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 |
<Measure xmlns="http://hl7.org/fhir">
<id value="FEMADailyHospitalCOVID19Reporting"/>
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<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(
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')
)</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.
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</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(
issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('final, 'amended', 'corrected', 'appended')
)</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(
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')
)</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
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(
status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)</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>
</text>
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<name value="FEMADailyHospitalCOVID19Reporting"/>
<title value="FEMA Laboratory Orders and Results Daily Increase Reporting"/>
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</coding>
<text
value="# of new positive test results released / # of total new tests released for previous date queried"/>
</code>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrdersIncrease"/>
<display value="New Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Midnight to midnight cutoff, tests ordered on previous date queried"/>
</code>
<description
value="Enter the number of new Diagnostic Tests Ordered/Received during the reporting period."/>
<criteria>
<description value="Orders initiated during %reportingPeriod"/>
<name value="totalOrdersIncrease"/>
<language value="text/fhirpath"/>
<expression
value="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')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResultsIncrease"/>
<display value="New Tests Resulted"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text
value="Midnight to midnight cutoff, test results released on previous date queried"/>
</code>
<description
value="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 value="Results recieved during reporting period"/>
<name value="totalTestResultsIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(
issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('final, 'amended', 'corrected', 'appended')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="positiveIncrease"/>
<display value="New Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text
value="Midnight to midnight cutoff, positive test results released on previous date queried"/>
</code>
<description
value="Enter the number of positive test results released during the reporting period."/>
<criteria>
<description value="Result is positive with respect to COVID-19"/>
<name value="positiveIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="ServiceRequest"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 Cumulative Diagnostic Testing"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="cumulative"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positivePercent"/>
<display value="Cumulative Percent Positive among Resulted Tests"/>
</coding>
<text
value="# of total positive results to released date / # of total tests results released to date"/>
</code>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrders"/>
<display value="Cumulative Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="All tests ordered to date."/>
</code>
<description
value="Enter the cumulative number of tests ordered to date."/>
<criteria>
<description
value="Report all active or completed test orders for a COVID-19 test authored during the reporting period"/>
<name value="totalOrders"/>
<language value="text/fhirpath"/>
<expression
value="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')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="rejected"/>
<display value="Cumulative Specimens Rejected"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
<text value="All specimens rejected for testing to date"/>
</code>
<description
value="Enter the cumulative number of specimens rejected for testing to date."/>
<criteria>
<description
value="DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed."/>
<name value="rejected"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResults"/>
<display value="Cumulative Tests Performed"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text value="All tests with results released to date"/>
</code>
<description
value="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
value="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 value="totalTestResults"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="positive"/>
<display value="Cumulative Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text value="All positive test results released to date"/>
</code>
<description
value="Enter the total number of positive test results release to date."/>
<criteria>
<description value="The result is positive for COVID-19"/>
<name value="positive"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="allReports"/>
<display value="All Laboratory Reports for any Order"/>
</coding>
<text
value="Reports to date including corrected, amended and canceled reports"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Diagnostic Reports provided in response to totalOrders"/>
<name value="allReports"/>
<language value="text/fhirpath"/>
<expression value="DiagnosticReport.where(basedOn in %totalOrders)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="latestReports"/>
<display value="Most Recent Laboratory Reports for any Order"/>
</coding>
<text value="Latest Reports to date for each order"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Most recent diagnostic reports provided in response to totalOrders"/>
<name value="latestReports"/>
<language value="text/fhirpath"/>
<expression value="TBD"/>
</criteria>
</population>
</group>
</Measure>
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.uv.saner#1.0.1 based on FHIR 4.0.1. Generated 2024-01-25
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