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 2024-05-18 |
<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><a name="hcFEMADailyHospitalCOVID19Reporting"> </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">ResourceMeasure "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>url</b>: <code>http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting</code></p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.42.29.5</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>: 2024-05-18 21:25:01+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: UsageContextType 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/">SNOWMED 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/">SNOWMED 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/5.5.0/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/5.5.0/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/">SNOWMED 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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/">SNOWMED 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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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>
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<name value="FEMADailyHospitalCOVID19Reporting"/>
<title value="FEMA Laboratory Orders and Results Daily Increase Reporting"/>
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</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 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="positiveIncreasePercent"/>
<display value="Percent Positive among Newly Resulted Tests"/>
</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 2024-05-18
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