Situational Awareness for Novel Epidemic Response
1.0.1 - STU Release

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

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

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<Measure xmlns="http://hl7.org/fhir">
  <id value="FEMADailyHospitalCOVID19Reporting"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "FEMADailyHospitalCOVID19Reporting" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PublicHealthMeasure.html">Public Health Measure</a></p></div><p><b>Enables specification of proposed measure reporting</b>: Do Once per 1 days</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting</code></p><p><b>version</b>: 1.0.1</p><p><b>name</b>: FEMADailyHospitalCOVID19Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2021-12-17T18:59:45Z</p><p><b>publisher</b>: HL7 International Public Health Workgroup</p><p><b>contact</b>: <a href="http://hl7.org/Special/committees/pher">http://hl7.org/Special/committees/pher</a>, <a href="mailto:pher@lists.hl7.org">pher@lists.hl7.org</a>, Keith W. Boone: <a href="mailto:mailto:kboone@ainq.com">mailto:kboone@ainq.com</a></p><p><b>jurisdiction</b>: World <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><p><b>topic</b>: Immunology laboratory test (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#252318005)</span></p><p><b>author</b>: HL7 Public Health Workgroup: <a href="mailto:mailto:pher@lists.hl7.org">mailto:pher@lists.hl7.org</a></p><p><b>library</b>: <a href="http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary">http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary</a></p><p><b>type</b>: Outcome <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html">MeasureType</a>#outcome)</span></p><p><b>rateAggregation</b>: count</p><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: Continuous Variable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#continuous-variable)</span></p><p><b>value</b>: COVID-19 Diagnostic Testing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">ResourceType</a>#ServiceRequest; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#252318005 "Immunology laboratory test (procedure)")</span></p><p><b>value</b>: Outcome <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html">MeasureType</a>#outcome)</span></p><p><b>value</b>: Decreased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#decrease)</span></p><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: # of new positive test results released / # of total new tests released for previous date queried <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasureGroupSystem.html">Measure Group System</a>#positiveIncreasePercent "Percent Positive among Newly Resulted Tests")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, tests ordered on previous date queried <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#totalOrdersIncrease "New Diagnostic Tests Ordered/Received"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, test results released on previous date queried <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#totalTestResultsIncrease "New Tests Resulted"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>description</b>: Enter the number of results recieved/generated during the reporting period.
 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></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, positive test results released on previous date queried <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#positiveIncrease "New Positive COVID-19 Tests"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>description</b>: Enter the number of positive test results released during the reporting period.</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: Continuous Variable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#continuous-variable)</span></p><p><b>value</b>: COVID-19 Cumulative Diagnostic Testing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">ResourceType</a>#ServiceRequest; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#252318005 "Immunology laboratory test (procedure)")</span></p><p><b>value</b>: Outcome <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-type.html">MeasureType</a>#outcome)</span></p><p><b>value</b>: Decreased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#decrease)</span></p><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: # of total positive results to released date / # of total tests results released to date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasureGroupSystem.html">Measure Group System</a>#positivePercent "Cumulative Percent Positive among Resulted Tests")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: All tests ordered to date. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#totalOrders "Cumulative Diagnostic Tests Ordered/Received"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Enter the cumulative number of tests ordered to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All specimens rejected for testing to date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#rejected "Cumulative Specimens Rejected"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>description</b>: Enter the cumulative number of specimens rejected for testing to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All tests with results released to date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#totalTestResults "Cumulative Tests Performed"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>description</b>: Enter the total number tests with results released to date. Do not include tests where a
 positive/negative result could not be determined (e.g., because the specimen was inadequate).</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All positive test results released to date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#positive "Cumulative Positive COVID-19 Tests"; <a href="http://terminology.hl7.org/3.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>description</b>: Enter the total number of positive test results release to date.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Reports to date including corrected, amended and canceled reports <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#allReports "All Laboratory Reports for any Order")</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Latest Reports to date for each order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-MeasuredValues.html">Measured Values in Sample Measures</a>#latestReports "Most Recent Laboratory Reports for any Order")</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p></blockquote></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod">
    <valueTiming>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </valueTiming>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting"/>
  <version value="1.0.1"/>
  <name value="FEMADailyHospitalCOVID19Reporting"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2021-12-17T18:59:45+00:00"/>
  <publisher value="HL7 International Public Health Workgroup"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/pher"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="email"/>
      <value value="pher@lists.hl7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Keith W. Boone"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:kboone@ainq.com"/>
    </telecom>
  </contact>
  <useContext>
    <code>
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="840539006"/>
        <display value="COVID-19"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <topic>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="252318005"/>
      <display value="Immunology laboratory test (procedure)"/>
    </coding>
  </topic>
  <author>
    <name value="HL7 Public Health Workgroup"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:pher@lists.hl7.org"/>
    </telecom>
  </author>
  <relatedArtifact>
    <type value="documentation"/>
    <label value="CMS Press Release"/>
    <display
             value="Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing"/>
    <url
         value="https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="documentation"/>
    <label value="Vice President Pence Letter to Hospital Administrators"/>
    <display
             value="Text of a Letter from the Vice President to Hospital Administrators"/>
    <url
         value="https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="documentation"/>
    <label value="AHA Advisory on COVID-19 Reporting"/>
    <display
             value="Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator"/>
    <url
         value="https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="documentation"/>
    <label value="Excel Spreadsheet template for reporting to FEMA"/>
    <display value="Template for Daily Hospital COVID-19 Reporting.xlsx"/>
    <url
         value="https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"/>
  </relatedArtifact>
  <library
           value="http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="outcome"/>
    </coding>
  </type>
  <rateAggregation value="count"/>
  <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 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 (&#39;active&#39;, &#39;completed&#39;)
    and intent in (&#39;order&#39;, &#39;orginal-order&#39;, &#39;reflex-order&#39;, &#39;filler-order&#39;, &#39;instance-order&#39;)
)"/>
      </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 (&#39;final, &#39;amended&#39;, &#39;corrected&#39;, &#39;appended&#39;)
)"/>
      </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() &lt;= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
    and status in (&#39;active&#39;, &#39;completed&#39;)
    and code in %ValueSet-COVID19DiagnosticTest
    and intent in (&#39;order&#39;, &#39;orginal-order&#39;, &#39;reflex-order&#39;, &#39;filler-order&#39;, &#39;instance-order&#39;)
)"/>
      </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 = &#39;cancelled&#39; 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 (&#39;active&#39;, &#39;completed&#39;)
    and intent in (&#39;order&#39;, &#39;orginal-order&#39;, &#39;reflex-order&#39;, &#39;filler-order&#39;, &#39;instance-order&#39;)
)"/>
      </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>