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 dQM Evaluation Engine acts as a US Core Client, a DEQM Reporter Client, and implements the $evaluation-measure operation

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 dQM 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

This statement defines the expected capabilities of a system at NHSN that stores FHIR resources such as Measure, Library, ValueSet, etc. that are used for dQM Reporting. The dQM 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 that receives MeasureReport bundles from the dQM 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.

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 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.

This Bundle resource is an example of a Bed Capacity Measure Bundle.

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

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

US Situational Awareness Framework for Reporting - Hospital Respiratory Data Measure

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

This library contains CQL logic for evaluating structural measures related to bed capacity reporting capabilities.

Example of a bed capacity measure for ICU, ED, and Pediatric beds 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