Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-saner/ and changes regularly. See the Directory of published versions
| Draft as of 2024-05-18 |
<Measure xmlns="http://hl7.org/fhir">
<id value="CDCPatientImpactAndHospitalCapacity"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Measure</b><a name="CDCPatientImpactAndHospitalCapacity"> </a><a name="hcCDCPatientImpactAndHospitalCapacity"> </a></p><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">ResourceMeasure "CDCPatientImpactAndHospitalCapacity" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PublicHealthMeasure.html">Public Health Measure</a></p></div><p><b>Enables specification of proposed measure reporting</b>: Once per 1 days</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/saner/Measure/CDCPatientImpactAndHospitalCapacity</code></p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.42.29.3</p><p><b>version</b>: 1.0.1</p><p><b>name</b>: CDCPatientImpactAndHospitalCapacity</p><p><b>title</b>: Patient Impact and Hospital Capacity</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-05-18 21:25:01+0000</p><p><b>publisher</b>: HL7 International / Public Health</p><p><b>contact</b>: <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a>, <a href="mailto:pher@lists.hl7.org">pher@lists.hl7.org</a>, Keith W. Boone: <a href="mailto:mailto:kboone@ainq.com">mailto:kboone@ainq.com</a></p><p><b>description</b>: This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.</p><h3>UseContexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>Clinical Focus (Details: UsageContextType code focus = 'Clinical Focus', stated as 'null')</td><td>COVID-19 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#840539006)</span></td></tr></table><p><b>jurisdiction</b>: World <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><p><b>author</b>: Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): <a href="mailto:mailto:nhsn@cdc.gov">mailto:nhsn@cdc.gov</a></p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: NHSN COVID-19 Reporting</p><p><b>display</b>: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page</p><p><b>url</b>: <a href="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: How to import COVID-19 Summary Data</p><p><b>display</b>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component</p><p><b>url</b>: <a href="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: Table of Instructions</p><p><b>display</b>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)</p><p><b>url</b>: <a href="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: CSV File Template</p><p><b>display</b>: CDC/NHSN COVID-19 Reporting CSV File Template</p><p><b>url</b>: <a href="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><p><b>library</b>: <a href="Library-NHSNMeasureLibrary.html">NHSN Patient Impact and Hospital Capacity Measure Library</a></p><p><b>definition</b>: Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).
Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.
ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)</p><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><blockquote><p><b>url</b></p><code>scoring</code></blockquote><p><b>value</b>: Continuous Variable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#continuous-variable)</span></p><blockquote><p><b>url</b></p><code>subject</code></blockquote><p><b>value</b>: Hospital Beds <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">ResourceType</a>#Location; <a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#91537007 "Hospital bed, device (physical object)")</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Structure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-type.html">MeasureType</a>#structure)</span></p><blockquote><p><b>url</b></p><code>improvementNotation</code></blockquote><p><b>value</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>url</b></p><code>rateAggregation</code></blockquote><p><b>value</b>: count</p></blockquote><p><b>code</b>: Hospital Bed Reporting <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasureGroupSystem.html">Measure Group System</a>#Beds "Beds")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numTotBeds "All Hospital Beds"; <a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A bed in any location</td><td>numTotBeds</td><td>text/fhirpath</td><td>Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numbeds "Hospital Inpatient Beds")</span></p><p><b>description</b>: Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A Bed where the location is an inpatient location.</td><td>numbeds</td><td>text/fhirpath</td><td>%numTotBeds.where(location.type in %ValueSet-InpatientLocations)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of staffed inpatient beds that are occupied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numBedsOcc "Hospital Inpatient Bed Occupancy")</span></p><p><b>description</b>: Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An Inpatient Bed where the Bed is occupied.</td><td>numBedsOcc</td><td>text/fhirpath</td><td>%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: ICU Bed Occupancy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numICUBeds "ICU Beds")</span></p><p><b>description</b>: Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A Bed where the location is an inpatient ICU location.</td><td>numICUBeds</td><td>text/fhirpath</td><td>%numbeds.where(location.type in %ValueSet-ICULocations)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of staffed inpatient intensive care unit (ICU) beds <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numICUBedsOcc "ICU Bed Occupancy")</span></p><p><b>description</b>: Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An ICU Bed that is occupied.</td><td>numICUBedsOcc</td><td>text/fhirpath</td><td>%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><blockquote><p><b>url</b></p><code>scoring</code></blockquote><p><b>value</b>: Continuous Variable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#continuous-variable)</span></p><blockquote><p><b>url</b></p><code>subject</code></blockquote><p><b>value</b>: Ventilator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">ResourceType</a>#Device; <a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#706172005 "Ventilator (physical object)")</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Structure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-type.html">MeasureType</a>#structure)</span></p><blockquote><p><b>url</b></p><code>improvementNotation</code></blockquote><p><b>value</b>: Decreased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#decrease)</span></p><blockquote><p><b>url</b></p><code>rateAggregation</code></blockquote><p><b>value</b>: count</p></blockquote><p><b>code</b>: Hospital Ventilators Reporting <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasureGroupSystem.html">Measure Group System</a>#Ventilators "Ventilators")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Total number of ventilators available <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numVent "Mechanical Ventilators"; <a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)</td><td>numVent</td><td>text/fhirpath</td><td>Device.where(type in %ValueSet-VentilatorDevices and status = active)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of ventilators in use <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numVentUse "Mechanical Ventilators in Use")</span></p><p><b>description</b>: Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A ventilator that is attached to a patient.