Generated Narrative: Measure

Enables specification of proposed measure reporting: Once per 1 days

url: http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting

identifier: Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.42.29.5

version: 1.0.1

name: FEMADailyHospitalCOVID19Reporting

title: FEMA Laboratory Orders and Results Daily Increase Reporting

status: draft

experimental: true

date: 2024-05-18 21:25:01+0000

publisher: HL7 International / Public Health

contact: http://www.hl7.org/Special/committees/pher, pher@lists.hl7.org, Keith W. Boone: mailto:kboone@ainq.com

description: This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.

UseContexts

jurisdiction: World (m49.htm#001)

topic: Immunology laboratory test (procedure) (SNOWMED CT#252318005)

author: HL7 Public Health Workgroup: mailto:pher@lists.hl7.org

relatedArtifact

type: documentation

label: CMS Press Release

display: Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing

url: https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing

document

relatedArtifact

type: documentation

label: Vice President Pence Letter to Hospital Administrators

display: Text of a Letter from the Vice President to Hospital Administrators

url: https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/

document

relatedArtifact

type: documentation

label: AHA Advisory on COVID-19 Reporting

display: Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator

url: https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19

document

relatedArtifact

type: documentation

label: Excel Spreadsheet template for reporting to FEMA

display: Template for Daily Hospital COVID-19 Reporting.xlsx

url: https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx

document

library: FEMA Measure Library

type: Outcome (MeasureType#outcome)

rateAggregation: count

group

Attributes describing a group of measures

url

scoring

value: Continuous Variable (MeasureScoring#continuous-variable)

url

subject

value: COVID-19 Diagnostic Testing (ResourceType#ServiceRequest; SNOWMED CT#252318005 "Immunology laboratory test (procedure)")

url

type

value: Outcome (MeasureType#outcome)

url

improvementNotation

value: Decreased score indicates improvement (MeasureImprovementNotation#decrease)

url

rateAggregation

value: cumulative

code: # of new positive test results released / # of total new tests released for previous date queried (Measure Group System#positiveIncreasePercent "Percent Positive among Newly Resulted Tests")

population

code: Midnight to midnight cutoff, tests ordered on previous date queried (Measured Values in Sample Measures#totalOrdersIncrease "New Diagnostic Tests Ordered/Received"; MeasurePopulationType#initial-population)

description: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.

Criteria

-	Description	Name	Language	Expression
*	Orders initiated during %reportingPeriod	totalOrdersIncrease	text/fhirpath	ServiceRequest.where( authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */ and status in ('active', 'completed') and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order') )

population

code: Midnight to midnight cutoff, test results released on previous date queried (Measured Values in Sample Measures#totalTestResultsIncrease "New Tests Resulted"; MeasurePopulationType#denominator)

description: Enter the number of results recieved/generated during the reporting period. Do not include results where the test could not be completed because the specimen was rejected or a positive/negative result could not be established

Criteria

-	Description	Name	Language	Expression
*	Results recieved during reporting period	totalTestResultsIncrease	text/fhirpath	DiagnosticReport.where( issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */ and status in ('final, 'amended', 'corrected', 'appended') )

population

code: Midnight to midnight cutoff, positive test results released on previous date queried (Measured Values in Sample Measures#positiveIncrease "New Positive COVID-19 Tests"; MeasurePopulationType#numerator)

description: Enter the number of positive test results released during the reporting period.

Criteria

-	Description	Name	Language	Expression
*	Result is positive with respect to COVID-19	positiveIncrease	text/fhirpath	DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)

group

Attributes describing a group of measures

url

scoring

value: Continuous Variable (MeasureScoring#continuous-variable)

url

subject

value: COVID-19 Cumulative Diagnostic Testing (ResourceType#ServiceRequest; SNOWMED CT#252318005 "Immunology laboratory test (procedure)")

url

type

value: Outcome (MeasureType#outcome)

url

improvementNotation

value: Decreased score indicates improvement (MeasureImprovementNotation#decrease)

url

rateAggregation

value: cumulative

code: # of total positive results to released date / # of total tests results released to date (Measure Group System#positivePercent "Cumulative Percent Positive among Resulted Tests")

population

code: All tests ordered to date. (Measured Values in Sample Measures#totalOrders "Cumulative Diagnostic Tests Ordered/Received"; MeasurePopulationType#initial-population)

description: Enter the cumulative number of tests ordered to date.

Criteria

-	Description	Name	Language	Expression
*	Report all active or completed test orders for a COVID-19 test authored during the reporting period	totalOrders	text/fhirpath	ServiceRequest.where( authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */ and status in ('active', 'completed') and code in %ValueSet-COVID19DiagnosticTest and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order') )

population

code: All specimens rejected for testing to date (Measured Values in Sample Measures#rejected "Cumulative Specimens Rejected"; MeasurePopulationType#denominator-exclusion)

description: Enter the cumulative number of specimens rejected for testing to date.

Criteria

-	Description	Name	Language	Expression
*	DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.	rejected	text/fhirpath	DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)

population

code: All tests with results released to date (Measured Values in Sample Measures#totalTestResults "Cumulative Tests Performed"; MeasurePopulationType#denominator)

description: Enter the total number tests with results released to date. Do not include tests where a positive/negative result could not be determined (e.g., because the specimen was inadequate).

Criteria

-	Description	Name	Language	Expression
*	Report all active or completed test orders for a COVID-19 test authored during or prior to the end of the reporting period that have had results released.	totalTestResults	text/fhirpath	ServiceRequest.where( status in ('active', 'completed') and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order') )

population

code: All positive test results released to date (Measured Values in Sample Measures#positive "Cumulative Positive COVID-19 Tests"; MeasurePopulationType#numerator)

description: Enter the total number of positive test results release to date.

Criteria

-	Description	Name	Language	Expression
*	The result is positive for COVID-19	positive	text/fhirpath	DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)

population

code: Reports to date including corrected, amended and canceled reports (Measured Values in Sample Measures#allReports "All Laboratory Reports for any Order")

description: This is in intermediate population used to simplify calculations

Criteria

-	Description	Name	Language	Expression
*	Diagnostic Reports provided in response to totalOrders	allReports	text/fhirpath	DiagnosticReport.where(basedOn in %totalOrders)

population

code: Latest Reports to date for each order (Measured Values in Sample Measures#latestReports "Most Recent Laboratory Reports for any Order")

description: This is in intermediate population used to simplify calculations

Criteria

-	Description	Name	Language	Expression
*	Most recent diagnostic reports provided in response to totalOrders	latestReports	text/fhirpath	TBD