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 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "FEMADailyHospitalCOVID19Reporting"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir: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>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod"^^xsd:anyURI ] ; fhir:value [ a fhir:Timing ; fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ; fhir:value [ fhir:v "pher" ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting"^^xsd:anyURI] ; # fhir:version [ fhir:v "1.0.1"] ; # fhir:name [ fhir:v "FEMADailyHospitalCOVID19Reporting"] ; # fhir:title [ fhir:v "FEMA Laboratory Orders and Results Daily Increase Reporting"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # fhir:date [ fhir:v "2024-01-25T13:42:59+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / Public Health"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ] ] ) ] [ ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "pher@lists.hl7.org" ] ] ) ] [ fhir:name [ fhir:v "Keith W. Boone" ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "mailto:kboone@ainq.com" ] ] ) ] ) ; # fhir:description [ fhir:v "This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts."] ; # fhir:useContext ( [ fhir:code [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "focus" ] ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:840539006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "840539006" ] ; fhir:display [ fhir:v "COVID-19" ] ] ) ] ] ) ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:topic ( [ ( fhir:coding [ a sct:252318005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "252318005" ] ; fhir:display [ fhir:v "Immunology laboratory test (procedure)" ] ] ) ] ) ; # fhir:author ( [ fhir:name [ fhir:v "HL7 Public Health Workgroup" ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "mailto:pher@lists.hl7.org" ] ] ) ] ) ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "CMS Press Release" ] ; fhir:display [ fhir:v "Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing" ] ; fhir:url [ fhir:v "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "Vice President Pence Letter to Hospital Administrators" ] ; fhir:display [ fhir:v "Text of a Letter from the Vice President to Hospital Administrators" ] ; fhir:url [ fhir:v "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "AHA Advisory on COVID-19 Reporting" ] ; fhir:display [ fhir:v "Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator" ] ; fhir:url [ fhir:v "https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "Excel Spreadsheet template for reporting to FEMA" ] ; fhir:display [ fhir:v "Template for Daily Hospital COVID-19 Reporting.xlsx" ] ; fhir:url [ fhir:v "https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"^^xsd:anyURI ] ] ] ) ; # fhir:library ( [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary> ] ) ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome" ] ] ) ] ) ; # fhir:rateAggregation [ fhir:v "count"] ; # fhir:group ( [ ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "scoring"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ; fhir:code [ fhir:v "continuous-variable" ] ] ) ] ] [ fhir:url [ fhir:v "subject"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "ServiceRequest" ] ] [ a sct:252318005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "252318005" ] ; fhir:display [ fhir:v "Immunology laboratory test (procedure)" ] ] ) ; fhir:text [ fhir:v "COVID-19 Diagnostic Testing" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome" ] ] ) ] ] [ fhir:url [ fhir:v "improvementNotation"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ; fhir:code [ fhir:v "decrease" ] ] ) ] ] [ fhir:url [ fhir:v "rateAggregation"^^xsd:anyURI ] ; fhir:value [ fhir:v "cumulative" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"^^xsd:anyURI ] ; fhir:code [ fhir:v "positiveIncreasePercent" ] ; fhir:display [ fhir:v "Percent Positive among Newly Resulted Tests" ] ] ) ; fhir:text [ fhir:v "# of new positive test results released / # of total new tests released for previous date queried" ] ] ; ( fhir:population [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "totalOrdersIncrease" ] ; fhir:display [ fhir:v "New Diagnostic Tests Ordered/Received" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ] ) ; fhir:text [ fhir:v "Midnight to midnight cutoff, tests ordered on previous date queried" ] ] ; fhir:description [ fhir:v "Enter the number of new Diagnostic Tests Ordered/Received during the reporting period." ] ; fhir:criteria [ fhir:description [ fhir:v "Orders initiated during %reportingPeriod" ] ; fhir:name [ fhir:v "totalOrdersIncrease" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "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)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "totalTestResultsIncrease" ] ; fhir:display [ fhir:v "New Tests Resulted" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "denominator" ] ] ) ; fhir:text [ fhir:v "Midnight to midnight cutoff, test results released on previous date queried" ] ] ; fhir:description [ fhir:v "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" ] ; fhir:criteria [ fhir:description [ fhir:v "Results recieved during