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
| Page standards status: Trial-use | Maturity Level: 1 |
<Library xmlns="http://hl7.org/fhir">
<id value="HRDMeasure"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">HRDMeasure</td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">1.0.0</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Library-HRDMeasure.html">HRDMeasure</a></td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/7.0.1/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>logic-library</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2025-12-23 19:38:58+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">HL7 International / Public Health</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">US</td>
</tr>
<tr>
<td colspan="2">
<table>
<tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
<tr><td><pre><code class="language-cql">library HRDMeasure version '1.0.0'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
// Terminology definitions
codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LocationPhysicalType": 'http://terminology.hl7.org/CodeSystem/location-physical-type'
codesystem "HealthcareCapacity": 'http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes'
codesystem "Observation Category": 'http://terminology.hl7.org/CodeSystem/observation-category'
// Value sets
valueset "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142'
valueset "COVID_19 (Tests for SARS_CoV_2 Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158'
valueset "Influenza (Tests for influenza A or B virus Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336'
valueset "Influenza (Tests for influenza A or B virus Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.337'
valueset "RSV (Tests for RSV Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1311'
valueset "RSV (Tests for RSV Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312'
//Codes
code "Bed": 'bd' from "LocationPhysicalType" display 'Bed'
code "HOSP": 'HOSP' from "HealthcareCapacity" display 'Hospital'
code "IRF": 'IRF' from "HealthcareCapacity" display 'Inpatient Rehabilitation'
code "IPF": 'IPF' from "HealthcareCapacity" display 'Inpatient Psychiatric'
code "CHLD": 'CHLD' from "HealthcareCapacity" display 'Children\'s or Pediatric'
code "OTH": 'OTH' from "HealthcareCapacity" display 'Other facility-within-facility or subunit'
code "laboratory": 'laboratory' from "Observation Category" display 'Laboratory'
code "detected": '260373001' from "SNOMEDCT" display 'Detected'
code "N95 mask": '409533008' from "SNOMEDCT" display 'Air-purifying respirator (physical object)'
code "Surgical mask": '409528009' from "SNOMEDCT" display 'Surgical face mask (physical object)'
code "Face shield": '706724001' from "SNOMEDCT" display 'Face shield (physical object)'
code "Patient gown": '1141676007' from "SNOMEDCT" display 'Patient gown (physical object)'
code "Surgical glove": '462245005' from "SNOMEDCT" display 'Nitrile surgical glove, powdered (physical object)'
// Parameter for measurement period
parameter "Measurement Period" Interval<Date>
default Interval[@2025-03-01, @2025-03-07]
context Location
//Initial Populations
define "Inpatient Beds Initial Population":
IsBedLocation
and LocationIsHOSP
and (
LocationIsIPF
or LocationIsIRF
or LocationIsCHLD
)
define "Occupied Inpatient Beds Initial Population":
"Inpatient Beds Initial Population"
and EncounterCheck
define "Adult Inpatient Beds Initial Population":
IsBedLocation
and LocationIsHOSP
and (
LocationIsIPF
or LocationIsIRF
)
and not LocationIsCHLD
define "Occupied Adult Inpatient Beds Initial Population":
"Adult Inpatient Beds Initial Population"
and EncounterCheck
define "Pediatric Inpatient Beds Initial Population":
IsBedLocation
and LocationIsHOSP
and LocationIsCHLD
and not (
LocationIsIPF
or LocationIsIRF
)
define "Occupied Pediatric Inpatient Beds Initial Population":
"Pediatric Inpatient Beds Initial Population"
and EncounterCheck
define "ICU Beds Initial Population":
IsBedLocation
and (
LocationIsHOSP
or LocationIsOTH
)
define "Occupied ICU Beds Initial Population":
"ICU Beds Initial Population"
and EncounterCheck
define "Adult ICU Beds Initial Population":
IsBedLocation
and (
LocationIsHOSP
or LocationIsOTH
)
and not LocationIsCHLD
define "Occupied Adult ICU Beds Initial Population":
"Adult ICU Beds Initial Population"
and EncounterCheck
define "Pediatric ICU Beds Initial Population":
IsBedLocation
and LocationIsCHLD
and (
LocationIsHOSP
or LocationIsOTH
)
define "Occupied Pediatric ICU Beds Initial Population":
"Pediatric ICU Beds Initial Population"
and EncounterCheck
//Stratifiers
//COVID_19
define "Adult Inpatient COVID_19 Patients Stratifier":
if "Occupied Adult Inpatient Beds Initial Population" then
"Count Confirmed COVID_19 Patients in Bed Location"
else 0
define "Pediatric Inpatient COVID_19 Patients Stratifier":
if "Occupied Pediatric Inpatient Beds Initial Population" then
