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

: FEMA Laboratory Orders and Results Daily Increase Reporting - JSON Representation

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{
  "resourceType" : "Measure",
  "id" : "FEMADailyHospitalCOVID19Reporting",
  "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/FEMADailyHospitalCOVID19Reporting\">http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: FEMADailyHospitalCOVID19Reporting</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><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>topic</b>: <span title=\"Codes: {http://snomed.info/sct 252318005}\">Immunology laboratory test (procedure)</span></p><p><b>author</b>: HL7 Public Health Workgroup: <a href=\"mailto:mailto:pher@lists.hl7.org\">mailto:pher@lists.hl7.org</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/StructureDefinition/FEMAMeasureLibrary\">http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary</a></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></p><p><b>rateAggregation</b>: count</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://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</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/resource-types ServiceRequest}, {http://snomed.info/sct 252318005}\">COVID-19 Diagnostic Testing</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 positiveIncreasePercent}\"># of new positive test results released / # of total new tests released for previous date queried</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues totalOrdersIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Midnight to midnight cutoff, tests ordered on previous date queried</span></p><p><b>description</b>: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</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 totalTestResultsIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Midnight to midnight cutoff, test results released on previous date queried</span></p><p><b>description</b>: nter the number of results recieved/generated during the reporting period.\nDo not include results where the test could not be completed because the specimen\nwas rejected or a positive/negative result could not be established</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 positiveIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Midnight to midnight cutoff, positive test results released on previous date queried</span></p><p><b>description</b>: Enter the number of positive test results released during the reporting period.</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://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</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/resource-types ServiceRequest}, {http://snomed.info/sct 252318005}\">COVID-19 Cumulative Diagnostic Testing</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 positivePercent}\"># of total positive results to released date / # of total tests results released to date</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues totalOrders}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">All tests ordered to date.</span></p><p><b>description</b>: Enter the cumulative number of tests ordered to date.</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 rejected}, {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">All specimens rejected for testing to date</span></p><p><b>description</b>: Enter the cumulative number of specimens rejected for testing to date.</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 totalTestResults}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">All tests with results released to date</span></p><p><b>description</b>: nter the total number tests with results released to date. Do not include tests where a\npositive/negative result could not be determined (e.g., because the specimen was inadequate).</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 positive}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">All positive test results released to date</span></p><p><b>description</b>: Enter the total number of positive test results release to date.</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 allReports}\">Reports to date including corrected, amended and canceled reports</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</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 latestReports}\">Latest Reports to date for each order</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</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/FEMADailyHospitalCOVID19Reporting",
  "version" : "0.1.0",
  "name" : "FEMADailyHospitalCOVID19Reporting",
  "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"
        }
      ]
    }
  ],
  "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"
        }
      ]
    }
  ],
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "252318005",
          "display" : "Immunology laboratory test (procedure)"
        }
      ]
    }
  ],
  "author" : [
    {
      "name" : "HL7 Public Health Workgroup",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:pher@lists.hl7.org"
        }
      ]
    }
  ],
  "relatedArtifact" : [
    {
      "type" : "documentation",
      "label" : "CMS Press Release",
      "display" : "Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing",
      "url" : "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"
    },
    {
      "type" : "documentation",
      "label" : "Vice President Pence Letter to Hospital Administrators",
      "display" : "Text of a Letter from the Vice President to Hospital Administrators",
      "url" : "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"
    },
    {
      "type" : "documentation",
      "label" : "AHA Advisory on COVID-19 Reporting",
      "display" : "Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator",
      "url" : "https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"
    },
    {
      "type" : "documentation",
      "label" : "Excel Spreadsheet template for reporting to FEMA",
      "display" : "Template for Daily Hospital COVID-19 Reporting.xlsx",
      "url" : "https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"
    }
  ],
  "library" : [
    "http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"
  ],
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "outcome"
        }
      ]
    }
  ],
  "rateAggregation" : "count",
  "group" : [
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "scoring",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code" : "continuous-variable"
                  }
                ]
              }
            },
            {
              "url" : "subject",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/resource-types",
                    "code" : "ServiceRequest"
                  },
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "252318005",
                    "display" : "Immunology laboratory test (procedure)"
                  }
                ],
                "text" : "COVID-19 Diagnostic Testing"
              }
            },
            {
              "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" : "positiveIncreasePercent",
            "display" : "Percent Positive among Newly Resulted Tests"
          }
        ],
