{ "resourceType": "Measure", "id": "FEMADailyHospitalCOVID19Reporting", "meta": { "profile": [ "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure" ] }, "text": { "status": "extensions", "div": "

Generated Narrative

Enables specification of proposed measure reporting: Do Once per 1 days

url: http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting

version: 1.0.0

name: FEMADailyHospitalCOVID19Reporting

status: draft

experimental: true

date: Sep 7, 2021 7:19:32 PM

publisher: HL7 International Public Health Workgroup

contact: http://hl7.org/Special/committees/pher, pher@lists.hl7.org, Keith W. Boone: mailto:kboone@ainq.com

jurisdiction: World

topic: Immunology laboratory test (procedure)

author: HL7 Public Health Workgroup: mailto:pher@lists.hl7.org

library: http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary

type: Outcome

rateAggregation: count

group

Attributes describing a group of measures

value: Continuous Variable

value: COVID-19 Diagnostic Testing

value: Outcome

value: Decreased score indicates improvement

value: cumulative

code: # of new positive test results released / # of total new tests released for previous date queried

population

code: Midnight to midnight cutoff, tests ordered on previous date queried

description: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.

population

code: Midnight to midnight cutoff, test results released on previous date queried

description: Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was rejected or a positive/negative result could not be established

population

code: 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.

group

Attributes describing a group of measures

value: Continuous Variable

value: COVID-19 Cumulative Diagnostic Testing

value: Outcome

value: Decreased score indicates improvement

value: cumulative

code: # of total positive results to released date / # of total tests results released to date

population

code: All tests ordered to date.

description: Enter the cumulative number of tests ordered to date.

population

code: All specimens rejected for testing to date

description: Enter the cumulative number of specimens rejected for testing to date.

population

code: All tests with results released to date

description: Enter the total number tests with results released to date. Do not include tests where a\n positive/negative result could not be determined (e.g., because the specimen was inadequate).

population

code: All positive test results released to date

description: Enter the total number of positive test results release to date.

population

code: Reports to date including corrected, amended and canceled reports

description: This is in intermediate population used to simplify calculations

population

code: Latest Reports to date for each order

description: This is in intermediate population used to simplify calculations

" }, "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": "1.0.0", "name": "FEMADailyHospitalCOVID19Reporting", "status": "draft", "experimental": true, "date": "2021-09-07T19:19:32+00:00", "publisher": "HL7 International Public Health Workgroup", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/Special/committees/pher" } ] }, { "telecom": [ { "system": "email", "value": "pher@lists.hl7.org" } ] }, { "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": "Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was 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": "Enter the total number tests with results released to date. Do not include tests where a\n positive/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" } } ] } ] }