Situational Awareness for Novel Epidemic Response
0.1.0 - STU Ballot
Situational Awareness for Novel Epidemic Response
0.1.0 - STU Ballot
This page is part of the Situational Awareness for Novel Epidemic Response (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Measure",
"id" : "ComputableCDCPatientImpactAndHospitalCapacity",
"meta" : {
"profile" : [
"http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Meta</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>Enables specification of proposed measure reporting</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/saner/Measure/ComputableCDCPatientImpactAndHospitalCapacity\">http://hl7.org/fhir/uv/saner/Measure/ComputableCDCPatientImpactAndHospitalCapacity</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: ComputableCDCPatientImpactAndHospitalCapacity</p><p><b>title</b>: Patient Impact and Hospital Capacity</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: Oct 19, 2020 9:09:16 PM</p><p><b>publisher</b>: HL7 International Public Health Workgroup</p><p><b>contact</b>: <a href=\"http://hl7.org/Special/committees/pher/index.cfm\">http://hl7.org/Special/committees/pher/index.cfm</a>, <a href=\"mailto:pher@lists.hl7.org\">pher@lists.hl7.org</a>, HL7 Public Health Workgroup: <a href=\"http://hl7.org/Special/committees/pher/index.cfm\">http://hl7.org/Special/committees/pher/index.cfm</a>, Keith W. Boone: <a href=\"mailto:mailto:kboone@ainq.com\">mailto:kboone@ainq.com</a></p><p><b>description</b>: This measure demonstrates automated reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.\nIt is used to illustrate automation of measure reporting using the SANER Implementation guide.</p><h3>UseContexts</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title=\"Codes: {http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">World</span></p><p><b>author</b>: Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): <a href=\"mailto:mailto:nhsn@cdc.gov\">mailto:nhsn@cdc.gov</a></p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table><p><b>library</b>: <a href=\"http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary\">http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary</a></p><p><b>definition</b>: <dl><dt>Ventilator</dt>\n<dd>Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive\npressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.\nNote: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and\nPEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators\nunless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).\n</dd>\n<dt>Beds</dt>\n<dd>Baby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.\n</dd>\n<dt>ICU beds</dt>\n<dd>Include NICU</dd>\n</dl></p><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Encounter}, {http://snomed.info/sct 398284004}\">Patient in room</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring queue-length}\">Queue Length</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}\">Structure</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: point-in-time</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Encounters}\">Hospital COVID-19 Patient Encounters Reporting</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19Pats}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Patients with suspected or confirmed COVID-19 in any location.</span></p><p><b>description</b>: Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\n or a Condition of suspected or confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\n or clinically diagnosed COVID-19.\n\nConfirmed\n: A patient with a laboratory confirmed COVID-19 diagnosis\n\nSuspected\n: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Location and Ventilator Status</span></p><p><b>description</b>: Stratifies the population by Location (inpatient vs ED/Overflow/Other) and Ventilator Status (Ventilated vs Not Ventilated)</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Patient}, {http://snomed.info/sct 116154003|Patient|: 20401003|With| = (840539006|Disease caused by 2019 novel coronavirus|: 246512002|Timing| = 277056009|Hospital Acquired|)}\">Hospital Acquired COVID-19</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring event-growth}\">Event Growth</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem AcquiredCovid}\">Hospital Onset COVID-19 Patient Encounters Reporting</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19HospPats}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Patients with suspected or confirmed COVID-19 in an inpatient location</span></p><p><b>description</b>: Patients with suspected or confirmed COVID-19 in an inpatient location</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19HOPats}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Hospital Onset COVID-19 Patients</span></p><p><b>description</b>: Hospital Onset COVID-19 Patients</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues cumC19HOPats}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Cumulative Hospital Onset COVID-19 Patients</span></p><p><b>description</b>: Cumulative Hospital Onset COVID-19 Patients</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Age Group</span></p><p><b>description</b>: Stratifies the population by Age Group</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Gender</span></p><p><b>description</b>: Stratifies the population by Gender</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Ethnicity</span></p><p><b>description</b>: Stratifies the population by Ethnicity</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Race</span></p><p><b>description</b>: Stratifies the population by Race</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Patient}, {http://snomed.info/sct 419620001}\">Patients with conformed or suspected COVID-19 who have died</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring event-growth}\">Event Growth</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: cumulative</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem CovidDeaths}\">COVID-19 Patient Death Reporting</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19Pats}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Patients with suspected or confirmed COVID-19 in any location.</span></p><p><b>description</b>: Patients with suspected or confirmed COVID-19 in any location.