"Count Confirmed COVID_19 Patients in Bed Location"
else 0
define "Adult ICU COVID_19 Patients Stratifier":
if "Occupied Adult ICU Beds Initial Population" then
"Count Confirmed COVID_19 Patients in Bed Location"
else 0
define "Pediatric ICU COVID_19 Patients Stratifier":
if "Occupied Pediatric ICU Beds Initial Population" then
"Count Confirmed COVID_19 Patients in Bed Location"
else 0
define "New Pediatric COVID_19 Patients Between 0 to 4 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs" , 0, 4 )
)
define "New Pediatric COVID_19 Patients Between 5 to 17 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 5, 17 )
)
define "New Adult COVID_19 Patients Between 18 to 49 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 18, 49 )
)
define "New Adult COVID_19 Patients Between 50 to 64 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 50, 64 )
)
define "New Adult COVID_19 Patients Between 65 to 74 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 65, 74 )
)
define "New Adult COVID_19 Patients 75 and Above Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted COVID_19 Patient IDs", 75 )
)
define "New COVID_19 Patients with Unknown Age Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted COVID_19 Patient IDs" )
)
//Influenza
define "Adult Inpatient Influenza Patients Stratifier":
if "Occupied Adult Inpatient Beds Initial Population" then
"Count Confirmed Influenza Patients in Bed Location"
else 0
define "Pediatric Inpatient Influenza Patients Stratifier":
if "Occupied Pediatric Inpatient Beds Initial Population" then
"Count Confirmed Influenza Patients in Bed Location"
else 0
define "Adult ICU Influenza Patients Stratifier":
if "Occupied Adult ICU Beds Initial Population" then
"Count Confirmed Influenza Patients in Bed Location"
else 0
define "Pediatric ICU Influenza Patients Stratifier":
if "Occupied Pediatric ICU Beds Initial Population" then
"Count Confirmed Influenza Patients in Bed Location"
else 0
define "New Pediatric Influenza Patients Between 0 to 4 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs" , 0, 4 )
)
define "New Pediatric Influenza Patients Between 5 to 17 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 5, 17 )
)
define "New Adult Influenza Patients Between 18 to 49 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 18, 49 )
)
define "New Adult Influenza Patients Between 50 to 64 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 50, 64 )
)
define "New Adult Influenza Patients Between 65 to 74 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 65, 74 )
)
define "New Adult Influenza Patients 75 and Above Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted Influenza Patient IDs", 75 )
)
define "New Influenza Patients with Unknown Age Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted Influenza Patient IDs" )
)
//RSV
define "Adult Inpatient RSV Patients Stratifier":
if "Occupied Adult Inpatient Beds Initial Population" then
"Count Confirmed RSV Patients in Bed Location"
else 0
define "Pediatric Inpatient RSV Patients Stratifier":
if "Occupied Pediatric Inpatient Beds Initial Population" then
"Count Confirmed RSV Patients in Bed Location"
else 0
define "Adult ICU RSV Patients Stratifier":
if "Occupied Adult ICU Beds Initial Population" then
"Count Confirmed RSV Patients in Bed Location"
else 0
define "Pediatric ICU RSV Patients Stratifier":
if "Occupied Pediatric ICU Beds Initial Population" then
"Count Confirmed RSV Patients in Bed Location"
else 0
define "New Pediatric RSV Patients Between 0 to 4 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs" , 0, 4 )
)
define "New Pediatric RSV Patients Between 5 to 17 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 5, 17 )
)
define "New Adult RSV Patients Between 18 to 49 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 18, 49 )
)
define "New Adult RSV Patients Between 50 to 64 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 50, 64 )
)
define "New Adult RSV Patients Between 65 to 74 Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 65, 74 )
)
define "New Adult RSV Patients 75 and Above Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted RSV Patient IDs", 75 )
)
define "New RSV Patients with Unknown Age Stratifier":
Count(
"Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted RSV Patient IDs" )
)
//Devices (Supply is divided by average used per day (estimated))
define "N95 Mask Supply in Days Stratifier":
Floor( Count(
"Devices" Devices
where Devices.type ~ "N95 mask"
) / 10 )
define "N95 Mask 3 Day Supply Initial Population":
"N95 Mask Supply in Days Stratifier" > 3
define "OR Surgical Mask Supply in Days Stratifier":
Floor( Count(
"Devices" Devices
where Devices.type ~ "Surgical mask"
) / 10 )
define "OR Surgical Mask 3 Day Supply Initial Population":
"OR Surgical Mask Supply in Days Stratifier" > 3
define "Face Shield Supply in Days Stratifier":
Floor( Count(
"Devices" Devices
