Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-saner/ and changes regularly. See the Directory of published versions
| Draft as of 2024-01-25 |
{
"resourceType" : "Measure",
"id" : "PatientsByRiskFactorWithSupplementalData",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"PatientsByRiskFactorWithSupplementalData\"> </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 "PatientsByRiskFactorWithSupplementalData" </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/PatientsByRiskFactorWithSupplementalData</code></p><p><b>version</b>: 1.0.1</p><p><b>name</b>: PatientsByRiskFactor</p><p><b>title</b>: COVID-19 Patients By Risk Factor</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 automated reporting of patients with COVID-19 stratified by condition, and reporting supplemental data</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>author</b>: Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): <a href=\"mailto:mailto:nhsn@cdc.gov\">mailto:nhsn@cdc.gov</a></p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>label</b>: NHSN COVID-19 Reporting</p><p><b>display</b>: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page</p><p><b>url</b>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</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>: How to import COVID-19 Summary Data</p><p><b>display</b>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component</p><p><b>url</b>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</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>: Table of Instructions</p><p><b>display</b>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)</p><p><b>url</b>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</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>: CSV File Template</p><p><b>display</b>: CDC/NHSN COVID-19 Reporting CSV File Template</p><p><b>url</b>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><p><b>library</b>: <a href=\"Library-ComputableNHSNMeasureLibrary.html\">Computable NHSN Patient Impact and Hospital Capacity Measure Library</a></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>subject</code></blockquote><p><b>value</b>: Patient in room <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Encounter; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398284004)</span></p><blockquote><p><b>url</b></p><code>scoring</code></blockquote><p><b>value</b>: Queue Length <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PublicHealthMeasureScoring.html\">Public Health Measure Scoring</a>#queue-length)</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Structure <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>#structure)</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>: point-in-time</p></blockquote><p><b>code</b>: Hospital COVID-19 Patient Encounters Reporting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasureGroupSystem.html\">Measure Group System</a>#Encounters "Encounters")</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Patients with confirmed COVID-19 in any location. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-MeasuredValues.html\">Measured Values in Sample Measures</a>#confirmedC19Pats "All Confirmed COVID-19 Patients"; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>description</b>: Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\nor a Condition of confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\nor clinically diagnosed COVID-19.</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>This expression finds encounters that were active or finished in the reporting period, and their referenced Patient, Condition\nand Observation resources. It filters these based on cases where Encounter reports a reason or condition in the\nConfirmedCOVID19Diagnoses value set, or where a positive lab test from the Covid19Labs valueset, or where the patient\nhas any such associated Condition or Observation resources in the prior two weeks.</td><td>ConfirmedC19Pats</td><td>text/fhirpath</td><td>findAll('Encounter',\n including('subject','condition','reasonReference'),\n with('status').equalTo('in-progress,finished'),\n with('date').within(%ReportingPeriod)\n ).onServers(%Base).\n where(\n iif(\n (Encounter.reasonCode | Condition.code).member0f(%ConfirmedCOVID19Diagnoses.url) |\n Observation.where(code.member0f(%Covid19Labs.url) and value.member0f(%PositiveResults.url)),\n true,\n iif(\n Patient.distinct()\n .whereExists('Observation',\n for('patient', $this.id),\n with('status').equalTo(\n 'registered,preliminary,final,amended,corrected'),\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%Covid19Labs),\n with('value-concept').in(%PositiveResults)\n ).onServers(%Base),\n true,\n Patient.distinct()\n .whereExists('Condition',\n for('patient', $this.id),\n with('verification-status').notEqualTo('refuted,entered-in-error').\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%ConfirmedCOVID19Diagnoses.url)\n ).onServers(%Base)\n )\n )\n)\n.ofType(Encounter)\n.distinct()\n.aggregate(\n iif($total.subject contains $this.subject, $total, $total | $this )\n)</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: By Risk Factor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>description</b>: Stratifies the population by Condition/RiskFactor</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Final all conditions for each patient in the AllCOVID19RiskFactors ValueSet\nand stratify by membership in subsets of that value set. NOTE: A patient\ncan belong to multiple strata in this example.