</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19Died}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location</span></p><p><b>description</b>: Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues cumC19Died}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location</span></p><p><b>description</b>: Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Age Group</span></p><p><b>description</b>: Stratifies the population by Age Group</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Gender</span></p><p><b>description</b>: Stratifies the population by Gender</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Ethnicity</span></p><p><b>description</b>: Stratifies the population by Ethnicity</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Race</span></p><p><b>description</b>: Stratifies the population by Race</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Device}, {http://snomed.info/sct 257463002}\">Ventilator capacity</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring capacity}\">Capacity</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}\">Structure</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: point-in-time</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Ventilators}\">Ventilator Reporting</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numVent}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Total number of ventilators</span></p><p><b>description</b>: Count of all ventilators that can support patient care, whether or not they are presently in use.</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numVentUse}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Total number of ventilators in use</span></p><p><b>description</b>: Count of all ventilators in use.</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numVentAvail}, {http://hl7.org/fhir/uv/saner/CodeSystem/MeasurePopulationSystem numerator-complement}\">Total number of ventilators not presently in use.</span></p><p><b>description</b>: Count of all ventilators not presently in use.</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Device}, {http://snomed.info/sct 91537007}\">Bed capacity</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring capacity}\">Capacity</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}\">Structure</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: point-in-time</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Beds}\">Bed Reporting</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numTotBeds}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Total number of beds</span></p><p><b>description</b>: Total number of all Inpatient and outpatient beds, including all staffed, ICU,\nlicensed, and overflow (surge) beds used for inpatients or outpatients</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numTotBedsOcc}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Total number of beds in use</span></p><p><b>description</b>: Total number of all Inpatient and outpatient beds that are occupied</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numTotBedsAvail}, {http://hl7.org/fhir/uv/saner/CodeSystem/MeasurePopulationSystem numerator-complement}\">Total number of hospital beds available</span></p><p><b>description</b>: Total number of all hospital inpatient and outpatient beds that are available</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Type of Location</span></p><p><b>description</b>: Inpatient Non-ICU, Inpatient ICU, Other</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
"valueTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
],
"url" : "http://hl7.org/fhir/uv/saner/Measure/ComputableCDCPatientImpactAndHospitalCapacity",
"version" : "0.1.0",
"name" : "ComputableCDCPatientImpactAndHospitalCapacity",
"title" : "Patient Impact and Hospital Capacity",
"status" : "draft",
"experimental" : true,
"date" : "2020-10-19T21:09:16+00:00",
"publisher" : "HL7 International Public Health Workgroup",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/Special/committees/pher/index.cfm"
}
]
},
{
"telecom" : [
{
"system" : "email",
"value" : "pher@lists.hl7.org"
}
]
},
{
"name" : "HL7 Public Health Workgroup",
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/Special/committees/pher/index.cfm"
}
]
},
{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "mailto:kboone@ainq.com"
}
]
}
],
"description" : "This measure demonstrates automated reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.\nIt is used to illustrate automation of measure reporting using the SANER Implementation guide.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"author" : [
{
"name" : "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)",
"telecom" : [
{
"system" : "email",
"value" : "mailto:nhsn@cdc.gov"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"label" : "NHSN COVID-19 Reporting",
"display" : "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"
},
{
"type" : "documentation",
"label" : "How to import COVID-19 Summary Data",
"display" : "Importing COVID-19 Patient Module Denominator data for Patient Safety Component",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"
},
{
"type" : "documentation",
"label" : "Table of Instructions",
"display" : "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"
},
{
"type" : "documentation",
"label" : "CSV File Template",
"display" : "CDC/NHSN COVID-19 Reporting CSV File Template",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"
}
],
"library" : [
"http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary"
],
"definition" : [
"<dl><dt>Ventilator</dt>\n<dd>Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive\npressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.\nNote: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and\nPEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators\nunless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).\n</dd>\n<dt>Beds</dt>\n<dd>Baby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.\n</dd>\n<dt>ICU beds</dt>\n<dd>Include NICU</dd>\n</dl>"
],
"group" : [
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Encounter"
},
{
"system" : "http://snomed.info/sct",
"code" : "398284004",
"display" : "Patient in room"
}
],
"text" : "Patient in room"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "queue-length"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "point-in-time"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "Encounters",
"display" : "Encounters"
}
],
"text" : "Hospital COVID-19 Patient Encounters Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numC19Pats",
"display" : "All COVID-19 Confirmed or Suspected Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Patients with suspected or confirmed COVID-19 in any location."