where Devices.type ~ "Face shield"
) / 10 )
define "Face Shield 3 Day Supply Initial Population":
"Face Shield Supply in Days Stratifier" > 3
define "Gown Supply in Days Stratifier":
Floor( Count(
"Devices" Devices
where Devices.type ~ "Patient gown"
) / 5 )
define "Gown 3 Day Supply Initial Population":
"Gown Supply in Days Stratifier" > 3
define "Glove Supply in Days Stratifier":
Floor( Count(
"Devices" Devices
where Devices.type ~ "Surgical glove"
) / 15 )
define "Glove 3 Day Supply Initial Population":
"Glove Supply in Days Stratifier" > 3
//Functions and Helpers
define "COVID_19 Observations":
[Observation: "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)"]
union [Observation: "COVID_19 (Tests for SARS_CoV_2 Antigen)"]
define "Newly Admitted COVID_19 Patient IDs":
"Get Confirmed Patient IDs"( "Newly Admitted Encounters", "COVID_19 Observations" )
define "Count Confirmed COVID_19 Patients in Bed Location":
Count(
"Get Confirmed Patient IDs"( "Encounters", "COVID_19 Observations" )
)
define "Influenza Observations":
[Observation: "Influenza (Tests for influenza A or B virus Nucleic Acid)"]
union [Observation: "Influenza (Tests for influenza A or B virus Antigen)"]
define "Newly Admitted Influenza Patient IDs":
"Get Confirmed Patient IDs"( "Newly Admitted Encounters", "Influenza Observations" )
define "Count Confirmed Influenza Patients in Bed Location":
Count(
"Get Confirmed Patient IDs"( "Encounters", "Influenza Observations" )
)
define "RSV Observations":
[Observation: "RSV (Tests for RSV Antigen)"]
union [Observation: "RSV (Tests for RSV Nucleic Acid)"]
define "Newly Admitted RSV Patient IDs":
"Get Confirmed Patient IDs"( "Newly Admitted Encounters", "RSV Observations" )
define "Count Confirmed RSV Patients in Bed Location":
Count(
"Get Confirmed Patient IDs"( "Encounters", "RSV Observations" )
)
define "IsBedLocation":
Location.physicalType ~ "Bed"
define "Encounters":
[Encounter]
define "Devices":
[Device]
define "Newly Admitted Encounters":
"Encounters" Encounters
where Encounters.status in { 'in-progress', 'arrived', 'triaged' }
define "Patients":
[Patient]
define function "Get Confirmed Patient IDs"( Encounters List<FHIR.Encounter>, Observations List<FHIR.Observation> ):
Distinct(
Encounters Encounter
where exists(
Observations Labs
where exists(
Labs.category category
where category ~ "laboratory"
)
and Encounter.subject = Labs.subject
and Labs.value ~ "detected"
and "Normalize Interval"( Labs.effective ) overlaps Encounter.period
)
return Encounter.subject
)
define function "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( PatientIDs List<FHIR.Reference>, low System.Integer, high System.Integer ):
PatientIDs PatientID
where exists(
"Patients" Patients
let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
where Patients.id = GetId( PatientID.reference )
and PatientAge >= low
and PatientAge <= high
)
define function "Get Confirmed Patient IDs in Bed Location Above Specified Age"( PatientIDs List<FHIR.Reference>, age System.Integer ):
PatientIDs PatientID
where exists(
"Patients" Patients
let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
where Patients.id = GetId( PatientID.reference )
and PatientAge >= age
)
define function "Get Confirmed Patient IDs in Bed Location and Unknown Age"( PatientIDs List<FHIR.Reference> ):
PatientIDs PatientID
where exists(
"Patients" Patients
where Patients.id = GetId( PatientID.reference )
and Patients.birthDate = null
)
define function "GetCondition"( reference Reference ):
singleton from (
[Condition] Conditions
where Conditions.id = GetId( reference.reference )
)
define function "GetId"( uri String ):
Last(Split(uri, '/'))
define function "Normalize Interval"( choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant> ):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
else
null as Interval<DateTime>
end
define "EncounterCheck":
exists("Encounters" Encounters
where Encounters.period overlaps "Measurement Period")
define "LocationIsHOSP":
exists(
Location.type types
where types ~ "HOSP"
)
define "LocationIsIPF":
exists(
Location.type types
where types ~ "IPF"
)
define "LocationIsIRF":
exists(
Location.type types
where types ~ "IRF"
)
define "LocationIsCHLD":
exists(
Location.type types
where types ~ "CHLD"
)
define "LocationIsOTH":
exists(
Location.type types
where types ~ "OTH"
)</code></pre></td></tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pher"/>
</extension>
<url value="http://hl7.org/fhir/us/safr/Library/HRDMeasure"/>
<version value="1.0.0"/>
<name value="HRDMeasure"/>
<status value="draft"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2025-12-23T19:38:58+00:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<name value="HL7 International / Public Health"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<content>
<contentType value="text/cql"/>
<data
value="library HRDMeasure version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers

// Terminology definitions
codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LocationPhysicalType": 'http://terminology.hl7.org/CodeSystem/location-physical-type'
codesystem "HealthcareCapacity": 'http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes'
codesystem "Observation Category": 'http://terminology.hl7.org/CodeSystem/observation-category'

// Value sets
valueset "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142'
valueset "COVID_19 (Tests for SARS_CoV_2 Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158'
valueset "Influenza (Tests for influenza A or B virus Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336'
valueset "Influenza (Tests for influenza A or B virus Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.337'
valueset "RSV (Tests for RSV Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1311'
valueset "RSV (Tests for RSV Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312'

//Codes
code "Bed": 'bd' from "LocationPhysicalType" display 'Bed'

code "HOSP": 'HOSP' from "HealthcareCapacity" display 'Hospital'
code "IRF": 'IRF' from "HealthcareCapacity" display 'Inpatient Rehabilitation'
code "IPF": 'IPF' from "HealthcareCapacity" display 'Inpatient Psychiatric'
code "CHLD": 'CHLD' from "HealthcareCapacity" display 'Children\'s or Pediatric'
code "OTH": 'OTH' from "HealthcareCapacity" display 'Other facility-within-facility or subunit'

code "laboratory": 'laboratory' from "Observation Category" display 'Laboratory'

code "detected": '260373001' from "SNOMEDCT" display 'Detected'
code "N95 mask": '409533008' from "SNOMEDCT" display 'Air-purifying respirator (physical object)'
code "Surgical mask": '409528009' from "SNOMEDCT" display 'Surgical face mask (physical object)'
code "Face shield": '706724001' from "SNOMEDCT" display 'Face shield (physical object)'
code "Patient gown": '1141676007' from "SNOMEDCT" display 'Patient gown (physical object)'
code "Surgical glove": '462245005' from "SNOMEDCT" display 'Nitrile surgical glove, powdered (physical object)'