</td><td>numVentUse</td><td>text/fhirpath</td><td>%numVent.where(patient!={})</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><blockquote><p><b>url</b></p><code>scoring</code></blockquote><p><b>value</b>: Continuous Variable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#continuous-variable)</span></p><blockquote><p><b>url</b></p><code>subject</code></blockquote><p><b>value</b>: Encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">ResourceType</a>#Encounter; <a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#308335008 "Patient encounter procedure (procedure)")</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Structure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-type.html">MeasureType</a>#structure)</span></p><blockquote><p><b>url</b></p><code>improvementNotation</code></blockquote><p><b>value</b>: Decreased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#decrease)</span></p><blockquote><p><b>url</b></p><code>rateAggregation</code></blockquote><p><b>value</b>: count</p></blockquote><p><b>code</b>: Hospital COVID-19 Encounters Reporting <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasureGroupSystem.html">Measure Group System</a>#Encounters "Encounters")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19HospPats "Hospitalized COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An COVID-19 encounter where the active location is an inpatient location</td><td>numC19HospPats</td><td>text/fhirpath</td><td>%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19MechVentPats "Hospitalized and Ventilated COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An COVID-19 encounter in an inpatient setting on a ventilator</td><td>numC19OFMechVentPats</td><td>text/fhirpath</td><td>%numC19HospPats.intersect(%numC19VentPats)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients currently hospitalized in an inpatient bed with onset of suspected or
confirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19HOPats "Hospital Onset COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start</td><td>numC19HOPats</td><td>text/fhirpath</td><td>Condition.where(
code in %ValueSet-SuspectedOrDiagnosedCOVID19
and encounter in %numC19HospPats
and onset + 14 days > encounter.period.start).encounter</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19OverflowPats "ED/Overflow COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An COVID-19 encounter where the active location is an ED or Overflow location</td><td>numC19OverflowPats</td><td>text/fhirpath</td><td>%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 who currently are in the ED or any overflow location awaiting an inpatient bed and on a mechanical ventilator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19OFMechVentPats "ED/Overflow and Ventilated COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>An COVID-19 encounter where the active location is an ED or Overflow location</td><td>numC19OFMechVentPats</td><td>text/fhirpath</td><td>%numC19OverflowPats.intersect(%numC19VentPats)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 who died in the hospital, ED or any overflow location on the date for which you are reporting. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19Died "COVID-19 Patient Deaths")</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>All C19 Patients who have died in an encounter during the reporting period.</td><td>numC19Died</td><td>text/fhirpath</td><td>%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 in any location. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19Pats "All COVID-19 Confirmed or Suspected Patients"; <a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,
or a Condition of suspected or confirmed COVID-19 was created during that encounter.</td><td>numC19Pats</td><td>text/fhirpath</td><td>Encounter.where(clinicalStatus = 'active' and diagnosis.condition.ofType(Condition).code in %ValueSet-SuspectedOrDiagnosedCOVID19)
| Encounter.where(clinicalStatus = "active" and Condition.where(code in %ValueSet-SuspectedOrDiagnosedCOVID19).encounter = $this)</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#numC19VentPats "Ventilated COVID-19 Patients")</span></p><p><b>description</b>: Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>Name</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>A COVID-19 encounter where the patient is ventilated</td><td>numC19VentPats</td><td>text/fhirpath</td><td>%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)</td></tr></table></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod">
<valueTiming>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</valueTiming>
</extension>
<url
value="http://hl7.org/fhir/uv/saner/Measure/CDCPatientImpactAndHospitalCapacity"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.42.29.3"/>
</identifier>
<version value="1.0.1"/>
<name value="CDCPatientImpactAndHospitalCapacity"/>
<title value="Patient Impact and Hospital Capacity"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2024-05-18T21:25:01+00:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="email"/>
<value value="pher@lists.hl7.org"/>
</telecom>
</contact>
<contact>
<name value="Keith W. Boone"/>
<telecom>
<system value="email"/>
<value value="mailto:kboone@ainq.com"/>
</telecom>
</contact>
<description
value="This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements."/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="840539006"/>
<display value="COVID-19"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<author>
<name
value="Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)"/>
<telecom>
<system value="email"/>
<value value="mailto:nhsn@cdc.gov"/>
</telecom>
</author>
<relatedArtifact>
<type value="documentation"/>
<label value="NHSN COVID-19 Reporting"/>
<display
value="CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"/>
<document>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"/>
</document>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="How to import COVID-19 Summary Data"/>
<display
value="Importing COVID-19 Patient Module Denominator data for Patient Safety Component"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"/>
<document>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"/>
</document>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Table of Instructions"/>
<display
value="Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"/>
<document>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"/>
</document>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="CSV File Template"/>
<display value="CDC/NHSN COVID-19 Reporting CSV File Template"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"/>
<document>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"/>
</document>
</relatedArtifact>
<library
value="http://hl7.org/fhir/uv/saner/StructureDefinition/NHSNMeasureLibrary"/>
<definition
value="Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).
Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.
ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)"/>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Location"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91537007"/>
<display value="Hospital bed, device (physical object)"/>
</coding>
<text value="Hospital Beds"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Beds"/>
<display value="Beds"/>
</coding>
<text value="Hospital Bed Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numTotBeds"/>
<display value="All Hospital Beds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients"/>
</code>
<description
value="Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds."/>
<criteria>
<description value="A bed in any location"/>
<name value="numTotBeds"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numbeds"/>
<display value="Hospital Inpatient Beds"/>
</coding>
<text
value="Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients"/>
</code>
<description
value="Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds."/>
<criteria>
<description
value="A Bed where the location is an inpatient location."/>
<name value="numbeds"/>
<language value="text/fhirpath"/>
<expression
value="%numTotBeds.where(location.type in %ValueSet-InpatientLocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numBedsOcc"/>
<display value="Hospital Inpatient Bed Occupancy"/>
</coding>
<text
value="Total number of staffed inpatient beds that are occupied"/>
</code>
<description
value="Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds."/>
<criteria>
<description value="An Inpatient Bed where the Bed is occupied."/>
<name value="numBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBeds"/>
<display value="ICU Beds"/>
</coding>
<text value="ICU Bed Occupancy"/>
</code>
<description
value="Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description
value="A Bed where the location is an inpatient ICU location."/>
<name value="numICUBeds"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.type in %ValueSet-ICULocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBedsOcc"/>
<display value="ICU Bed Occupancy"/>
</coding>
<text
value="Total number of staffed inpatient intensive care unit (ICU) beds"/>
</code>
<description
value="Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description value="An ICU Bed that is occupied."/>
<name value="numICUBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Device"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="706172005"/>
<display value="Ventilator (physical object)"/>
</coding>
<text value="Ventilator"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Ventilators"/>
<display value="Ventilators"/>
</coding>
<text value="Hospital Ventilators Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numVent"/>
<display value="Mechanical Ventilators"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="Total number of ventilators available"/>
</code>
<description
value="Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description
value="A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)"/>
<name value="numVent"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-VentilatorDevices and status = active)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numVentUse"/>
<display value="Mechanical Ventilators in Use"/>
</coding>
<text value="Total number of ventilators in use"/>
</code>
<description
value="Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description value="A ventilator that is attached to a patient."/>
<name value="numVentUse"/>
<language value="text/fhirpath"/>
<expression value="%numVent.where(patient!={})"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Encounter"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308335008"/>
<display value="Patient encounter procedure (procedure)"/>
</coding>
<text value="Encounter"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Encounters"/>
<display value="Encounters"/>
</coding>
<text value="Hospital COVID-19 Encounters Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HospPats"/>
<display value="Hospitalized COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an inpatient location"/>
<name value="numC19HospPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19MechVentPats"/>
<display value="Hospitalized and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter in an inpatient setting on a ventilator"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression value="%numC19HospPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HOPats"/>
<display value="Hospital Onset COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed with onset of suspected or
confirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases."/>
<criteria>
<description
value="Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start"/>
<name value="numC19HOPats"/>
<language value="text/fhirpath"/>
<expression
value="Condition.where(
code in %ValueSet-SuspectedOrDiagnosedCOVID19
and encounter in %numC19HospPats
and onset + 14 days > encounter.period.start).encounter"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OverflowPats"/>
<display value="ED/Overflow COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OverflowPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OFMechVentPats"/>
<display value="ED/Overflow and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who currently are in the ED or any overflow location awaiting an inpatient bed and on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression value="%numC19OverflowPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Died"/>
<display value="COVID-19 Patient Deaths"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who died in the hospital, ED or any overflow location on the date for which you are reporting."/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths."/>
<criteria>
<description
value="All C19 Patients who have died in an encounter during the reporting period."/>
<name value="numC19Died"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Pats"/>
<display value="All COVID-19 Confirmed or Suspected Patients"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 in any location."/>
</code>
<description
value="Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,
or a Condition of suspected or confirmed COVID-19 was created during that encounter."/>
<name value="numC19Pats"/>
<language value="text/fhirpath"/>
<expression
value="Encounter.where(clinicalStatus = 'active' and diagnosis.condition.ofType(Condition).code in %ValueSet-SuspectedOrDiagnosedCOVID19)
| Encounter.where(clinicalStatus = "active" and Condition.where(code in %ValueSet-SuspectedOrDiagnosedCOVID19).encounter = $this)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19VentPats"/>
<display value="Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator."/>
</code>
<description
value="Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19."/>
<criteria>
<description
value="A COVID-19 encounter where the patient is ventilated"/>
<name value="numC19VentPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)"/>
</criteria>
</population>
</group>
</Measure>
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.uv.saner#1.0.1 based on FHIR 4.0.1. Generated 2024-05-18
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