US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0 - STU 1 ballot
US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0 - STU 1 ballot
US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/us-safr/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "HospitalBedCapacityReportBundle",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"
]
},
"type" : "collection",
"timestamp" : "2025-03-05T08:15:00-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981",
"resource" : {
"resourceType" : "Organization",
"id" : "MemorialHospitalOrganization",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-submitting-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_MemorialHospitalOrganization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization MemorialHospitalOrganization</b></p><a name=\"MemorialHospitalOrganization\"> </a><a name=\"hcMemorialHospitalOrganization\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-safr-submitting-organization.html\">US SAFR Submitting Organization</a></p></div><p><b>identifier</b>: <code>https://www.cdc.gov/nhsn/OrgID</code>/123456789</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Memorial Hospital</p><p><b>telecom</b>: <a href=\"tel:+1-555-123-4567\">+1-555-123-4567</a></p><p><b>address</b>: 123 Healthcare Drive Springfield IL 62701 USA </p></div>"
},
"identifier" : [
{
"system" : "https://www.cdc.gov/nhsn/OrgID",
"value" : "123456789"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Memorial Hospital",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-123-4567",
"use" : "work"
}
],
"address" : [
{
"line" : [
"123 Healthcare Drive"
],
"city" : "Springfield",
"state" : "IL",
"postalCode" : "62701",
"country" : "USA"
}
]
}
},
{
"fullUrl" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38982",
"resource" : {
"resourceType" : "Device",
"id" : "cqf-tooling",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystemdevice|1.0.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_cqf-tooling\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device cqf-tooling</b></p><a name=\"cqf-tooling\"> </a><a name=\"hccqf-tooling\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-softwaresystemdevice.html\">CRMI Software System Deviceversion: null1.0.0)</a></p></div><p><b>manufacturer</b>: CQFramework</p><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>cqf-tooling</td><td>Manufacturer name</td></tr></table><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/software-system-type-codes tooling}\">Tooling</span></p><h3>Versions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>3.1.0-SNAPSHOT</td></tr></table></div>"
},
"manufacturer" : "CQFramework",
"deviceName" : [
{
"name" : "cqf-tooling",
"type" : "manufacturer-name"
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/software-system-type-codes",
"code" : "tooling"
}
]
},
"version" : [
{
"value" : "3.1.0-SNAPSHOT"
}
]
}
},
{
"fullUrl" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38984",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "BedCapacityMeasureReport",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_BedCapacityMeasureReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport BedCapacityMeasureReport</b></p><a name=\"BedCapacityMeasureReport\"> </a><a name=\"hcBedCapacityMeasureReport\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-deqm/STU5/StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></p><p><b>DEQM Data Location Extension</b>: <a href=\"Bundle-HRDMeasureReportBundle.html#urn-uuid-4c83e586-1277-4132-9b4e-3d1c14d38983\">Location Memorial Hospital Main Campus</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-BedCapacityMeasure.html\">Bed Capacityversion: null1.0.0)</a></p><p><b>subject</b>: <a href=\"Bundle-HRDMeasureReportBundle.html#urn-uuid-4c83e586-1277-4132-9b4e-3d1c14d38983\">Memorial Hospital Facility</a></p><p><b>date</b>: 2025-03-05 08:15:00-0500</p><p><b>reporter</b>: <a href=\"Bundle-HRDMeasureReportBundle.html#urn-uuid-4c83e586-1277-4132-9b4e-3d1c14d38981\">Memorial Hospital</a></p><p><b>period</b>: 2025-03-05 00:00:00-0500 --> 2025-03-05 23:59:59-0500</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AllBedsOccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AllBedsOccupied}\">All Beds Census</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AllBedsOccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 177</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AllBedsUnoccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AllBedsUnoccupied}\">All Beds Unoccupied</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AllBedsUnoccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 5</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultTotalOccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultTotalOccupied}\">Adult Total Census</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultTotalOccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 177</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultTotalUnoccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultTotalUnoccupied}\">Adult Total Unoccupied</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultTotalUnoccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 5</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultICUOccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultICUOccupied}\">Adult ICU Census</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultICUOccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 