</td><td>text/fhirpath</td><td>findAll('Condition',\n\tfor('patient', $this.subject),\n\twith('code').in(%AllCOVID19RiskFactors.url),\n with('onset-date').greaterThan(%ReportingPeriod.start - 1 'year')\n ).onServers(%Base).select(\n \tiif(code.member0f(%NeoplasticCOVID19RiskFactors.url), 'Neoplastic Disease', {}) |\n \tiif(code.member0f(%COPDCOVID19RiskFactors.url), 'COPD', {}) |\n \tiif(code.member0f(%TobaccoCOVID19RiskFactors.url), 'Tobacco User', {}) |\n \tiif(code.member0f(%HypertensionCOVID19RiskFactors.url), 'Hypertension', {}) |\t// Calling out Hypertension separately for reasons\n \tiif(code.member0f(%CardiovascularCOVID19RiskFactors.url), 'Cardiovascular Disease', {}) |\t// Even though it isa Cardiovascular disease\n \tiif(code.member0f(%ObesityCOVID19RiskFactors.url), 'Obesity', {}) |\n \tiif(code.member0f(%SickleCellCOVID19RiskFactors.url), 'Sickle cell Disease', {}) |\n \tiif(code.member0f(%KidneyDiseaseCOVID19RiskFactors.url), 'Chronic Kidney Disease', {}) |\n \tiif(code.member0f(%PregnancyCOVID19RiskFactors.url), 'Pregnant', {}) |\n \tiif(code.member0f(%DiabetesCOVID19RiskFactors.url), 'Diabetes', {})\n )</td></tr></table></blockquote></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Encounter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Encounter)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: The patient encounter</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>Encounter dates, reason (e.g., Chief Complaint), discharge disposition</td><td>Encounter</td><td>text/fhirpath</td><td>Encounter</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Patient)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: The patient</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 Patient, including sex, dob, race and ethnicity</td><td>Patient</td><td>text/fhirpath</td><td>Encounter.subject.resolve()</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Location)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: The patient location</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 Patient Location</td><td>PatientLocation</td><td>text/fhirpath</td><td>Encounter.location.location.resolve()</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Condition <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Condition)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: The encounter and other diagnosis</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>Retrieves all conditions associated with the encounter</td><td>EncounterDiagnosis</td><td>text/fhirpath</td><td>(Encounter.reasonReference|Encounter.diagnosis.condition).resolve() |\nfindAll('Condition',\n\tfor('patient', $this.subject),\n\twith('encounter').equalTo($this.id)\n).onServers(%Base)</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: MedicationRequest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#MedicationRequest; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#MedicationAdministration; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Immunization)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: Medications/Immunizations given during the encounter</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>Retrieves all medications/immunizations associated with the encounter</td><td>EncounterMeds</td><td>text/fhirpath</td><td>findAll('MedicationRequest',\n\tfor('patient', $this.subject),\n\twith('encounter').equalTo($this.id) // alternately, this could be within encounter dates\n).onServers(%Base) |\nfindAll('MedicationAdministration',\n\tfor('patient', $this.subject),\n\twith('effective-time').within(%ReportingPeriod)\n).onServers(%Base) |\nfindAll('Immunization',\n\tfor('patient', $this.subject),\n\twith('date').within(%ReportingPeriod)\n).onServers(%Base)</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Observation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Observation)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: COVID-19 Lab Results</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>Retrieves all Observations associated with COVID-19 Labs</td><td>COVID19Labs</td><td>text/fhirpath</td><td>findAll('Observation',\n\tfor('patient', $this.subject),\n\twith('code').in(%Covid19Labs.url),\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year')\n).onServers(%Base)</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: DiagnosticReport <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#DiagnosticReport; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#DocumentReference; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Observation; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#ServiceRequest)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: VTE Diagnostic Results</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>Retrieves diagnostics associated with VTE</td><td>VTEDiagnostics</td><td>text/fhirpath</td><td>findAll('DiagnosticReport',\n\tfor('patient', $this.subject),\n\tincluding('result', 'media'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('DocumentReference',\n\tfor('patient', $this.subject),\n\tincluding('related'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('type').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('Observation',\n\tfor('patient', $this.subject),\n\tincluding('based-on'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('ServiceRequest',\n\tfor('patient', $this.subject),\n\tincluding('based-on'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base)</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: Procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Procedure; <a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#ServiceRequest)</span></p><p><b>usage</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-measure-data-usage.html\">MeasureDataUsage</a>#supplemental-data)</span></p><p><b>description</b>: Isolation Precautions</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>Retrieves orders or procedures associated with Isolation Precautions</td><td>IsolationOrders</td><td>text/fhirpath</td><td>findAll('ServiceRequest',\n\tfor('patient', $this.subject),\n\tfor('encounter', $this.id),\n\twith('code').in(%IsolationPrecautions.url)\n).onServers(%Base) |\nfindAll('Procedure',\n\tfor('patient', $this.subject),\n\tfor('encounter', $this.id),\n\twith('code').in(%IsolationPrecautions.url)\n).onServers(%Base)</td></tr></table></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
"valueTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pher"
}
],
"url" : "http://hl7.org/fhir/uv/saner/Measure/PatientsByRiskFactorWithSupplementalData",
"version" : "1.0.1",
"name" : "PatientsByRiskFactor",
"title" : "COVID-19 Patients By Risk Factor",
"status" : "draft",
"experimental" : true,
"date" : "2024-01-25T13:42:59+00:00",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
},
{
"telecom" : [
{
"system" : "email",
"value" : "pher@lists.hl7.org"
}
]
},
{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "mailto:kboone@ainq.com"
}
]
}
],
"description" : "This measure demonstrates automated reporting of patients with COVID-19 stratified by condition, and reporting supplemental data",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"author" : [
{
"name" : "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)",
"telecom" : [
{
"system" : "email",
"value" : "mailto:nhsn@cdc.gov"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"label" : "NHSN COVID-19 Reporting",
"display" : "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"
}
},
{
"type" : "documentation",
"label" : "How to import COVID-19 Summary Data",
"display" : "Importing COVID-19 Patient Module Denominator data for Patient Safety Component",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"
}
},
{
"type" : "documentation",
"label" : "Table of Instructions",
"display" : "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"
}
},
{
"type" : "documentation",
"label" : "CSV File Template",
"display" : "CDC/NHSN COVID-19 Reporting CSV File Template",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"
}
}
],
"library" : [
🔗 "http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary"
],
"group" : [
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Encounter"
},
{
"system" : "http://snomed.info/sct",
"code" : "398284004",
"display" : "Patient in room"
}
],
"text" : "Patient in room"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "queue-length"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "point-in-time"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "Encounters",
"display" : "Encounters"
}
],
"text" : "Hospital COVID-19 Patient Encounters Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "confirmedC19Pats",
"display" : "All Confirmed COVID-19 Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Patients with confirmed COVID-19 in any location."
},
"description" : "Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\nor a Condition of confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\nor clinically diagnosed COVID-19.",
"criteria" : {
"description" : "This expression finds encounters that were active or finished in the reporting period, and their referenced Patient, Condition\nand Observation resources. It filters these based on cases where Encounter reports a reason or condition in the\nConfirmedCOVID19Diagnoses value set, or where a positive lab test from the Covid19Labs valueset, or where the patient\nhas any such associated Condition or Observation resources in the prior two weeks.",
"name" : "ConfirmedC19Pats",
"language" : "text/fhirpath",
"expression" : "findAll('Encounter',\n including('subject','condition','reasonReference'),\n with('status').equalTo('in-progress,finished'),\n with('date').within(%ReportingPeriod)\n ).onServers(%Base).\n where(\n iif(\n (Encounter.reasonCode | Condition.code).member0f(%ConfirmedCOVID19Diagnoses.url) |\n Observation.where(code.member0f(%Covid19Labs.url) and value.member0f(%PositiveResults.url)),\n true,\n iif(\n Patient.distinct()\n .whereExists('Observation',\n for('patient', $this.id),\n with('status').equalTo(\n 'registered,preliminary,final,amended,corrected'),\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%Covid19Labs),\n with('value-concept').in(%PositiveResults)\n ).onServers(%Base),\n true,\n Patient.distinct()\n .whereExists('Condition',\n for('patient', $this.id),\n with('verification-status').notEqualTo('refuted,entered-in-error').\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%ConfirmedCOVID19Diagnoses.url)\n ).onServers(%Base)\n )\n )\n)\n.ofType(Encounter)\n.distinct()\n.aggregate(\n iif($total.subject contains $this.subject, $total, $total | $this )\n)"
}
}
],
"stratifier" : [
{
"code" : {
"text" : "By Risk Factor"
},
"description" : "Stratifies the population by Condition/RiskFactor",
"criteria" : {
"description" : "Final all conditions for each patient in the AllCOVID19RiskFactors ValueSet\nand stratify by membership in subsets of that value set. NOTE: A patient\ncan belong to multiple strata in this example.",
"language" : "text/fhirpath",
