{
  "description": "Adverse drug events (ADEs) are among the most common causes of iatrogenic harm in U.S. hospitals. An effort to establish an EHR- and vendor-neutral standard for submitting ADE data to NHSN is being sought to improve patient safety and facilitate quality improvement effort. This promising initiative seeks to enable EHRs of acute care facilities to serve as source systems for reporting ADE data to the National Healthcare Safety Network (NHSN) via industry electronic messages. This initiative leverages NHSN’s longstanding experience working closely with the Health Level Seven (HL7) standards development organization and HL7 consultants in developing and maintaining electronic healthcare-associated and antibiotic use and resistance reporting implementation guidance for EHRs and infection surveillance system vendors in the acute care arena. That experience, and the working relationships developed over a 10-year partnership, are an important foundation for a collaborative effort in which NHSN, HL7, HL7 consultants, and EHR vendors join forces to advance the field of electronic ADE reporting.\\n\\nThis first module, Hypoglycemia, planned for the NHSN Medication Safety Component, would enable hospitals to track and benchmark inpatient medication-related hypoglycemia (low blood sugar). Inpatient hypoglycemia can be severe and life-threatening and is associated with longer hospital stays and increased medical costs. Severe hypoglycemia (<40 mg/dL) occurs in 2%-5% of hospitalized patients with diabetes mellitus (DM). Medication-related hypoglycemic events are common causes of adverse drug events (ADEs) occurring in inpatient settings, with rates of severe hypoglycemia varying across hospitals, suggesting opportunities for improvement in the quality of care. Measurement of medication-related hypoglycemia in a meaningful and standardized way may improve glycemic management. The NHSN ADE – Hypoglycemia Module provides a mechanism for facilities to report and analyze medication-related hypoglycemia as part of patient safety and glycemic management quality improvement efforts.\\n\\nThe measures planned for used in this module are based on quality reporting metrics previously- or currently-endorsed by the National Quality Forum (NQF): NQF #2363 Glycemic Control - Hypoglycemia and NQF #3503 Hospital Harm – Severe Hypoglycemia. The metrics reported in this module would be primarily based on linked eMAR (antidiabetic medication administration) and laboratory (blood glucose) data. These long-standing linkages links between public health and vendors can be leveraged in ways that yield benefits for surveillance and prevention that are tightly coupled to business models and growth.",
  "_filename": "ig-r4.json",
  "package_name": "hl7.fhir.us.nhsn-ade",
  "definition": {
    "page": {
      "page": [ {
        "title": "Background",
        "nameUrl": "background.html",
        "generation": "markdown"
      }, {
        "title": "Downloads",
        "nameUrl": "downloads.html",
        "generation": "markdown"
      } ],
      "title": "Home Page",
      "nameUrl": "index.html",
      "generation": "markdown"
    },
    "resource": [ {
      "name": "Composition - ADE Hypoglycemia",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Composition - ADE Hypoglycemia",
        "reference": "StructureDefinition/Composition-ade-hypoglycemia"
      },
      "description": "This profile supports the electronic submission of adverse drug event (ADE) data to the National Healthcare Safety Network (NHSN).",
      "exampleBoolean": false
    }, {
      "name": "Composition - ADE Hypoglycemia [Harry Hypoglycemic]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      } ],
      "reference": {
        "display": "Adverse Event Note",
        "reference": "Composition/composition-ade-hypoglycemia-example"
      },
      "description": "Example of Composition-ade-hypoglycemia profile (Harry Hypoglycemic)",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Composition-ade-hypoglycemia"
    }, {
      "name": "Composition - ADE Hypoglycemia [Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      } ],
      "reference": {
        "display": "Adverse Event Note",
        "reference": "Composition/composition-ade-hypoglycemia-example-2"
      },
      "description": "Example of Composition-ade-hypoglycemia profile (Name 'masked')",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Composition-ade-hypoglycemia"
    }, {
      "name": "MedicationAdministration - Antidiabetics",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "MedicationAdministrationAntidiabetics",
        "reference": "StructureDefinition/MedicationAdministration-Antidiabetics"
      },