// Parameter for measurement period
parameter "Measurement Period" Interval<Date>
  default Interval[@2025-03-01, @2025-03-07]

context Location

//Initial Populations
define "Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and (
    LocationIsIPF
    or LocationIsIRF
    or LocationIsCHLD
  )

define "Occupied Inpatient Beds Initial Population":
  "Inpatient Beds Initial Population"
  and EncounterCheck
  
define "Adult Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and (
    LocationIsIPF
    or LocationIsIRF
  )
  and not LocationIsCHLD

define "Occupied Adult Inpatient Beds Initial Population":
  "Adult Inpatient Beds Initial Population"
  and EncounterCheck

define "Pediatric Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and LocationIsCHLD
  and not (
    LocationIsIPF
    or LocationIsIRF
  )

define "Occupied Pediatric Inpatient Beds Initial Population":
  "Pediatric Inpatient Beds Initial Population"
  and EncounterCheck

define "ICU Beds Initial Population":
  IsBedLocation
  and (
    LocationIsHOSP
    or LocationIsOTH
  )

define "Occupied ICU Beds Initial Population":
  "ICU Beds Initial Population"
  and EncounterCheck

define "Adult ICU Beds Initial Population":
  IsBedLocation
  and (
    LocationIsHOSP
    or LocationIsOTH
  )
  and not LocationIsCHLD

define "Occupied Adult ICU Beds Initial Population":
  "Adult ICU Beds Initial Population"
  and EncounterCheck

define "Pediatric ICU Beds Initial Population":
  IsBedLocation
  and LocationIsCHLD
  and (
    LocationIsHOSP
    or LocationIsOTH
  )

define "Occupied Pediatric ICU Beds Initial Population":
  "Pediatric ICU Beds Initial Population"
  and EncounterCheck

//Stratifiers
//COVID_19
define "Adult Inpatient COVID_19 Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Pediatric Inpatient COVID_19 Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Adult ICU COVID_19 Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Pediatric ICU COVID_19 Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "New Pediatric COVID_19 Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs" , 0, 4 )
  )

define "New Pediatric COVID_19 Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 5, 17 )
  )

define "New Adult COVID_19 Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 18, 49 )
  )

define "New Adult COVID_19 Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 50, 64 )
  )

define "New Adult COVID_19 Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 65, 74 )
  )

define "New Adult COVID_19 Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted COVID_19 Patient IDs", 75 )
  )

define "New COVID_19 Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted COVID_19 Patient IDs" )
  )
  
//Influenza
define "Adult Inpatient Influenza Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Pediatric Inpatient Influenza Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Adult ICU Influenza Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Pediatric ICU Influenza Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "New Pediatric Influenza Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs" , 0, 4 )
  )

define "New Pediatric Influenza Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 5, 17 )
  )

define "New Adult Influenza Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 18, 49 )
  )

define "New Adult Influenza Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 50, 64 )
  )

define "New Adult Influenza Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 65, 74 )
  )

define "New Adult Influenza Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted Influenza Patient IDs", 75 )
  )

define "New Influenza Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted Influenza Patient IDs" )
  )

//RSV
define "Adult Inpatient RSV Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Pediatric Inpatient RSV Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Adult ICU RSV Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Pediatric ICU RSV Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "New Pediatric RSV Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs" , 0, 4 )
  )

define "New Pediatric RSV Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 5, 17 )
  )

define "New Adult RSV Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 18, 49 )
  )

define "New Adult RSV Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 50, 64 )
  )

define "New Adult RSV Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 65, 74 )
  )

define "New Adult RSV Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted RSV Patient IDs", 75 )
  )

define "New RSV Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted RSV Patient IDs" )
  )

//Devices (Supply is divided by average used per day (estimated))
define "N95 Mask Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "N95 mask"
  ) / 10 )

define "N95 Mask 3 Day Supply Initial Population":
  "N95 Mask Supply in Days Stratifier" > 3

define "OR Surgical Mask Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Surgical mask"
  ) / 10 )

define "OR Surgical Mask 3 Day Supply Initial Population":
  "OR Surgical Mask Supply in Days Stratifier" > 3

define "Face Shield Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Face shield"
  ) / 10 )

define "Face Shield 3 Day Supply Initial Population":
  "Face Shield Supply in Days Stratifier" > 3

define "Gown Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Patient gown"
  ) / 5 )

define "Gown 3 Day Supply Initial Population":
  "Gown Supply in Days Stratifier" > 3

define "Glove Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Surgical glove"
  ) / 15 )

define "Glove 3 Day Supply Initial Population":
  "Glove Supply in Days Stratifier" > 3