},
"description" : "Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\n or a Condition of suspected or confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\n or clinically diagnosed COVID-19.\n\nConfirmed\n: A patient with a laboratory confirmed COVID-19 diagnosis\n\nSuspected\n: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).",
"criteria" : {
"description" : "This expression finds encounters that were active or finished in the reporting period, and their referenced Patient, Condition and Observation resources.\nIt filters these based on cases where Encounter reports a reason or condition in the SuspectedOrConfirmedCOVID19Diagnoses value set, or\nwhere a positive lab test from the Covid19Labs valueset, or where the patient has any such associated Condition or Observation resources\nin the prior two weeks.",
"name" : "NumC19Pats",
"language" : "text/fhirpath",
"expression" : "All('Encounter',\n including('subject','condition','reasonReference'),\n with('status').equalTo('in-progress'|'finished'),\n with('date').within(%ReportingPeriod)\n ).onServers(%Base).\n where(\n iif(myMemberOf((Encounter.reasonCode | Condition.code), %SuspectedOrConfirmedCOVID19Diagnoses.url) |\n Observation.where((myMemberOf(code, %Covid19Labs.url) and myMemberOf(value, %PositiveResults.url))\n ), true,\n iif(\n Patient.distinct()\n .whereExists('Observation',\n for('patient', $this),\n with('status').equalTo(\n 'registered' | 'preliminary' | 'final' | 'amended' | 'corrected'),\n with('date').greaterThan(%ReportingPeriod.start - 14 'days'),\n with('code').in(%CovidLabs),\n with('value-concept).in(%PositiveResults)\n ).onServers(%Base), true,\n Patient.distinct()\n .whereExists('Condition',\n for('patient', $this),\n with('verification-status').notEqualTo('refuted'|'entered-in-error').\n with('date').greaterThan(%ReportingPeriod.start - 14 'days'),\n with('code').in(%SuspectedOrConfirmedCOVID19Diagnoses.url)\n ).exists()\n )\n )\n)\n.distinct()\n.aggregate(\n iif($total.subject contains $this.subject,\n $total, $total | $this\n )\n)"
}
}
],
"stratifier" : [
{
"code" : {
"text" : "By Location and Ventilator Status"
},
"description" : "Stratifies the population by Location (inpatient vs ED/Overflow/Other) and Ventilator Status (Ventilated vs Not Ventilated)",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "iif(%NumVentUse.id contains Encounter.subject,\n iif(myMemberOf(Encounter.location.location.resolve().type, %InpatientLocations.url), 'InpVentilated', 'OFVentilated'),\n iif(myMemberOf(Encounter.location.location.resolve().type, %InpatientLocations.url), 'InpNotVentilated', 'OFNotVentilated')\n)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Patient"
},
{
"system" : "http://snomed.info/sct",
"code" : "116154003|Patient|: 20401003|With| = (840539006|Disease caused by 2019 novel coronavirus|: 246512002|Timing| = 277056009|Hospital Acquired|)",
"display" : "Patient where With = Disease caused by 2019 novel coronavirus where Timing = Hospital acquired"
}
],
"text" : "Hospital Acquired COVID-19"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "event-growth"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "AcquiredCovid",
"display" : "Acquired COVID-19 in Hospital"
}
],
"text" : "Hospital Onset COVID-19 Patient Encounters Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numC19HospPats",
"display" : "Hospitalized COVID-19 Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Patients with suspected or confirmed COVID-19 in an inpatient location"
},
"description" : "Patients with suspected or confirmed COVID-19 in an inpatient location",
"criteria" : {
"description" : "Uses the value of NumC19Pat as the initial population",
"name" : "NumC19HospPats",
"language" : "text/fhirpath",
"expression" : "%NumC19Pats.entry.resource.location.location.resolve().where(myMemberOf(type, %InpatientLocations.url))"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numC19HOPats",
"display" : "Hospital Onset COVID-19 Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Hospital Onset COVID-19 Patients"