32</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultICUUnoccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultICUUnoccupied}\">Adult ICU Unoccupied</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultICUUnoccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 2</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultICULOCOccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultICULOCOccupied}\">Adult ICU Unoccupied</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultICULOCOccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 32</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>AdultICULOCOccupied-bed-capacity-group</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes AdultICULOCOccupied}\">Adult ICU-LOC Occupied Beds Status</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>AdultICULOCOccupied-initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 32</p></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable",
"display" : "Continuous Variable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation",
"valueReference" : {
"reference" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/safr/Measure/BedCapacityMeasure|1.0.0-ballot",
"subject" : {
"reference" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983",
"display" : "Memorial Hospital Facility"
},
"date" : "2025-03-05T08:15:00-05:00",
"reporter" : {
"reference" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981",
"display" : "Memorial Hospital"
},
"period" : {
"start" : "2025-03-05T00:00:00-05:00",
"end" : "2025-03-05T23:59:59-05:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"id" : "AllBedsOccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AllBedsOccupied",
"display" : "All Beds Census"
}
]
},
"population" : [
{
"id" : "AllBedsOccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 177
}
]
},
{
"id" : "AllBedsUnoccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AllBedsUnoccupied",
"display" : "All Beds Unoccupied"
}
]
},
"population" : [
{
"id" : "AllBedsUnoccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 5
}
]
},
{
"id" : "AdultTotalOccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultTotalOccupied",
"display" : "Adult Total Census"
}
]
},
"population" : [
{
"id" : "AdultTotalOccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 177
}
]
},
{
"id" : "AdultTotalUnoccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultTotalUnoccupied",
"display" : "Adult Total Unoccupied"
}
]
},
"population" : [
{
"id" : "AdultTotalUnoccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 5
}
]
},
{
"id" : "AdultICUOccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultICUOccupied",
"display" : "Adult ICU Census"
}
]
},
"population" : [
{
"id" : "AdultICUOccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 32
}
]
},
{
"id" : "AdultICUUnoccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultICUUnoccupied",
"display" : "Adult ICU Unoccupied"
}
]
},
"population" : [
{
"id" : "AdultICUUnoccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 2
}
]
},
{
"id" : "AdultICULOCOccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultICULOCOccupied",
"display" : "Adult ICU Unoccupied"
}
]
},
"population" : [
{
"id" : "AdultICULOCOccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 32
}
]
},
{
"id" : "AdultICULOCOccupied-bed-capacity-group",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes",
"code" : "AdultICULOCOccupied",
"display" : "Adult ICU-LOC Occupied Beds Status"
}
]
},
"population" : [
{
"id" : "AdultICULOCOccupied-initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 32
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983",
"resource" : {
"resourceType" : "Location",
"id" : "MemorialHospitalFacility",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_MemorialHospitalFacility\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location MemorialHospitalFacility</b></p><a name=\"MemorialHospitalFacility\"> </a><a name=\"hcMemorialHospitalFacility\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-location.html\">QICore Location</a></p></div><p><b>identifier</b>: <code>http://example.org/fhir/location-identifier</code>/MEM-MAIN</p><p><b>status</b>: Active</p><p><b>name</b>: Memorial Hospital Main Campus</p><p><b>description</b>: Main hospital campus including ICU, ED, and Pediatric units</p><p><b>mode</b>: Instance</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>address</b>: 123 Healthcare Drive Springfield IL 62701 USA </p><p><b>physicalType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type bu}\">Building</span></p><p><b>managingOrganization</b>: <a href=\"Bundle-HRDMeasureReportBundle.html#urn-uuid-4c83e586-1277-4132-9b4e-3d1c14d38981\">Organization Memorial Hospital</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.org/fhir/location-identifier",
"value" : "MEM-MAIN"
}
],
"status" : "active",
"name" : "Memorial Hospital Main Campus",
"description" : "Main hospital campus including ICU, ED, and Pediatric units",
"mode" : "instance",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
}
],
"address" : {
"line" : [
"123 Healthcare Drive"
],
"city" : "Springfield",
"state" : "IL",
"postalCode" : "62701",
"country" : "USA"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"version" : "2.0.1",
"code" : "bu",
"display" : "Building"
}
]
},
"managingOrganization" : {
"reference" : "urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981"
}
}
}
]
}
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.safr#1.0.0 based on FHIR 4.0.1. Generated 2026-02-05
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