      "description": "This profile represents the administration of an antidiabetic drug.",
      "exampleBoolean": false
    }, {
      "name": "MedicationAdministration Antidiabetics [Metformin - Harry Hypoglycemic]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationAdministration"
      } ],
      "reference": {
        "reference": "MedicationAdministration/medicationadministration-metformin-example"
      },
      "description": "Example of MedicationAdministration-Antidiabetics profile (Harry Hypoglycemic)",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/MedicationAdministration-Antidiabetics"
    }, {
      "name": "MedicationAdministration Antidiabetics [Metformin ER - Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationAdministration"
      } ],
      "reference": {
        "reference": "MedicationAdministration/medicationadministration-metformin-er"
      },
      "description": "Example of MedicationAdministration-Antidiabetics profile (Name 'masked')",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/MedicationAdministration-Antidiabetics"
    }, {
      "name": "Observation - Laboratory Blood Glucose",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation Laboratory Blood Glucose",
        "reference": "StructureDefinition/Observation-lab-blood-glucose"
      },
      "description": "This profile represents a blood glucose lab test",
      "exampleBoolean": false
    }, {
      "name": "Observation Lab ADE [Glucose - 1 hr post meal - Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-lab-ade"
      },
      "description": "Example of Observation-lab-blood-glucose profile (Name 'masked')",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Observation-lab-blood-glucose"
    }, {
      "name": "Observation Lab Blood Gluclose [Harry Hypoglycemia]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-lab-ade-hh"
      },
      "description": "Example of Observation-lab-blood-glucose profile [Fasting glucose [Mass/volume] in Capillary blood - Harry Hypoglycemia]",
      "exampleCanonical": "http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Observation-lab-blood-glucose"
    }, {
      "name": "US Core Condition [Diabetes - Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Condition"
      } ],
      "reference": {
        "reference": "Condition/condition-diabetes-ade"
      },
      "description": "Example of us-core-condition profile (Name 'masked')",
      "exampleBoolean": true
    }, {
      "name": "US Core Encounter [Inpatient - Harry Hypoglycemic]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Encounter"
      } ],
      "reference": {
        "reference": "Encounter/encounter-inpatient-example"
      },
      "description": "Example of us-core-encounter profile (Harry Hypoglycemic)",
      "exampleBoolean": true
    }, {
      "name": "US Core Encounter [Inpatient - Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Encounter"
      } ],
      "reference": {
        "reference": "Encounter/encounter-completed-inpatient-ade-1"
      },
      "description": "Example of us-core-encounter profile (Name 'masked')",
      "exampleBoolean": true
    }, {
      "name": "US Core Location [Clinic Bldg A, Salem Medical Center]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Location"
      } ],
      "reference": {
        "display": "Clinic Bldg A, Salem Medical Center",
        "reference": "Location/location-salem-medical-center-ade"
      },
      "description": "Example of us-core-location profile (Clinic Bldg A, Salem Medical Center)",
      "exampleBoolean": true
    }, {
      "name": "US Core Organization [Acme Labs]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Acme_Labs",
        "reference": "Organization/organization-acme-laboratory-ade"
      },
      "description": "Example of us-core-organization profile (Acme Labs)",
      "exampleBoolean": true
    }, {
      "name": "US Core Organization [Hospitalists of the World]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Hospitalists of the World",
        "reference": "Organization/organization-hospital-physician-group-example"
      },
      "description": "Example of us-core-organization profile (Hospitalists of the World)",
      "exampleBoolean": true
    }, {
      "name": "US Core Organization [Salem Medical Center]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Salem Medical Center",
        "reference": "Organization/organization-salem-medical-center-ade"
      },
      "description": "Example of us-core-organization profile (Salem Medical Center)",
      "exampleBoolean": true
    }, {
      "name": "US Core Patient [Harry Hypoglycemic]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/patient-harry-hypoglycemic-example"
      },