},
"description" : "Hospital Onset COVID-19 Patients",
"criteria" : {
"description" : "Filters the initial population by ruling out those patients whose first suspected or\nconfirmed diagnosis or lab result appears less than 14 days from admission.",
"name" : "NumC19HOPats",
"language" : "text/fhirpath",
"expression" : "Encounter.where(\n iif(dateAdd(period.start,14 'days') > today(),\n false,\n iif(\n whereExists('Condition',\n with('status').notEqualTo('refuted'|'entered-in-error'),\n with('patient').equalTo($this.subject),\n with('verificationStatus').notEqualTo('refuted'|'entered-in-error'),\n with('date').greaterThan($this.period.start - 14 'days'),\n with('date').lessThanOrEqualTo($this.period.start - 14 'days'),\n with('code').in(%SuspectedOrConfirmedCOVID19Diagnoses.url)\n ).onServers(%Base),\n false,\n whereExists('Observation',\n with('status').equalTo('registered'|'preliminary'|'final'|'amended'|'corrected'),\n with('patient').equalTo($this.subject),\n with('date').greaterThan($this.period.start - 14 'days'),\n with('date').lessThanOrEqualTo($this.period.start - 14 'days'),\n with('code').in(%Covid19Labs.url)\n with('value-concept').in(%PositiveResults.url)\n ).onServers(%Base).not()\n )\n )\n).select(patient).resolve().trace('patients', id)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "cumC19HOPats",
"display" : "Cumulative Hospital Onset COVID-19 Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Cumulative Hospital Onset COVID-19 Patients"
},
"description" : "Cumulative Hospital Onset COVID-19 Patients",
"criteria" : {
"description" : "omputes the cumulative total from the prior measure report and the number of new\ninfections detected in the current reporting period.",
"name" : "CumC19HOPats",
"language" : "text/fhirpath",
"expression" : "iif(%PriorReport.empty(), 0, %PriorReport.group[1].population[2].count + %NumC19HOPats.total)"
}
}
],
"stratifier" : [
{
"code" : {
"text" : "By Age Group"
},
"description" : "Stratifies the population by Age Group",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.select(\n iif(dateAdd(birthDate, 20 'years') < today(), 'P0Y--P20Y',\n iif(dateAdd(birthDate, 30 'years') < today(), 'P20Y--P30Y',\n iif(dateAdd(birthDate, 40 'years') < today(), 'P30Y--P40Y',\n iif(dateAdd(birthDate, 50 'years') < today(), 'P40Y--P50Y',\n iif(dateAdd(birthDate, 60 'years') < today(), 'P50Y--P60Y',\n iif(dateAdd(birthDate, 70 'years') < today(), 'P60Y--P70Y',\n iif(dateAdd(birthDate, 80 'years') < today(), 'P70Y--P80Y', 'P80Y-P9999Y')\n )\n )\n )\n )\n )\n )\n)"
}
},
{
"code" : {
"text" : "By Gender"
},
"description" : "Stratifies the population by Gender",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.gender"
}
},
{
"code" : {
"text" : "By Ethnicity"
},
"description" : "Stratifies the population by Ethnicity",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.extension('http://hl7.org/fhir/us/core/StructureDefinition/us-ethnicity-category').extension('ombCategory').valueCoding.code"
}
},
{
"code" : {
"text" : "By Race"
},
"description" : "Stratifies the population by Race",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient\n.extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-race')\n.extension('ombCategory')\n.select(\n iif(valueCoding.count() > 1,\n 'Mixed',\n iif(valueCoding.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor',\n 'Unknown',\n valueCoding.code\n )\n )\n)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Patient"
},
{
"system" : "http://snomed.info/sct",
"code" : "419620001",
"display" : "Death"
}
],
"text" : "Patients with conformed or suspected COVID-19 who have died"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "event-growth"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "CovidDeaths",
"display" : "COVID-19 Deaths"
}
],
"text" : "COVID-19 Patient Death Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numC19Pats",
"display" : "All COVID-19 Confirmed or Suspected Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Patients with suspected or confirmed COVID-19 in any location."
