This statement defines the expected capabilities of a system that aggregates data from multiple Data Source actors before measure evaluation and then plays the role of a Data Source once aggregation is complete. An example would be a state public health agency aggregating data from all facilities in the state before using those data to produce a MeasureReport containing bed capacity data for the entire state. When FHIR enabled, a Data Aggregator acts as a US Core Server when playing the role of a Data Source after aggregation. During aggregation, the Data Aggregator acts similar to the SANER options for aggregation, but implements its own CapabilityStatement due to the incompatibilities between DEQM and SANER.

This statement defines the expected capabilities of a system that retrieves data from the Data Source and evaluates those data against one or more measures retrieved from the Measure Source. The resulting MeasureReport bundle and related resources are then sent to the MeasureReport recipient. The Measure Evaluation Engine acts as a US Core Client, a DEQM Reporter Client, and implements the $evaluation-measure operation.

Note: FHIR queries are not always required. In the case, an EHR retrieves data from it’s own internal data store using non-FHIR methods or imports data from other systems that are not FHIR-enabled.

This statement defines the expected capabilities of a system containing data (typically patient data, but could be situational awareness data) that will be evaluated against one or more measures. This may be a FHIR server, an EHR with a FHIR endpoint (facade), an internal data store when the Data Source and Measure Evaluation Engine actors are played by the same system such as an EHR that does it’s own measure evaluation, or it may be a system containing other data such as situational awareness data that is reporting via CSV or other format. When FHIR enabled, the Data Source acts as a US Core Server.

Note: US Core Server is only needed for external evaluation engines. Examples of where this is not needed, is an EHR querying it’s own data source using proprietary data access methods.

This statement defines the expected capabilities of a system at NHSN, federal and jurisdictional Public Health Agencies including State, Tribal, Local and Territorial (STLT) Health Departments that stores FHIR resources such as Measure, Library, ValueSet, etc. that are used for Measure Reporting. The Measure Evaluation Engine queries the Measure Source for the latest Measure content before querying the Patient Data Source and performing measure evaluation. The Measure Source acts as a CQFM Publishable Measure Repository.

This statement defines the expected capabilities of a system at NHSN, federal and jurisdictional Public Health Agencies including State, Tribal, Local and Territorial (STLT) Health Departments that receives MeasureReport bundles from the Measure Evaluation Engine and validates the result against the profiles in this implementation guide, and potentially other measure-specific profiles that are distributed with the measures themselves. The MeasureReport Recipient acts as a DEQM Receiver Server, provides write access to Bundle resources containing MeasureReport and other related resources, and implements the $validate operation.

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

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())

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())

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

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.

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.

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.

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.

Bundle containing a measure report and all referenced resources for NHSN bed capacity reporting.

This Bundle resource is an example of a Hospital Respiratory Data (HRD) Measure Bundle.

Bundle containing a measure report and all referenced resources for NHSN Hospital Respiratory Disease (HRD) reporting

A bed located in the Children’s Department of the hospital.

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

A bed located in the Emergency Department.

Encounter - Example ACH Pass2 - Emergency department visit

US Situational Awareness Framework for Reporting - Hospital Respiratory Data Measure

A bed located in the Inpatient Psychiatric Department of the hospital.

A bed located in Inpatient Rehabilitation department of the hospital.

A bed located in the ICU Unit of the hospital.

This library contains CQL logic for evaluating structural measures related to hospital respiratory disease reporting capabilities

Example of a Hospital Facility for NHSN reporting.

Example of a Hospital Respiratory Disease (HRD) Measure for NHSN reporting.

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

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

Organization - Example of a Submitting Hospital Organization

A bed located in an subunit of the facility.

A bed located in the Pediatrics Unit of the hospital.