      "description": "Example of us-core-patient profile (Harry Hypoglycemic)",
      "exampleBoolean": true
    }, {
      "name": "US Core Patient [Name 'masked']",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/patient-ade-1"
      },
      "description": "Example of us-core-patient profile (Name 'masked')",
      "exampleBoolean": true
    }, {
      "name": "US Core Practitioner [Ed Endocrinols]",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      } ],
      "reference": {
        "reference": "Practitioner/practitioner-ed-endocrinols-example"
      },
      "description": "Example of us-core-practitioner profile (Ed Endocrinols)",
      "exampleBoolean": true
    }, {
      "name": "Bundle - ADE Hypoglycemia example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      } ],
      "reference": {
        "reference": "Bundle/bundle-document-ade"
      },
      "description": "Example of an ADE Hypoglycemia Bundle",
      "exampleBoolean": true
    } ],
    "parameter": [ {
      "code": "copyrightyear",
      "value": "2020+"
    }, {
      "code": "releaselabel",
      "value": "STU 1 Ballot"
    }, {
      "code": "path-expansion-params",
      "value": "expansion-parameters-ade.xml"
    }, {
      "code": "path-resource",
      "value": "input/capabilities"
    }, {
      "code": "path-resource",
      "value": "input/examples"
    }, {
      "code": "path-resource",
      "value": "input/extensions"
    }, {
      "code": "path-resource",
      "value": "input/models"
    }, {
      "code": "path-resource",
      "value": "input/operations"
    }, {
      "code": "path-resource",
      "value": "input/profiles"
    }, {
      "code": "path-resource",
      "value": "input/resources"
    }, {
      "code": "path-resource",
      "value": "input/vocabulary"
    }, {
      "code": "path-resource",
      "value": "input/maps"
    }, {
      "code": "path-resource",
      "value": "input/testing"
    }, {
      "code": "path-resource",
      "value": "input/history"
    }, {
      "code": "path-resource",
      "value": "fsh-generated/resources"
    }, {
      "code": "path-pages",
      "value": "template/config"
    }, {
      "code": "path-pages",
      "value": "input/images"
    }, {
      "code": "path-liquid",
      "value": "template/liquid"
    }, {
      "code": "path-liquid",
      "value": "input/liquid"
    }, {
      "code": "path-qa",
      "value": "temp/qa"
    }, {
      "code": "path-temp",
      "value": "temp/pages"
    }, {
      "code": "path-output",
      "value": "output"
    }, {
      "code": "path-tx-cache",
      "value": "input-cache/txcache"
    }, {
      "code": "path-suppressed-warnings",
      "value": "input/ignoreWarnings.txt"
    }, {
      "code": "path-history",
      "value": "http://hl7.org/fhir/us/nhsn-ade/history.html"
    }, {
      "code": "template-html",
      "value": "template-page.html"
    }, {
      "code": "template-md",
      "value": "template-page-md.html"
    }, {
      "code": "apply-contact",
      "value": "true"
    }, {
      "code": "apply-context",
      "value": "true"
    }, {
      "code": "apply-copyright",
      "value": "true"
    }, {
      "code": "apply-jurisdiction",
      "value": "true"
    }, {
      "code": "apply-license",
      "value": "true"
    }, {
      "code": "apply-publisher",
      "value": "true"
    }, {
      "code": "apply-version",
      "value": "true"
    }, {
      "code": "active-tables",
      "value": "true"
    } ]
  },
  "date": "2021-04-12T23:58:52+00:00",
  "meta": {
    "source": "#oYKoosYcEykopTHX",
    "versionId": "16",
    "lastUpdated": "2021-03-30T23:05:45.715+00:00"
  },
  "publisher": "HL7 International - Public Health Work Group",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "text": "United States of America",
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "dependsOn": [ {
    "id": "hl7fhiruscore",
    "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core#3.1.1",
    "version": "3.1.1",
    "packageId": "hl7.fhir.us.core"
  }, {
    "id": "usnlmvsac",
    "uri": "http://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac",
    "version": "0.4.0",
    "packageId": "us.nlm.vsac"
  } ],
  "name": "AdverseDrugEventHypoglycemia",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "NHSN Reporting: Adverse Drug Events - Hypoglycemia",
  "package_version": "0.1.0",
  "status": "draft",
  "id": "0c9db7a0-015a-4719-a131-01f25f43774f",
  "kind": null,
  "url": "http://hl7.org/fhir/us/nhsn-ade/ImplementationGuide/hl7.fhir.us.nhsn-ade",
  "version": "0.1.0",
  "packageId": "hl7.fhir.us.nhsn-ade",
  "contact": [ {
    "name": "HL7 International - Public Health",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/pher",
      "system": "url"
    } ]
  } ]
}