"expression" : "findAll('Condition',\n\tfor('patient', $this.subject),\n\twith('code').in(%AllCOVID19RiskFactors.url),\n with('onset-date').greaterThan(%ReportingPeriod.start - 1 'year')\n ).onServers(%Base).select(\n \tiif(code.member0f(%NeoplasticCOVID19RiskFactors.url), 'Neoplastic Disease', {}) |\n \tiif(code.member0f(%COPDCOVID19RiskFactors.url), 'COPD', {}) |\n \tiif(code.member0f(%TobaccoCOVID19RiskFactors.url), 'Tobacco User', {}) |\n \tiif(code.member0f(%HypertensionCOVID19RiskFactors.url), 'Hypertension', {}) |\t// Calling out Hypertension separately for reasons\n \tiif(code.member0f(%CardiovascularCOVID19RiskFactors.url), 'Cardiovascular Disease', {}) |\t// Even though it isa Cardiovascular disease\n \tiif(code.member0f(%ObesityCOVID19RiskFactors.url), 'Obesity', {}) |\n \tiif(code.member0f(%SickleCellCOVID19RiskFactors.url), 'Sickle cell Disease', {}) |\n \tiif(code.member0f(%KidneyDiseaseCOVID19RiskFactors.url), 'Chronic Kidney Disease', {}) |\n \tiif(code.member0f(%PregnancyCOVID19RiskFactors.url), 'Pregnant', {}) |\n \tiif(code.member0f(%DiabetesCOVID19RiskFactors.url), 'Diabetes', {})\n )"
}
}
]
}
],
"supplementalData" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Encounter"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "The patient encounter",
"criteria" : {
"description" : "Encounter dates, reason (e.g., Chief Complaint), discharge disposition",
"name" : "Encounter",
"language" : "text/fhirpath",
"expression" : "Encounter"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Patient"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "The patient",
"criteria" : {
"description" : "The Patient, including sex, dob, race and ethnicity",
"name" : "Patient",
"language" : "text/fhirpath",
"expression" : "Encounter.subject.resolve()"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Location"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "The patient location",
"criteria" : {
"description" : "The Patient Location",
"name" : "PatientLocation",
"language" : "text/fhirpath",
"expression" : "Encounter.location.location.resolve()"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Condition"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "The encounter and other diagnosis",
"criteria" : {
"description" : "Retrieves all conditions associated with the encounter",
"name" : "EncounterDiagnosis",
"language" : "text/fhirpath",
"expression" : "(Encounter.reasonReference|Encounter.diagnosis.condition).resolve() |\nfindAll('Condition',\n\tfor('patient', $this.subject),\n\twith('encounter').equalTo($this.id)\n).onServers(%Base)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "MedicationRequest"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "MedicationAdministration"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Immunization"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "Medications/Immunizations given during the encounter",
"criteria" : {
"description" : "Retrieves all medications/immunizations associated with the encounter",
"name" : "EncounterMeds",
"language" : "text/fhirpath",
"expression" : "findAll('MedicationRequest',\n\tfor('patient', $this.subject),\n\twith('encounter').equalTo($this.id) // alternately, this could be within encounter dates\n).onServers(%Base) |\nfindAll('MedicationAdministration',\n\tfor('patient', $this.subject),\n\twith('effective-time').within(%ReportingPeriod)\n).onServers(%Base) |\nfindAll('Immunization',\n\tfor('patient', $this.subject),\n\twith('date').within(%ReportingPeriod)\n).onServers(%Base)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Observation"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "COVID-19 Lab Results",
"criteria" : {
"description" : "Retrieves all Observations associated with COVID-19 Labs",
"name" : "COVID19Labs",
"language" : "text/fhirpath",
"expression" : "findAll('Observation',\n\tfor('patient', $this.subject),\n\twith('code').in(%Covid19Labs.url),\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year')\n).onServers(%Base)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "DiagnosticReport"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "DocumentReference"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Observation"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "ServiceRequest"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "VTE Diagnostic Results",
"criteria" : {
"description" : "Retrieves diagnostics associated with VTE",
"name" : "VTEDiagnostics",
"language" : "text/fhirpath",
"expression" : "findAll('DiagnosticReport',\n\tfor('patient', $this.subject),\n\tincluding('result', 'media'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('DocumentReference',\n\tfor('patient', $this.subject),\n\tincluding('related'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('type').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('Observation',\n\tfor('patient', $this.subject),\n\tincluding('based-on'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('ServiceRequest',\n\tfor('patient', $this.subject),\n\tincluding('based-on'), // what else?\n\twith('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n\twith('code').in(%VTEReports.url)\n).onServers(%Base)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Procedure"
},
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "ServiceRequest"
}
]
},
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"description" : "Isolation Precautions",
"criteria" : {
"description" : "Retrieves orders or procedures associated with Isolation Precautions",
"name" : "IsolationOrders",
"language" : "text/fhirpath",
"expression" : "findAll('ServiceRequest',\n\tfor('patient', $this.subject),\n\tfor('encounter', $this.id),\n\twith('code').in(%IsolationPrecautions.url)\n).onServers(%Base) |\nfindAll('Procedure',\n\tfor('patient', $this.subject),\n\tfor('encounter', $this.id),\n\twith('code').in(%IsolationPrecautions.url)\n).onServers(%Base)"
}
}
]
}
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