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
<Bundle xmlns="http://hl7.org/fhir">
<id value="HospitalBedCapacityReportBundle"/>
<meta>
<profile
value="http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"/>
</meta>
<type value="collection"/>
<timestamp value="2025-03-05T08:15:00-05:00"/>
<entry>
<fullUrl value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981"/>
<resource>
<Organization>
<id value="MemorialHospitalOrganization"/>
<meta>
<profile
value="http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-submitting-organization"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.cdc.gov/nhsn/OrgID"/>
<value value="123456789"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Memorial Hospital"/>
<telecom>
<system value="phone"/>
<value value="+1-555-123-4567"/>
<use value="work"/>
</telecom>
<address>
<line value="123 Healthcare Drive"/>
<city value="Springfield"/>
<state value="IL"/>
<postalCode value="62701"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38982"/>
<resource>
<Device>
<id value="cqf-tooling"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystemdevice|1.0.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<manufacturer value="CQFramework"/>
<deviceName>
<name value="cqf-tooling"/>
<type value="manufacturer-name"/>
</deviceName>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/software-system-type-codes"/>
<code value="tooling"/>
</coding>
</type>
<version>
<value value="3.1.0-SNAPSHOT"/>
</version>
</Device>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38984"/>
<resource>
<MeasureReport>
<id value="BedCapacityMeasureReport"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
<display value="Continuous Variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation">
<valueReference>
<reference value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983"/>
</valueReference>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/safr/Measure/BedCapacityMeasure|1.0.0-ballot"/>
<subject>
<reference value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983"/>
<display value="Memorial Hospital Facility"/>
</subject>
<date value="2025-03-05T08:15:00-05:00"/>
<reporter>
<reference value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981"/>
<display value="Memorial Hospital"/>
</reporter>
<period>
<start value="2025-03-05T00:00:00-05:00"/>
<end value="2025-03-05T23:59:59-05:00"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group id="AllBedsOccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AllBedsOccupied"/>
<display value="All Beds Census"/>
</coding>
</code>
<population id="AllBedsOccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="177"/>
</population>
</group>
<group id="AllBedsUnoccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AllBedsUnoccupied"/>
<display value="All Beds Unoccupied"/>
</coding>
</code>
<population id="AllBedsUnoccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="5"/>
</population>
</group>
<group id="AdultTotalOccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultTotalOccupied"/>
<display value="Adult Total Census"/>
</coding>
</code>
<population id="AdultTotalOccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="177"/>
</population>
</group>
<group id="AdultTotalUnoccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultTotalUnoccupied"/>
<display value="Adult Total Unoccupied"/>
</coding>
</code>
<population id="AdultTotalUnoccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="5"/>
</population>
</group>
<group id="AdultICUOccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultICUOccupied"/>
<display value="Adult ICU Census"/>
</coding>
</code>
<population id="AdultICUOccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="32"/>
</population>
</group>
<group id="AdultICUUnoccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultICUUnoccupied"/>
<display value="Adult ICU Unoccupied"/>
</coding>
</code>
<population id="AdultICUUnoccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="2"/>
</population>
</group>
<group id="AdultICULOCOccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultICULOCOccupied"/>
<display value="Adult ICU Unoccupied"/>
</coding>
</code>
<population id="AdultICULOCOccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="32"/>
</population>
</group>
<group id="AdultICULOCOccupied-bed-capacity-group">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes"/>
<code value="AdultICULOCOccupied"/>
<display value="Adult ICU-LOC Occupied Beds Status"/>
</coding>
</code>
<population id="AdultICULOCOccupied-initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="32"/>
</population>
</group>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38983"/>
<resource>
<Location>
<id value="MemorialHospitalFacility"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://example.org/fhir/location-identifier"/>
<value value="MEM-MAIN"/>
</identifier>
<status value="active"/>
<name value="Memorial Hospital Main Campus"/>
<description
value="Main hospital campus including ICU, ED, and Pediatric units"/>
<mode value="instance"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<address>
<line value="123 Healthcare Drive"/>
<city value="Springfield"/>
<state value="IL"/>
<postalCode value="62701"/>
<country value="USA"/>
</address>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<version value="2.0.1"/>
<code value="bu"/>
<display value="Building"/>
</coding>
</physicalType>
<managingOrganization>
<reference value="urn:uuid:4c83e586-1277-4132-9b4e-3d1c14d38981"/>
</managingOrganization>
</Location>
</resource>
</entry>
</Bundle>
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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