CDC's Quality Measure Reporting: Data Collection and Submission Process for Acute Care Hospitals
Actors and Use Cases - CDC National Healthcare Safety Network
The CDC National Healthcare Safety Network (NHSN) utilizes the FHIR standard for querying patient data from Electronic Health Records (EHRs) for quality evaluation.
Summary
The CDC defines a system through NHSN enabling acute care hospitals (ACH) to electronically report specific healthcare data monthly. This system uses FHIR standards, defining multiple actors and use cases to facilitate comprehensive quality measure evaluation and reporting.
Key Players
Details
This implementation guide details the Digital Quality Measures (dQM) Content Package for the CDC National Healthcare Safety Network (NHSN), built upon the FHIR R4 standard. The architecture defines several key actors: Data Source, Measure Source, dQM Evaluation Engine, and MeasureReport Recipient. These roles ensure a structured workflow where data is collected, evaluated against defined measures, and reported back to NHSN. The Acute Care Hospital (ACH) Monthly Use Case involves reporting diverse metrics such as Glycemic Control, Bacteremia & Fungemia Surveillance, and Sepsis Surveillance. The process begins with defining a Patients of Interest (POI) list—often encompassing the facility's entire inpatient population. Initial data is extracted from all encounters (ED, observation, inpatient). This line-level data is then submitted to NHSN for evaluation against measure criteria, resulting in structured MeasureReport bundles. This framework highlights the need for advanced interoperability, allowing systems not only to provide raw data but also to act as sophisticated engines that validate and calculate complex metrics using standardized resources (Measure, Library, ValueSet) within the FHIR ecosystem. It provides a detailed technical blueprint for large-scale public health reporting in US healthcare.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: FHIR
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