//Functions and Helpers
define "COVID_19 Observations":
  [Observation: "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)"] 
    union [Observation: "COVID_19 (Tests for SARS_CoV_2 Antigen)"]

define "Newly Admitted COVID_19 Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "COVID_19 Observations" )

define "Count Confirmed COVID_19 Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "COVID_19 Observations" )
  )

define "Influenza Observations":
  [Observation: "Influenza (Tests for influenza A or B virus Nucleic Acid)"] 
    union [Observation: "Influenza (Tests for influenza A or B virus Antigen)"]

define "Newly Admitted Influenza Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "Influenza Observations" )

define "Count Confirmed Influenza Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "Influenza Observations" )
  )

define "RSV Observations":
  [Observation: "RSV (Tests for RSV Antigen)"] 
    union [Observation: "RSV (Tests for RSV Nucleic Acid)"]

define "Newly Admitted RSV Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "RSV Observations" )

define "Count Confirmed RSV Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "RSV Observations" )
  )

define "IsBedLocation":
  Location.physicalType ~ "Bed"

define "Encounters":
  [Encounter]

define "Devices":
  [Device]

define "Newly Admitted Encounters":
  "Encounters" Encounters
  where Encounters.status in { 'in-progress', 'arrived', 'triaged' }

define "Patients":
  [Patient]

define function "Get Confirmed Patient IDs"( Encounters List<FHIR.Encounter>, Observations List<FHIR.Observation> ):
  Distinct(
    Encounters Encounter
    where exists(
      Observations Labs
      where exists(
        Labs.category category
        where category ~ "laboratory"
      )
      and Encounter.subject = Labs.subject
      and Labs.value ~ "detected"
      and "Normalize Interval"( Labs.effective ) overlaps Encounter.period
    )
    return Encounter.subject
  )

define function "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( PatientIDs List<FHIR.Reference>, low System.Integer, high System.Integer ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
    where Patients.id = GetId( PatientID.reference )
    and PatientAge >= low
    and PatientAge <= high
  )

define function "Get Confirmed Patient IDs in Bed Location Above Specified Age"( PatientIDs List<FHIR.Reference>, age System.Integer ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
    where Patients.id = GetId( PatientID.reference )
    and PatientAge >= age
  )

define function "Get Confirmed Patient IDs in Bed Location and Unknown Age"( PatientIDs List<FHIR.Reference> ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    where Patients.id = GetId( PatientID.reference )
    and Patients.birthDate = null
  )

define function "GetCondition"( reference Reference ):
  singleton from (
	[Condition] Conditions
		where Conditions.id = GetId( reference.reference )
  )

define function "GetId"( uri String ):
  Last(Split(uri, '/'))

define function "Normalize Interval"( choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant> ):
  case
	  when choice is FHIR.dateTime then
    	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
		when choice is FHIR.Period then
  		FHIRHelpers.ToInterval(choice as FHIR.Period)
		when choice is FHIR.instant then
			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
		when choice is FHIR.Timing then
		  Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
		else
			null as Interval<DateTime>
	end

define "EncounterCheck":
  exists("Encounters" Encounters
  where Encounters.period overlaps "Measurement Period")

define "LocationIsHOSP":
  exists(
    Location.type types
    where types ~ "HOSP"
  )

define "LocationIsIPF":
  exists(
    Location.type types
    where types ~ "IPF"
  )

define "LocationIsIRF":
  exists(
    Location.type types
    where types ~ "IRF"
  )

define "LocationIsCHLD":
  exists(
    Location.type types
    where types ~ "CHLD"
  )

define "LocationIsOTH":
  exists(
    Location.type types
    where types ~ "OTH"
  )"/>
</content>
</Library>
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.safr#1.0.0 based on FHIR 4.0.1. Generated 2025-12-23
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