description: This profile contains Required and Must Support data elements for reporting observation information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® R4 Observation Resource v4.0.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingObservation
type: Observation
elements:
  category: {index: 4}
  referenceRange:
    mustSupport: true
    index: 18
    elements:
      low: {mustSupport: true, index: 19}
      high: {mustSupport: true, index: 20}
      age: {mustSupport: true, index: 21}
  hasMember:
    mustSupport: true
    index: 22
    elements:
      reference: {mustSupport: true, index: 23}
    required: [reference]
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  interpretation: {mustSupport: true, index: 15}
  encounter:
    mustSupport: true
    index: 8
    elements:
      reference: {mustSupport: true, index: 9}
    required: [reference]
  method:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'}
    mustSupport: true
    index: 17
  value:
    mustSupport: true
    choices: []
    index: 14
  component:
    mustSupport: true
    index: 24
    elements:
      code:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        mustSupport: true
        index: 25
      value:
        mustSupport: true
        choices: []
        index: 27
      interpretation: {mustSupport: true, index: 28}
      referenceRange:
        type: BackboneElement
        mustSupport: true
        index: 29
        elements:
          low: {mustSupport: true, index: 30}
          high: {mustSupport: true, index: 31}
          age: {mustSupport: true, index: 32}
  effective:
    choices: []
    index: 11
  id: {index: 0}
  code:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
    index: 5
  bodySite:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'}
    mustSupport: true
    index: 16
  issued: {mustSupport: true, index: 12}
  partOf:
    mustSupport: true
    index: 2
    elements:
      reference: {mustSupport: true, index: 3}
    required: [reference]
  subject:
    index: 6
    elements:
      reference: {mustSupport: true, index: 7}
    required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0
required: [id, subject, category, effective]