description: This profile contains Required and Must Support data elements for reporting laboratory result information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® US Core Lab Observation Profile v3.1.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingLabObservation
type: Observation
elements:
  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: 8}
  encounter:
    mustSupport: true
    index: 3
    elements:
      reference: {mustSupport: true, index: 4}
    required: [reference]
  method:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'}
    mustSupport: true
    index: 10
  specimen:
    mustSupport: true
    index: 11
    elements:
      reference: {mustSupport: true, index: 12}
    required: [reference]
  component:
    mustSupport: true
    index: 13
    elements:
      code:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        index: 14
      value:
        mustSupport: true
        choices: []
        index: 16
      interpretation: {mustSupport: true, index: 17}
  effective:
    choices: []
    index: 6
  id: {index: 0}
  bodySite: {mustSupport: true, index: 9}
  issued: {mustSupport: true, index: 7}
  subject:
    elements:
      reference: {mustSupport: true, index: 2}
    required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-lab
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
version: 1.0.0
required: [id, effective]