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 2024-01-25 |
{
"resourceType" : "Measure",
"id" : "FEMADailyHospitalCOVID19Reporting",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"FEMADailyHospitalCOVID19Reporting\"> </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\">Resource Measure "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>: Once per 1 days</p><p><b>wg</b>: pher</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>title</b>: FEMA Laboratory Orders and Results Daily Increase Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-01-25 13:42:59+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 about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.</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: http://terminology.hl7.org/CodeSystem/usage-context-type 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/\">SNOMED 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>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><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: CMS Press Release</p><p><b>display</b>: Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing</p><p><b>url</b>: <a href=\"https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing\">https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing</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>: Vice President Pence Letter to Hospital Administrators</p><p><b>display</b>: Text of a Letter from the Vice President to Hospital Administrators</p><p><b>url</b>: <a href=\"https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/\">https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/</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>: AHA Advisory on COVID-19 Reporting</p><p><b>display</b>: Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator</p><p><b>url</b>: <a href=\"https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19\">https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19</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>: Excel Spreadsheet template for reporting to FEMA</p><p><b>display</b>: Template for Daily Hospital COVID-19 Reporting.xlsx</p><p><b>url</b>: <a href=\"https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx\">https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><p><b>library</b>: <a href=\"Library-FEMAMeasureLibrary.html\">FEMA Measure Library</a></p><p><b>type</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/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><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/5.3.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#continuous-variable)</span></p><blockquote><p><b>url</b></p><code>subject</code></blockquote><p><b>value</b>: 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><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-type.html\">MeasureType</a>#outcome)</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/5.3.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#decrease)</span></p><blockquote><p><b>url</b></p><code>rateAggregation</code></blockquote><p><b>value</b>: 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/5.3.0/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><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>Orders initiated during %reportingPeriod</td><td>totalOrdersIncrease</td><td>text/fhirpath</td><td>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)</td></tr></table></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/5.3.0/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><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>Results recieved during reporting period</td><td>totalTestResultsIncrease</td><td>text/fhirpath</td><td>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)</td></tr></table></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/5.3.0/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><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>Result is positive with respect to COVID-19</td><td>positiveIncrease</td><td>text/fhirpath</td><td>DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)</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/5.3.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#continuous-variable)</span></p><blockquote><p><b>url</b></p><code>subject</code></blockquote><p><b>value</b>: 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><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Outcome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-type.html\">MeasureType</a>#outcome)</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/5.3.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#decrease)</span></p><blockquote><p><b>url</b></p><code>rateAggregation</code></blockquote><p><b>value</b>: 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/5.3.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the cumulative number of tests ordered to date.</p><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>Report all active or completed test orders for a COVID-19 test authored during the reporting period</td><td>totalOrders</td><td>text/fhirpath</td><td>ServiceRequest.where(\n authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n and status in ('active', 'completed')\n and code in %ValueSet-COVID19DiagnosticTest\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)</td></tr></table></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/5.3.0/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><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>DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.</td><td>rejected</td><td>text/fhirpath</td><td>DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)</td></tr></table></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/5.3.0/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><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>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.</td><td>totalTestResults</td><td>text/fhirpath</td><td>ServiceRequest.where(\n status in ('active', 'completed')\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)</td></tr></table></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/5.3.0/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><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>The result is positive for COVID-19</td><td>positive</td><td>text/fhirpath</td><td>DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)</td></tr></table></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><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>Diagnostic Reports provided in response to totalOrders</td><td>allReports</td><td>text/fhirpath</td><td>DiagnosticReport.where(basedOn in %totalOrders)</td></tr></table></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><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>Most recent diagnostic reports provided in response to totalOrders</td><td>latestReports</td><td>text/fhirpath</td><td>TBD</td></tr></table></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
"valueTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
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}
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{
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"valueCode" : "pher"
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],
"url" : "http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting",
"version" : "1.0.1",
"name" : "FEMADailyHospitalCOVID19Reporting",
"title" : "FEMA Laboratory Orders and Results Daily Increase Reporting",
"status" : "draft",
"experimental" : true,
"date" : "2024-01-25T13:42:59+00:00",
"publisher" : "HL7 International / Public Health",
"contact" : [
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"system" : "url",
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{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "mailto:kboone@ainq.com"
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}
],
"description" : "This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.",
"useContext" : [
{
"code" : {
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"code" : "focus"
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"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
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"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" : {
"url" : "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"
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},
{
"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/",
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"url" : "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"
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},
{
"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",
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"url" : "https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"
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},
{
"type" : "documentation",
"label" : "Excel Spreadsheet template for reporting to FEMA",
"display" : "Template for Daily Hospital COVID-19 Reporting.xlsx",
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"library" : [
🔗 "http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"
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{
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{
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],
"rateAggregation" : "count",
"group" : [
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{
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"code" : "252318005",
"display" : "Immunology laboratory test (procedure)"
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"text" : "COVID-19 Diagnostic Testing"
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]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "positiveIncreasePercent",
"display" : "Percent Positive among Newly Resulted Tests"
}
],
"text" : "# of new positive test results released / # of total new tests released for previous date queried"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "totalOrdersIncrease",
"display" : "New Diagnostic Tests Ordered/Received"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"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)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResultsIncrease",
"display" : "New Tests Resulted"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"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)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "positiveIncrease",
"display" : "New Positive COVID-19 Tests"
},
{
"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)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
}
},
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "ServiceRequest"
},
{
"system" : "http://snomed.info/sct",
"code" : "252318005",
"display" : "Immunology laboratory test (procedure)"
}
],
"text" : "COVID-19 Cumulative Diagnostic Testing"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "positivePercent",
"display" : "Cumulative Percent Positive among Resulted Tests"
}
],
"text" : "# of total positive results to released date / # of total tests results released to date"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "totalOrders",
"display" : "Cumulative Diagnostic Tests Ordered/Received"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "All tests ordered to date."
},
"description" : "Enter the cumulative number of tests ordered to date.",
"criteria" : {
"description" : "Report all active or completed test orders for a COVID-19 test authored during the reporting period",
"name" : "totalOrders",
"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 code in %ValueSet-COVID19DiagnosticTest\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "rejected",
"display" : "Cumulative Specimens Rejected"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
}
],
"text" : "All specimens rejected for testing to date"
},
"description" : "Enter the cumulative number of specimens rejected for testing to date.",
"criteria" : {
"description" : "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.",
"name" : "rejected",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResults",
"display" : "Cumulative Tests Performed"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "All tests with results released to date"
},
"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).",
"criteria" : {
"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.",
"name" : "totalTestResults",
"language" : "text/fhirpath",
"expression" : "ServiceRequest.where(\n status in ('active', 'completed')\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
}
},
{
"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"
}
}
]
}
]
}
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.uv.saner#1.0.1 based on FHIR 4.0.1. Generated 2024-01-25
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