        "text" : "# of new positive test results released / # of total new tests released for previous date queried"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "totalOrdersIncrease",
                "display" : "New Diagnostic Tests Ordered/Received"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ],
            "text" : "Midnight to midnight cutoff, tests ordered on previous date queried"
          },
          "description" : "Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.",
          "criteria" : {
            "description" : "Orders initiated during %reportingPeriod",
            "name" : "totalOrdersIncrease",
            "language" : "text/fhirpath",
            "expression" : "ServiceRequest.where(\n    authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n    and status in ('active', 'completed')\n    and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "totalTestResultsIncrease",
                "display" : "New Tests Resulted"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
              }
            ],
            "text" : "Midnight to midnight cutoff, test results released on previous date queried"
          },
          "description" : "nter the number of results recieved/generated during the reporting period.\nDo not include results where the test could not be completed because the specimen\nwas rejected or a positive/negative result could not be established",
          "criteria" : {
            "description" : "Results recieved during reporting period",
            "name" : "totalTestResultsIncrease",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where(\n    issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n    and status in ('final, 'amended', 'corrected', 'appended')\n)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "positiveIncrease",
                "display" : "New Positive COVID-19 Tests"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ],
            "text" : "Midnight to midnight cutoff, positive test results released on previous date queried"
          },
          "description" : "Enter the number of positive test results released during the reporting period.",
          "criteria" : {
            "description" : "Result is positive with respect to COVID-19",
            "name" : "positiveIncrease",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "scoring",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code" : "continuous-variable"
                  }
                ]
              }
            },
            {
              "url" : "subject",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/resource-types",
                    "code" : "ServiceRequest"
                  },
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "252318005",
                    "display" : "Immunology laboratory test (procedure)"
                  }
                ],
                "text" : "COVID-19 Cumulative Diagnostic Testing"
              }
            },
            {
              "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" : "positivePercent",
            "display" : "Cumulative Percent Positive among Resulted Tests"
          }
        ],
        "text" : "# of total positive results to released date / # of total tests results released to date"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "totalOrders",
                "display" : "Cumulative Diagnostic Tests Ordered/Received"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ],
            "text" : "All tests ordered to date."
          },
          "description" : "Enter the cumulative number of tests ordered to date.",
          "criteria" : {
            "description" : "Report all active or completed test orders for a COVID-19 test authored during the reporting period",
            "name" : "totalOrders",
            "language" : "text/fhirpath",
            "expression" : "ServiceRequest.where(\n    authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n    and status in ('active', 'completed')\n    and code in %ValueSet-COVID19DiagnosticTest\n    and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "rejected",
                "display" : "Cumulative Specimens Rejected"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator-exclusion"
              }
            ],
            "text" : "All specimens rejected for testing to date"
          },
          "description" : "Enter the cumulative number of specimens rejected for testing to date.",
          "criteria" : {
            "description" : "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.",
            "name" : "rejected",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "totalTestResults",
                "display" : "Cumulative Tests Performed"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
              }
            ],
            "text" : "All tests with results released to date"
          },
          "description" : "nter the total number tests with results released to date. Do not include tests where a\npositive/negative result could not be determined (e.g., because the specimen was inadequate).",
          "criteria" : {
            "description" : "Report all active or completed test orders for a COVID-19 test authored during or prior to the end of the reporting period that have had results released.",
            "name" : "totalTestResults",
            "language" : "text/fhirpath",
            "expression" : "ServiceRequest.where(\n    status in ('active', 'completed')\n    and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "positive",
                "display" : "Cumulative Positive COVID-19 Tests"
              },
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ],
            "text" : "All positive test results released to date"
          },
          "description" : "Enter the total number of positive test results release to date.",
          "criteria" : {
            "description" : "The result is positive for COVID-19",
            "name" : "positive",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "allReports",
                "display" : "All Laboratory Reports for any Order"
              }
            ],
            "text" : "Reports to date including corrected, amended and canceled reports"
          },
          "description" : "This is in intermediate population used to simplify calculations",
          "criteria" : {
            "description" : "Diagnostic Reports provided in response to totalOrders",
            "name" : "allReports",
            "language" : "text/fhirpath",
            "expression" : "DiagnosticReport.where(basedOn in %totalOrders)"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
                "code" : "latestReports",
                "display" : "Most Recent Laboratory Reports for any Order"
              }
            ],
            "text" : "Latest Reports to date for each order"
          },
          "description" : "This is in intermediate population used to simplify calculations",
          "criteria" : {
            "description" : "Most recent diagnostic reports provided in response to totalOrders",
            "name" : "latestReports",
            "language" : "text/fhirpath",
            "expression" : "TBD"
          }
        }
      ]
    }
  ]
}