Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build
Situational Awareness for Novel Epidemic Response, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-saner/ and changes regularly. See the Directory of published versions
| Draft as of 2024-01-25 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "PatientsByRiskFactorWithSupplementalData"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"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 for('patient', $this.subject),\n with('code').in(%AllCOVID19RiskFactors.url),\n with('onset-date').greaterThan(%ReportingPeriod.start - 1 'year')\n ).onServers(%Base).select(\n iif(code.member0f(%NeoplasticCOVID19RiskFactors.url), 'Neoplastic Disease', {}) |\n iif(code.member0f(%COPDCOVID19RiskFactors.url), 'COPD', {}) |\n iif(code.member0f(%TobaccoCOVID19RiskFactors.url), 'Tobacco User', {}) |\n iif(code.member0f(%HypertensionCOVID19RiskFactors.url), 'Hypertension', {}) | // Calling out Hypertension separately for reasons\n iif(code.member0f(%CardiovascularCOVID19RiskFactors.url), 'Cardiovascular Disease', {}) | // Even though it isa Cardiovascular disease\n iif(code.member0f(%ObesityCOVID19RiskFactors.url), 'Obesity', {}) |\n iif(code.member0f(%SickleCellCOVID19RiskFactors.url), 'Sickle cell Disease', {}) |\n iif(code.member0f(%KidneyDiseaseCOVID19RiskFactors.url), 'Chronic Kidney Disease', {}) |\n iif(code.member0f(%PregnancyCOVID19RiskFactors.url), 'Pregnant', {}) |\n iif(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 for('patient', $this.subject),\n with('encounter').equalTo($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 for('patient', $this.subject),\n with('encounter').equalTo($this.id) // alternately, this could be within encounter dates\n).onServers(%Base) |\nfindAll('MedicationAdministration',\n for('patient', $this.subject),\n with('effective-time').within(%ReportingPeriod)\n).onServers(%Base) |\nfindAll('Immunization',\n for('patient', $this.subject),\n with('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 for('patient', $this.subject),\n with('code').in(%Covid19Labs.url),\n with('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 for('patient', $this.subject),\n including('result', 'media'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('DocumentReference',\n for('patient', $this.subject),\n including('related'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('type').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('Observation',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('ServiceRequest',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('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 for('patient', $this.subject),\n for('encounter', $this.id),\n with('code').in(%IsolationPrecautions.url)\n).onServers(%Base) |\nfindAll('Procedure',\n for('patient', $this.subject),\n for('encounter', $this.id),\n with('code').in(%IsolationPrecautions.url)\n).onServers(%Base)</td></tr></table></blockquote></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod"^^xsd:anyURI ] ; fhir:value [ a fhir:Timing ; fhir:repeat [ fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ; fhir:value [ fhir:v "pher" ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/Measure/PatientsByRiskFactorWithSupplementalData"^^xsd:anyURI] ; # fhir:version [ fhir:v "1.0.1"] ; # fhir:name [ fhir:v "PatientsByRiskFactor"] ; # fhir:title [ fhir:v "COVID-19 Patients By Risk Factor"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # fhir:date [ fhir:v "2024-01-25T13:42:59+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / Public Health"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ] ] ) ] [ ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "pher@lists.hl7.org" ] ] ) ] [ fhir:name [ fhir:v "Keith W. Boone" ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "mailto:kboone@ainq.com" ] ] ) ] ) ; # fhir:description [ fhir:v "This measure demonstrates automated reporting of patients with COVID-19 stratified by condition, and reporting supplemental data"] ; # fhir:useContext ( [ fhir:code [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "focus" ] ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:840539006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "840539006" ] ; fhir:display [ fhir:v "COVID-19" ] ] ) ] ] ) ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:author ( [ fhir:name [ fhir:v "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)" ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "mailto:nhsn@cdc.gov" ] ] ) ] ) ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "NHSN COVID-19 Reporting" ] ; fhir:display [ fhir:v "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page" ] ; fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "How to import COVID-19 Summary Data" ] ; fhir:display [ fhir:v "Importing COVID-19 Patient Module Denominator data for Patient Safety Component" ] ; fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "Table of Instructions" ] ; fhir:display [ fhir:v "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)" ] ; fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "documentation" ] ; fhir:label [ fhir:v "CSV File Template" ] ; fhir:display [ fhir:v "CDC/NHSN COVID-19 Reporting CSV File Template" ] ; fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"^^xsd:anyURI ] ] ] ) ; # fhir:library ( [ fhir:v "http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary> ] ) ; # fhir:group ( [ ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "subject"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Encounter" ] ] [ a sct:398284004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "398284004" ] ; fhir:display [ fhir:v "Patient in room" ] ] ) ; fhir:text [ fhir:v "Patient in room" ] ] ] [ fhir:url [ fhir:v "scoring"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring"^^xsd:anyURI ] ; fhir:code [ fhir:v "queue-length" ] ] ) ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "structure" ] ] ) ] ] [ fhir:url [ fhir:v "improvementNotation"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ; fhir:code [ fhir:v "decrease" ] ] ) ] ] [ fhir:url [ fhir:v "rateAggregation"^^xsd:anyURI ] ; fhir:value [ fhir:v "point-in-time" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"^^xsd:anyURI ] ; fhir:code [ fhir:v "Encounters" ] ; fhir:display [ fhir:v "Encounters" ] ] ) ; fhir:text [ fhir:v "Hospital COVID-19 Patient Encounters Reporting" ] ] ; ( fhir:population [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"^^xsd:anyURI ] ; fhir:code [ fhir:v "confirmedC19Pats" ] ; fhir:display [ fhir:v "All Confirmed COVID-19 Patients" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ] ) ; fhir:text [ fhir:v "Patients with confirmed COVID-19 in any location." ] ] ; fhir:description [ fhir:v "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." ] ; fhir:criteria [ fhir:description [ fhir:v "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." ] ; fhir:name [ fhir:v "ConfirmedC19Pats" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "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)" ] ] ] ) ; ( fhir:stratifier [ fhir:code [ fhir:text [ fhir:v "By Risk Factor" ] ] ; fhir:description [ fhir:v "Stratifies the population by Condition/RiskFactor" ] ; fhir:criteria [ fhir:description [ fhir:v "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." ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "findAll('Condition',\n for('patient', $this.subject),\n with('code').in(%AllCOVID19RiskFactors.url),\n with('onset-date').greaterThan(%ReportingPeriod.start - 1 'year')\n ).onServers(%Base).select(\n iif(code.member0f(%NeoplasticCOVID19RiskFactors.url), 'Neoplastic Disease', {}) |\n iif(code.member0f(%COPDCOVID19RiskFactors.url), 'COPD', {}) |\n iif(code.member0f(%TobaccoCOVID19RiskFactors.url), 'Tobacco User', {}) |\n iif(code.member0f(%HypertensionCOVID19RiskFactors.url), 'Hypertension', {}) | // Calling out Hypertension separately for reasons\n iif(code.member0f(%CardiovascularCOVID19RiskFactors.url), 'Cardiovascular Disease', {}) | // Even though it isa Cardiovascular disease\n iif(code.member0f(%ObesityCOVID19RiskFactors.url), 'Obesity', {}) |\n iif(code.member0f(%SickleCellCOVID19RiskFactors.url), 'Sickle cell Disease', {}) |\n iif(code.member0f(%KidneyDiseaseCOVID19RiskFactors.url), 'Chronic Kidney Disease', {}) |\n iif(code.member0f(%PregnancyCOVID19RiskFactors.url), 'Pregnant', {}) |\n iif(code.member0f(%DiabetesCOVID19RiskFactors.url), 'Diabetes', {})\n )" ] ] ] ) ] ) ; # fhir:supplementalData ( [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Encounter" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "The patient encounter" ] ; fhir:criteria [ fhir:description [ fhir:v "Encounter dates, reason (e.g., Chief Complaint), discharge disposition" ] ; fhir:name [ fhir:v "Encounter" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "Encounter" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Patient" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "The patient" ] ; fhir:criteria [ fhir:description [ fhir:v "The Patient, including sex, dob, race and ethnicity" ] ; fhir:name [ fhir:v "Patient" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "Encounter.subject.resolve()" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Location" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "The patient location" ] ; fhir:criteria [ fhir:description [ fhir:v "The Patient Location" ] ; fhir:name [ fhir:v "PatientLocation" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "Encounter.location.location.resolve()" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Condition" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "The encounter and other diagnosis" ] ; fhir:criteria [ fhir:description [ fhir:v "Retrieves all conditions associated with the encounter" ] ; fhir:name [ fhir:v "EncounterDiagnosis" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "(Encounter.reasonReference|Encounter.diagnosis.condition).resolve() |\nfindAll('Condition',\n for('patient', $this.subject),\n with('encounter').equalTo($this.id)\n).onServers(%Base)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "MedicationRequest" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "MedicationAdministration" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Immunization" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "Medications/Immunizations given during the encounter" ] ; fhir:criteria [ fhir:description [ fhir:v "Retrieves all medications/immunizations associated with the encounter" ] ; fhir:name [ fhir:v "EncounterMeds" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "findAll('MedicationRequest',\n for('patient', $this.subject),\n with('encounter').equalTo($this.id) // alternately, this could be within encounter dates\n).onServers(%Base) |\nfindAll('MedicationAdministration',\n for('patient', $this.subject),\n with('effective-time').within(%ReportingPeriod)\n).onServers(%Base) |\nfindAll('Immunization',\n for('patient', $this.subject),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Observation" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "COVID-19 Lab Results" ] ; fhir:criteria [ fhir:description [ fhir:v "Retrieves all Observations associated with COVID-19 Labs" ] ; fhir:name [ fhir:v "COVID19Labs" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "findAll('Observation',\n for('patient', $this.subject),\n with('code').in(%Covid19Labs.url),\n with('date').greaterThan(%ReportingPeriod.start - 1 'year')\n).onServers(%Base)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "DiagnosticReport" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "DocumentReference" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Observation" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "ServiceRequest" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "VTE Diagnostic Results" ] ; fhir:criteria [ fhir:description [ fhir:v "Retrieves diagnostics associated with VTE" ] ; fhir:name [ fhir:v "VTEDiagnostics" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "findAll('DiagnosticReport',\n for('patient', $this.subject),\n including('result', 'media'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('DocumentReference',\n for('patient', $this.subject),\n including('related'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('type').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('Observation',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('ServiceRequest',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base)" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "Procedure" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/resource-types"^^xsd:anyURI ] ; fhir:code [ fhir:v "ServiceRequest" ] ] ) ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:description [ fhir:v "Isolation Precautions" ] ; fhir:criteria [ fhir:description [ fhir:v "Retrieves orders or procedures associated with Isolation Precautions" ] ; fhir:name [ fhir:v "IsolationOrders" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "findAll('ServiceRequest',\n for('patient', $this.subject),\n for('encounter', $this.id),\n with('code').in(%IsolationPrecautions.url)\n).onServers(%Base) |\nfindAll('Procedure',\n for('patient', $this.subject),\n for('encounter', $this.id),\n with('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
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