},
"description" : "Patients with suspected or confirmed COVID-19 in any location.",
"criteria" : {
"description" : "COVID-19 Patients in an inpatient setting",
"language" : "text/fhirpath",
"expression" : "%NumC19Pats.entry.resource"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numC19Died",
"display" : "COVID-19 Patient Deaths"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location"
},
"description" : "Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location",
"criteria" : {
"description" : "Filters the initial population by selecting those who have died.",
"name" : "NumC19Died",
"language" : "text/fhirpath",
"expression" : "Encounter.where(\n iif(\n hospitalization.where(\n myMemberOf(dispositionCode, %PatientExpired)\n ),\n true,\n subject.resolve().where(deceasedBoolean = true | deceasedDateTime.exists())\n )\n).select(subject).resolve()"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "cumC19Died",
"display" : "Cumulative COVID-19 Patient Deaths"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location"
},
"description" : "Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location",
"criteria" : {
"description" : "Computes the cumulative total from the prior measure report and the number of new deaths in the current reporting period.",
"name" : "CumC19Died",
"language" : "text/fhirpath",
"expression" : "iif(%PriorReport.empty(), 0, %PriorReport.group[2].population[2].count + %NumC29Died.count())"
}
}
],
"stratifier" : [
{
"code" : {
"text" : "By Age Group"
},
"description" : "Stratifies the population by Age Group",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.select(\n iif(dateAdd(birthDate, 20 'years') < today(), 'P0Y--P20Y',\n iif(dateAdd(birthDate, 30 'years') < today(), 'P20Y--P30Y',\n iif(dateAdd(birthDate, 40 'years') < today(), 'P30Y--P40Y',\n iif(dateAdd(birthDate, 50 'years') < today(), 'P40Y--P50Y',\n iif(dateAdd(birthDate, 60 'years') < today(), 'P50Y--P60Y',\n iif(dateAdd(birthDate, 70 'years') < today(), 'P60Y--P70Y',\n iif(dateAdd(birthDate, 80 'years') < today(), 'P70Y--P80Y', 'P80Y-P9999Y')\n )\n )\n )\n )\n )\n )\n)"
}
},
{
"code" : {
"text" : "By Gender"
},
"description" : "Stratifies the population by Gender",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.gender"
}
},
{
"code" : {
"text" : "By Ethnicity"
},
"description" : "Stratifies the population by Ethnicity",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient.extension('http://hl7.org/fhir/us/core/StructureDefinition/us-ethnicity-category').extension('ombCategory').valueCoding.code"
}
},
{
"code" : {
"text" : "By Race"
},
"description" : "Stratifies the population by Race",
"criteria" : {
"language" : "text/fhirpath",
"expression" : "Patient\n.extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-race')\n.extension('ombCategory')\n.select(\n iif(valueCoding.code contains '1992-5', 'A', ' ') +\n iif(valueCoding.code contains '2054-5', 'B', ' ') +\n iif(valueCoding.code contains '2076-8', 'H', ' ') +\n iif(valueCoding.code contains '2028-9', 'S', ' ') +\n iif(valueCoding.code contains '2106-3', 'W', ' ')\n)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Device"
},
{
"system" : "http://snomed.info/sct",
"code" : "257463002",
"display" : "Ventilator Outlet"
}
],
"text" : "Ventilator capacity"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "capacity"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "point-in-time"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "Ventilators",
"display" : "Ventilators"
}
],
"text" : "Ventilator Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numVent",
"display" : "Mechanical Ventilators"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Total number of ventilators"
},
"description" : "Count of all ventilators that can support patient care, whether or not they are presently in use.",
"criteria" : {
"description" : "Computes the total number of ventilators from the previously reported MeasureReport",
"name" : "NumVent",
"language" : "text/fhirpath",
"expression" : "iif(trace('PriorReport exists:', %PriorReport.exists()), %PriorReport.group[3].population[0].count, 0)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numVentUse",
"display" : "Mechanical Ventilators in Use"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Total number of ventilators in use"
},
"description" : "Count of all ventilators in use.",
"criteria" : {
"description" : "dentifies the number of ventilators in use by counting Patient with an Observation\nor Procedure resource from an appropriate value set indicating ventilator use.",
"name" : "NumVentUse",
"language" : "text/fhirpath",
"expression" : "findAll('Encounter',\n including('subject'),\n with('status').equalTo('in-progress'|'finished'),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)\n.select(entry.resource as Patient)\n.where(\n iif(\n whereExists('Observation',\n with('status').equalTo('registered'|'preliminary'|'final'|'amended'|'corrected'),\n with('patient').equalTo($this.id),\n with('verificationStatus').notEqualTo('refuted'|'entered-in-error'),\n with('date').within(%ReportingPeriod),\n with('code').in(%VentilatorObservations.url)\n ).onServers(%Base)\n true,\n whereExists('Procedure',\n with('status').equalTo('in-progress'|'completed'),\n with('patient').equalTo($this.id),\n with('date').within(%ReportingPeriod),\n with('code').in(%VentilatorProcedures.url)\n ).onServers(%Base)\n )\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numVentAvail",
"display" : "Mechanical Ventilators Available"
},
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasurePopulationSystem",
"code" : "numerator-complement"
}
],
"text" : "Total number of ventilators not presently in use."
