Situational Awareness for Novel Epidemic Response
1.0.1 - STU Release

Situational Awareness for Novel Epidemic Response, published by HL7 International Public Health Workgroup. This is not an authorized publication; it is the continuous build for version 1.0.1). This version is based on the current content of https://github.com/HL7/fhir-saner/ and changes regularly. See the Directory of published versions

: FEMA Laboratory Orders and Results Daily Increase Reporting - JSON Representation

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{
  "resourceType" : "Measure",
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    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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\">Resource \"FEMADailyHospitalCOVID19Reporting\" </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>: Do Once per 1 days</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting</code></p><p><b>version</b>: 1.0.1</p><p><b>name</b>: FEMADailyHospitalCOVID19Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2021-12-17T18:59:45Z</p><p><b>publisher</b>: HL7 International Public Health Workgroup</p><p><b>contact</b>: <a href=\"http://hl7.org/Special/committees/pher\">http://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>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>topic</b>: Immunology laboratory test (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#252318005)</span></p><p><b>author</b>: HL7 Public Health Workgroup: <a href=\"mailto:mailto:pher@lists.hl7.org\">mailto:pher@lists.hl7.org</a></p><p><b>library</b>: <a href=\"http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary\">http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary</a></p><p><b>type</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html\">MeasureType</a>#outcome)</span></p><p><b>rateAggregation</b>: count</p><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: Continuous Variable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#continuous-variable)</span></p><p><b>value</b>: COVID-19 Diagnostic Testing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#ServiceRequest; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#252318005 \"Immunology laboratory test (procedure)\")</span></p><p><b>value</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html\">MeasureType</a>#outcome)</span></p><p><b>value</b>: Decreased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#decrease)</span></p><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: # of new positive test results released / # of total new tests released for previous date queried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasureGroupSystem.html\">Measure Group System</a>#positiveIncreasePercent \"Percent Positive among Newly Resulted Tests\")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, tests ordered on previous date queried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#totalOrdersIncrease \"New Diagnostic Tests Ordered/Received\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, test results released on previous date queried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#totalTestResultsIncrease \"New Tests Resulted\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>description</b>: Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was rejected or a positive/negative result could not be established</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, positive test results released on previous date queried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#positiveIncrease \"New Positive COVID-19 Tests\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>description</b>: Enter the number of positive test results released during the reporting period.</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: Continuous Variable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#continuous-variable)</span></p><p><b>value</b>: COVID-19 Cumulative Diagnostic Testing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#ServiceRequest; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#252318005 \"Immunology laboratory test (procedure)\")</span></p><p><b>value</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html\">MeasureType</a>#outcome)</span></p><p><b>value</b>: Decreased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#decrease)</span></p><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: # of total positive results to released date / # of total tests results released to date <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasureGroupSystem.html\">Measure Group System</a>#positivePercent \"Cumulative Percent Positive among Resulted Tests\")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: All tests ordered to date. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#totalOrders \"Cumulative Diagnostic Tests Ordered/Received\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the cumulative number of tests ordered to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All specimens rejected for testing to date <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#rejected \"Cumulative Specimens Rejected\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>description</b>: Enter the cumulative number of specimens rejected for testing to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All tests with results released to date <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#totalTestResults \"Cumulative Tests Performed\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>description</b>: Enter the total number tests with results released to date. Do not include tests where a\n positive/negative result could not be determined (e.g., because the specimen was inadequate).</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All positive test results released to date <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#positive \"Cumulative Positive COVID-19 Tests\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>description</b>: Enter the total number of positive test results release to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Reports to date including corrected, amended and canceled reports <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#allReports \"All Laboratory Reports for any Order\")</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Latest Reports to date for each order <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#latestReports \"Most Recent Laboratory Reports for any Order\")</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p></blockquote></blockquote></div>"
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  "version" : "1.0.1",
  "name" : "FEMADailyHospitalCOVID19Reporting",
  "status" : "draft",
  "experimental" : true,
  "date" : "2021-12-17T18:59:45+00:00",
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          "display" : "Immunology laboratory test (procedure)"
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      "telecom" : [
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  "relatedArtifact" : [
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      "type" : "documentation",
      "label" : "CMS Press Release",
      "display" : "Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing",
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      "label" : "Vice President Pence Letter to Hospital Administrators",
      "display" : "Text of a Letter from the Vice President to Hospital Administrators",
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    },
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        "text" : "# of new positive test results released / # of total new tests released for previous date queried"
      },
      "population" : [
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          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
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                "display" : "New Diagnostic Tests Ordered/Received"
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                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
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            ],
            "text" : "Midnight to midnight cutoff, tests ordered on previous date queried"
          },
          "description" : "Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.",
          "criteria" : {
            "description" : "Orders initiated during %reportingPeriod",
            "name" : "totalOrdersIncrease",
            "language" : "text/fhirpath",
            "expression" : "ServiceRequest.where(\n    authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n    and status in ('active', 'completed')\n    and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
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              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
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            ],
            "text" : "Midnight to midnight cutoff, test results released on previous date queried"
          },
          "description" : "Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was rejected or a positive/negative result could not be established",
          "criteria" : {
            "description" : "Results recieved during reporting period",
            "name" : "totalTestResultsIncrease",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where(\n    issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n    and status in ('final, 'amended', 'corrected', 'appended')\n)"
          }
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                "code" : "positiveIncrease",
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              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ],
            "text" : "Midnight to midnight cutoff, positive test results released on previous date queried"
          },
          "description" : "Enter the number of positive test results released during the reporting period.",
          "criteria" : {
            "description" : "Result is positive with respect to COVID-19",
            "name" : "positiveIncrease",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
          }
        }
      ]
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                    "code" : "252318005",
                    "display" : "Immunology laboratory test (procedure)"
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            "code" : "positivePercent",
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        ],
        "text" : "# of total positive results to released date / # of total tests results released to date"
      },
      "population" : [
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            "name" : "totalOrders",
            "language" : "text/fhirpath",
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                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator-exclusion"
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            ],
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          "description" : "Enter the cumulative number of specimens rejected for testing to date.",
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            "description" : "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.",
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              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
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            ],
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          },
          "description" : "Enter the total number tests with results released to date. Do not include tests where a\n positive/negative result could not be determined (e.g., because the specimen was inadequate).",
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            "description" : "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.",
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        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "positive",
                "display" : "Cumulative Positive COVID-19 Tests"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ],
            "text" : "All positive test results released to date"
          },
          "description" : "Enter the total number of positive test results release to date.",
          "criteria" : {
            "description" : "The result is positive for COVID-19",
            "name" : "positive",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "allReports",
                "display" : "All Laboratory Reports for any Order"
              }
            ],
            "text" : "Reports to date including corrected, amended and canceled reports"
          },
          "description" : "This is in intermediate population used to simplify calculations",
          "criteria" : {
            "description" : "Diagnostic Reports provided in response to totalOrders",
            "name" : "allReports",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where(basedOn in %totalOrders)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "latestReports",
                "display" : "Most Recent Laboratory Reports for any Order"
              }
            ],
            "text" : "Latest Reports to date for each order"
          },
          "description" : "This is in intermediate population used to simplify calculations",
          "criteria" : {
            "description" : "Most recent diagnostic reports provided in response to totalOrders",
            "name" : "latestReports",
            "language" : "text/fhirpath",
            "expression" : "TBD"
          }
        }
      ]
    }
  ]
}