US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0 - STU 1 ballot United States of America flag

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

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Knowledge Artifacts: Measure

These define measures as part of content in this implementation guide.

Bed Capacity

Bed Capacity Measure includes counts of specific bed types within the context of a given healthcare context or setting.
HRD Measure

HRD Measure description.

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

BedCapacityMeasure
HRDMeasure

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

US SAFR Measure Bundle

This profile defines a Bundle provided by the MeasureServer containing a Measure resource and enables the inclusion of all related resources (ValueSet, Library, etc.).

If this fails, use the following FHIRPath expression to discover missing resources: Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).where((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')).not())
US SAFR Measure Report Bundle

This profile defines a valid submission bundle to NHSN, federal and jurisdictional Public Health Agencies including State, Tribal, Local and Territorial (STLT) Health Departments with all resources contained within. The Bundle is comprised of entry slices representing the data submitting organization, submitting device, and individual MeasureReports.

If this fails, use the following FHIRPath expression to discover missing resources: Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).where((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')).not())
US SAFR Submitting Organization

This profile includes the name and identifier of the organization submitting the report Bundle, and may include other information about the organization.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Healthcare Bed Capacity Reporting Code System

This CodeSystem defines coded concepts for Healthcare Capacity reporting to US SAFR. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.
Healthcare Bed Capacity Reporting Group Code System

This CodeSystem defines coded concepts for Healthcare Capacity Group reporting to US SAFR. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.
Hospital Respiratory Data Reporting Code System

This CodeSystem defines coded concepts for Hospital Respiratory Data reporting for US SAFR IG. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.
Hospital Respiratory Data Supply Days Code System

This CodeSystem defines coded concepts for supply days in Hospital Respiratory Data reporting for US SAFR IG. This is an example CodeSystem and is experimental, and is expected to be replaced when a permanent location is identified.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Bundle - Bed Capacity Report Bundle Example

Bundle containing a measure report and all referenced resources for NHSN bed capacity reporting.
Bundle - HRD Measure Report Bundle Example

Bundle containing a measure report and all referenced resources for NHSN Hospital Respiratory Disease (HRD) reporting
Children's Bed 4

A bed located in the Children's Department of the hospital.
Device - CQF Tooling System Example

Example of a Software System Device instance for describing tooling that was used to process artifacts.
Emergency Dept. Bed 1

A bed located in the Emergency Department.
Encounter - Example ACH Pass2 - Emergency

Encounter - Example ACH Pass2 - Emergency department visit
Inpatient Psychiatric Bed 3

A bed located in the Inpatient Psychiatric Department of the hospital.
Inpatient Rehabilitation Bed 2

A bed located in Inpatient Rehabilitation department of the hospital.
Intensive Care Unit Bed 6

A bed located in the ICU Unit of the hospital.
Library - HRD Measure Example

This library contains CQL logic for evaluating structural measures related to hospital respiratory disease reporting capabilities
Location - Hospital Facility Example

Example of a Hospital Facility for NHSN reporting.
MeasureReport - Bed Capacity MeasureReport Example

Example MeasureReport for NHSN bed capacity monitoring showing ICU, ED, and Pediatric bed capacity
MeasureReport - HRD MeasureReport Example

This Bundle resource is an example of a Hospital Respiratory Data (HRD) MeasureReport.
Organization - Submitting Hospital Organization Example

Organization - Example of a Submitting Hospital Organization
Other Facility Bed 3

A bed located in an subunit of the facility.
Patient - Example ED Patient 1
Pediatric Bed 7

A bed located in the Pediatrics Unit of the hospital.