},
"description" : "Count of all ventilators not presently in use.",
"criteria" : {
"description" : "omputes the number of ventilators available by substracting the number of ventilators in use\ndetermined by population 1 from thee total number of ventilators given in population 0",
"name" : "NumVentAvail",
"language" : "text/fhirpath",
"expression" : "%NumVent - %NumVentUse.total.toInteger()"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Device"
},
{
"system" : "http://snomed.info/sct",
"code" : "91537007",
"display" : "Hospital Bed"
}
],
"text" : "Bed capacity"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring",
"code" : "capacity"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "point-in-time"
}
],
"url" : "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"code" : "Beds",
"display" : "Beds"
}
],
"text" : "Bed Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numTotBeds",
"display" : "All Hospital Beds"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Total number of beds"
},
"description" : "Total number of all Inpatient and outpatient beds, including all staffed, ICU,\nlicensed, and overflow (surge) beds used for inpatients or outpatients",
"criteria" : {
"description" : "Computes the total number of beds from the previously reported MeasureReport",
"name" : "NumTotBeds",
"language" : "text/fhirpath",
"expression" : "iif(%PriorReport.exists(),%PriorReport.group[3].population[0].count,0)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numTotBedsOcc",
"display" : "Hospital Beds Occupied"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Total number of beds in use"
},
"description" : "Total number of all Inpatient and outpatient beds that are occupied",
"criteria" : {
"description" : "Identifies the number of beds in use by counting the most recent Encounter for each patient where the encounter\nwas in-progress or finished within the period.",
"name" : "NumTotBedsOcc",
"language" : "text/fhirpath",
"expression" : "findAll('Encounter',\n with('status').equalTo('in-progress'),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)\n.aggregate(\n iif($total.select(location[0]).location contains $this.location.location.first(),\n $total,\n $total | $this\n )\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"code" : "numTotBedsAvail",
"display" : "Hospital Beds Available"
},
{
"system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasurePopulationSystem",
"code" : "numerator-complement"
}
],
"text" : "Total number of hospital beds available"
},
"description" : "Total number of all hospital inpatient and outpatient beds that are available",
"criteria" : {
"description" : "omputes the number of beds available by substracting the number of beds in use\ndetermined by population 1 from the total number of beds given in population 0",
"name" : "NumTotBedsAvail",
"language" : "text/fhirpath",
"expression" : "%NumTotBeds - %NumTotBedsOcc.count()"
}
}
],
"stratifier" : [
{
"code" : {
"text" : "By Type of Location"
},
"description" : "Inpatient Non-ICU, Inpatient ICU, Other",
"criteria" : {
"description" : "Determines the location of the encounter based on the membership\nof location.type in the InpatientLocations and ICULocations ValueSet resources.\nWhen location.type is assigned to any other value, it is reported to be Other",
"language" : "text/fhirpath",
"expression" : "Encounter.location.location.resolve()\n.iif(myMemberOf(type, %InpatientLocations.url),\n iif (myMemberOf(type, %ICULocations.url),\n 'Inpatient ICU',\n 'Inpatient Non-ICU'\n ),\n 'Other'\n)"
}
}
]
}
]
}
IG © 2020+ HL7 International Public Health Workgroup. Package hl7.fhir.uv.saner#0.1.0 based on FHIR 4.0.1. Generated 2020-10-19
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