reporting period" ] ; fhir:name [ fhir:v "totalTestResultsIncrease" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "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)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "positiveIncrease" ] ; fhir:display [ fhir:v "New Positive COVID-19 Tests" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "numerator" ] ] ) ; fhir:text [ fhir:v "Midnight to midnight cutoff, positive test results released on previous date queried" ] ] ; fhir:description [ fhir:v "Enter the number of positive test results released during the reporting period." ] ; fhir:criteria [ fhir:description [ fhir:v "Result is positive with respect to COVID-19" ] ; fhir:name [ fhir:v "positiveIncrease" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)" ] ] ] ) ] [ ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "scoring"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ; fhir:code [ fhir:v "continuous-variable" ] ] ) ] ] [ fhir:url [ fhir:v "subject"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "ServiceRequest" ] ] [ a sct:252318005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "252318005" ] ; fhir:display [ fhir:v "Immunology laboratory test (procedure)" ] ] ) ; fhir:text [ fhir:v "COVID-19 Cumulative Diagnostic Testing" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome" ] ] ) ] ] [ fhir:url [ fhir:v "improvementNotation"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ; fhir:code [ fhir:v "decrease" ] ] ) ] ] [ fhir:url [ fhir:v "rateAggregation"^^xsd:anyURI ] ; fhir:value [ fhir:v "cumulative" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"^^xsd:anyURI ] ; fhir:code [ fhir:v "positivePercent" ] ; fhir:display [ fhir:v "Cumulative Percent Positive among Resulted Tests" ] ] ) ; fhir:text [ fhir:v "# of total positive results to released date / # of total tests results released to date" ] ] ; ( fhir:population [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "totalOrders" ] ; fhir:display [ fhir:v "Cumulative Diagnostic Tests Ordered/Received" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ] ) ; fhir:text [ fhir:v "All tests ordered to date." ] ] ; fhir:description [ fhir:v "Enter the cumulative number of tests ordered to date." ] ; fhir:criteria [ fhir:description [ fhir:v "Report all active or completed test orders for a COVID-19 test authored during the reporting period" ] ; fhir:name [ fhir:v "totalOrders" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "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)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "rejected" ] ; fhir:display [ fhir:v "Cumulative Specimens Rejected" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "denominator-exclusion" ] ] ) ; fhir:text [ fhir:v "All specimens rejected for testing to date" ] ] ; fhir:description [ fhir:v "Enter the cumulative number of specimens rejected for testing to date." ] ; fhir:criteria [ fhir:description [ fhir:v "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed." ] ; fhir:name [ fhir:v "rejected" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "totalTestResults" ] ; fhir:display [ fhir:v "Cumulative Tests Performed" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "denominator" ] ] ) ; fhir:text [ fhir:v "All tests with results released to date" ] ] ; fhir:description [ fhir:v "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)." ] ; fhir:criteria [ fhir:description [ fhir:v "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." ] ; fhir:name [ fhir:v "totalTestResults" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "ServiceRequest.where(\n status in ('active', 'completed')\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "positive" ] ; fhir:display [ fhir:v "Cumulative Positive COVID-19 Tests" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "numerator" ] ] ) ; fhir:text [ fhir:v "All positive test results released to date" ] ] ; fhir:description [ fhir:v "Enter the total number of positive test results release to date." ] ; fhir:criteria [ fhir:description [ fhir:v "The result is positive for COVID-19" ] ; fhir:name [ fhir:v "positive" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "allReports" ] ; fhir:display [ fhir:v "All Laboratory Reports for any Order" ] ] ) ; fhir:text [ fhir:v "Reports to date including corrected, amended and canceled reports" ] ] ; fhir:description [ fhir:v "This is in intermediate population used to simplify calculations" ] ; fhir:criteria [ fhir:description [ fhir:v "Diagnostic Reports provided in response to totalOrders" ] ; fhir:name [ fhir:v "allReports" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "DiagnosticReport.where(basedOn in %totalOrders)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "latestReports" ] ; fhir:display [ fhir:v "Most Recent Laboratory Reports for any Order" ] ] ) ; fhir:text [ fhir:v "Latest Reports to date for each order" ] ] ; fhir:description [ fhir:v "This is in intermediate population used to simplify calculations" ] ; fhir:criteria [ fhir:description [ fhir:v "Most recent diagnostic reports provided in response to totalOrders" ] ; fhir:name [ fhir:v "latestReports" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change