluid specimen (specimen); receivedTime = 2024-02-02 18:20:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass1; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass2.html\">MeasureReport: extension = Cohort,-&gt;Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, )),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252a (use: usual, ); status = triaged; class = emergency (ActCode[9.0.0]#EMER); type = Emergency department patient visit; period = 2024-01-31 02:35:00-0500 --&gt; 2024-01-31 22:02:00-0500; reasonCode = Pain in right lower leg,-&gt;Encounter: extension = eloBHVi6UskNwFJ55XgUq294CfCWyE3tytd.P4NomlhQprDjGoqWBeK2-ed8C2oMs3; identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104252b (use: usual, ); status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Hospital admission (procedure); period = 2024-01-31 22:02:00-0500 --&gt; 2024-02-02 16:22:00-0500,-&gt;Coverage: identifier = Member Number: 93565936; status = active; type = health maintenance organization policy; subscriberId = 89345743; relationship = Self,-&gt;Condition Diabetes mellitus type 2 (disorder),-&gt;Condition Thrombophlebitis of deep femoral vein (disorder),-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051034 (use: usual, ); type = Graduated compression elastic hosiery (physical object),-&gt;Diagnostic Report for 'Doppler ultrasonography of vascular structure of right lower limb (procedure)' for '-&gt;Pass2 ACH',-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888893 (use: usual, ); status = completed; category = Outpatient; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; effective[x] = 2024-01-31 04:54:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-01 12:22:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; effective[x] = 2024-02-02 13:26:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888942 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 12:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888943 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-01 19:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888944 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 07:00:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888945 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Insulin Lispro; effective[x] = 2024-02-02 15:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Outpatient; reported[x] = true; medication[x] = -&gt;Dex4 4 gm chewable tablet X1; authoredOn = 2024-01-31 04:46:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888895 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.5 ML heparin sodium, porcine 10000 UNT/ML Prefilled Syringe; authoredOn = 2024-02-01 12:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888894 (use: usual, ); status = completed; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Insulin Lispro; authoredOn = 2024-02-01 12:00:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Metformin hydrochloride 1000 MG; authoredOn = 2024-01-31 04:22:00-0500,-&gt;Observation aPTT in Blood by Coagulation assay,-&gt;Observation Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;Observation Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;Observation Hemoglobin A1c/Hemoglobin.total in Blood,-&gt;Observation Bacteria identified in Blood by Culture,-&gt;Observation Body weight,-&gt;Procedure Percutaneous insertion of inferior vena cava filter (procedure),-&gt;ServiceRequest aPTT in Blood by Coagulation assay,-&gt;ServiceRequest Glucose [Mass/volume] in Capillary blood by Glucometer,-&gt;ServiceRequest Hemoglobin A1c [Mass/volume] in Blood,-&gt;ServiceRequest Hemoglobin [Mass/volume] in Venous blood,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-01-31 22:50:00-0500,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082902,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:42; type = Venous blood specimen (specimen); receivedTime = 2024-02-02 11:26:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass2; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr><tr><td><a href=\"MeasureReport-measurereport-example-individual-ach-monthly-pass3.html\">MeasureReport: extension = Cohort,-&gt;Condition Acute sinusitis (disorder),-&gt;Condition Enterocolitis due to Clostridium difficile,-&gt;Coverage: identifier = Member Number: 0945345; status = active; type = preferred provider organization policy; subscriberId = 7843574536; relationship = Self,-&gt;Device: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#100051035 (use: usual, ); type = Intermittent venous compression system pump (physical object),-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = finished; class = inpatient acute (ActCode[9.0.0]#ACUTE); type = In-person encounter; period = 2024-02-02 16:43:00-0500 --&gt; 2024-02-03 19:58:00-0500,-&gt;Encounter: identifier = urn:oid:2.16.840.1.113883.19.5.1.698.8#10005104253a (use: usual, ); status = in-progress; class = short stay (ActCode[9.0.0]#SS); type = Hospital admission, elective (procedure); period = 2024-02-01 14:12:00-0500 --&gt; 2024-02-02 16:43:00-0500; reasonCode = Diarrhea, unspecified,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = not-done; category = Inpatient; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; effective[x] = 2024-02-02 21:04:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888321 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-01 21:02:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888322 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-02 21:09:00-0500,-&gt;MedicationAdministration: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#1018888323 (use: usual, ); status = completed; category = Inpatient; medication[x] = -&gt;Metronidazole 500 MG; effective[x] = 2024-02-03 09:09:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888892 (use: usual, ); status = active; intent = plan; category = Community; reported[x] = true; medication[x] = -&gt;Ciprofloxacin 500 MG; authoredOn = 2024-02-01 19:15:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888833 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;0.4 ML enoxaparin sodium 100 MG/ML Prefilled Syringe; authoredOn = 2024-02-02 12:21:00-0500,-&gt;MedicationRequest: identifier = urn:oid:2.16.840.1.113883.19.5.1.798#101888832 (use: usual, ); status = active; intent = order; category = Inpatient; reported[x] = false; medication[x] = -&gt;Metronidazole 500 MG; authoredOn = 2024-02-01 20:33:00-0500,-&gt;Observation Clostridioides difficile (organism),-&gt;Observation Body height,-&gt;Observation Body weight,-&gt;Pass3 ACH(official) Female, DoB: 2007-10-08 ( MRN: 1601191903010308 (use: usual, )),-&gt;Procedure Transfusion of red blood cells (procedure),-&gt;ServiceRequest Clostridioides difficile toxin A [Presence] in Stool by Immunoassay,-&gt;Specimen: identifier = urn:oid:2.16.840.1.113883.19.5.1.798.32#C104082905,urn:oid:2.16.840.1.113883.19.5.1.798.800#C10408290:45; type = Bloody stool specimen (specimen); receivedTime = 2024-02-01 19:12:00-0500; identifier = http://example.org/fhir/measurereport/id#123456789-pass3; status = complete; type = individual; measure = http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild; date = 2024-02-05 21:04:29+0000; period = 2024-01-05 00:00:00+0000 --&gt; 2024-02-04 00:00:00+0000; improvementNotation = Increased score indicates improvement</a></td></tr></table></blockquote></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:contained ( [
    a fhir:List ;
    fhir:id [ fhir:v "list-example-ach-monthly-individual-measurereport-list" ] ;
    fhir:meta [
          ( fhir:profile [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list>       ] )     ] ;
    fhir:status [ fhir:v "current" ] ;
    fhir:mode [ fhir:v "snapshot" ] ;
        ( fhir:entry [
    fhir:item [
    fhir:reference [ fhir:v "MeasureReport/measurereport-example-individual-ach-monthly-pass1" ]       ]     ] [
    fhir:item [
    fhir:reference [ fhir:v "MeasureReport/measurereport-example-individual-ach-monthly-pass2" ]       ]     ] [
    fhir:item [
    fhir:reference [ fhir:v "MeasureReport/measurereport-example-individual-ach-monthly-pass3" ]       ]     ] )
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "subject-list"] ; #
      fhir:measure [
    fhir:v "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild"^^xsd:anyURI ;
    fhir:link <http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation|1.0.0-cibuild>
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2022-08-01T00:00:00+00:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2022-08-31T23:59:59+00:00"^^xsd:dateTime ]
      ] ; #
      fhir:group ( [
        ( fhir:population [
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "initial-population" ] ;
    fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
    fhir:count [ fhir:v 1 ] ;
    fhir:subjectResults [
    fhir:reference [ fhir:v "#list-example-ach-monthly-individual-measurereport-list" ]       ]     ] )
      ] ) . #