Situational Awareness for Novel Epidemic Response
1.0.0 - STU Release
Situational Awareness for Novel Epidemic Response
1.0.0 - STU Release
This page is part of the Situational Awareness for Novel Epidemic Response (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
<Measure xmlns="http://hl7.org/fhir">
<id value="CDCPatientImpactAndHospitalCapacity"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Enables specification of proposed measure reporting</b>: Do Once per 1 days</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/saner/Measure/CDCPatientImpactAndHospitalCapacity</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CDCPatientImpactAndHospitalCapacity</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>: Sep 7, 2021 7:08:29 PM</p><p><b>publisher</b>: HL7 International Public Health Workgroup</p><p><b>contact</b>: <a href="http://hl7.org/Special/committees/pher">http://hl7.org/Special/committees/pher</a>, <a href="mailto:pher@lists.hl7.org">pher@lists.hl7.org</a>, Keith W. Boone: <a href="mailto:mailto:kboone@ainq.com">mailto:kboone@ainq.com</a></p><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><p><b>library</b>: <a href="http://hl7.org/fhir/uv/saner/StructureDefinition/NHSNMeasureLibrary">http://hl7.org/fhir/uv/saner/StructureDefinition/NHSNMeasureLibrary</a></p><p><b>definition</b>: Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).
Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.
ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)</p><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></p><p><b>value</b>: <span title="Codes: {http://hl7.org/fhir/resource-types Location}, {http://snomed.info/sct 91537007}">Hospital Beds</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}">Structure</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><p><b>value</b>: count</p></blockquote><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Beds}">Hospital 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 initial-population}">Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients</span></p><p><b>description</b>: Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numbeds}">Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients</span></p><p><b>description</b>: Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numBedsOcc}">Total number of staffed inpatient beds that are occupied</span></p><p><b>description</b>: Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numICUBeds}">ICU Bed Occupancy</span></p><p><b>description</b>: Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numICUBedsOcc}">Total number of staffed inpatient intensive care unit (ICU) beds</span></p><p><b>description</b>: Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></p><p><b>value</b>: <span title="Codes: {http://hl7.org/fhir/resource-types Device}, {http://snomed.info/sct 706172005}">Ventilator</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}">Structure</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}">Decreased score indicates improvement</span></p><p><b>value</b>: count</p></blockquote><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Ventilators}">Hospital Ventilators 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 initial-population}">Total number of ventilators available</span></p><p><b>description</b>: Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numVentUse}">Total number of ventilators in use</span></p><p><b>description</b>: Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>Attributes describing a group of measures</b></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></p><p><b>value</b>: <span title="Codes: {http://hl7.org/fhir/resource-types Encounter}, {http://snomed.info/sct 308335008}">Encounter</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-type structure}">Structure</span></p><p><b>value</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}">Decreased score indicates improvement</span></p><p><b>value</b>: count</p></blockquote><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Encounters}">Hospital COVID-19 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}">Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19MechVentPats}">Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19HOPats}">Patients currently hospitalized in an inpatient bed with onset of suspected or
confirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19</span></p><p><b>description</b>: Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19OverflowPats}">Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19OFMechVentPats}">Patients with suspected or confirmed COVID-19 who currently are in the ED or any overflow location awaiting an inpatient bed and on a mechanical ventilator</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19.</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19Died}">Patients with suspected or confirmed COVID-19 who died in the hospital, ED or any overflow location on the date for which you are reporting.</span></p><p><b>description</b>: Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths.</p></blockquote><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>: Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues numC19VentPats}">Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator.</span></p><p><b>description</b>: Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19.</p></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod">
<valueTiming>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</valueTiming>
</extension>
<url
value="http://hl7.org/fhir/uv/saner/Measure/CDCPatientImpactAndHospitalCapacity"/>
<version value="1.0.0"/>
<name value="CDCPatientImpactAndHospitalCapacity"/>
<title value="Patient Impact and Hospital Capacity"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2021-09-07T19:08:29+00:00"/>
<publisher value="HL7 International Public Health Workgroup"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="email"/>
<value value="pher@lists.hl7.org"/>
</telecom>
</contact>
<contact>
<name value="Keith W. Boone"/>
<telecom>
<system value="email"/>
<value value="mailto:kboone@ainq.com"/>
</telecom>
</contact>
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="840539006"/>
<display value="COVID-19"/>
</coding>
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<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<author>
<name
value="Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)"/>
<telecom>
<system value="email"/>
<value value="mailto:nhsn@cdc.gov"/>
</telecom>
</author>
<relatedArtifact>
<type value="documentation"/>
<label value="NHSN COVID-19 Reporting"/>
<display
value="CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="How to import COVID-19 Summary Data"/>
<display
value="Importing COVID-19 Patient Module Denominator data for Patient Safety Component"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Table of Instructions"/>
<display
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<url
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</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="CSV File Template"/>
<display value="CDC/NHSN COVID-19 Reporting CSV File Template"/>
<url
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"/>
</relatedArtifact>
<library
value="http://hl7.org/fhir/uv/saner/StructureDefinition/NHSNMeasureLibrary"/>
<definition
value="Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).
Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.
ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)"/>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Location"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91537007"/>
<display value="Hospital bed, device (physical object)"/>
</coding>
<text value="Hospital Beds"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Beds"/>
<display value="Beds"/>
</coding>
<text value="Hospital Bed Reporting"/>
</code>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numTotBeds"/>
<display value="All Hospital Beds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients"/>
</code>
<description
value="Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds."/>
<criteria>
<description value="A bed in any location"/>
<name value="numTotBeds"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numbeds"/>
<display value="Hospital Inpatient Beds"/>
</coding>
<text
value="Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients"/>
</code>
<description
value="Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds."/>
<criteria>
<description value="A Bed where the location is an inpatient location."/>
<name value="numbeds"/>
<language value="text/fhirpath"/>
<expression
value="%numTotBeds.where(location.type in %ValueSet-InpatientLocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numBedsOcc"/>
<display value="Hospital Inpatient Bed Occupancy"/>
</coding>
<text value="Total number of staffed inpatient beds that are occupied"/>
</code>
<description
value="Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds."/>
<criteria>
<description value="An Inpatient Bed where the Bed is occupied."/>
<name value="numBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBeds"/>
<display value="ICU Beds"/>
</coding>
<text value="ICU Bed Occupancy"/>
</code>
<description
value="Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description
value="A Bed where the location is an inpatient ICU location."/>
<name value="numICUBeds"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.type in %ValueSet-ICULocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBedsOcc"/>
<display value="ICU Bed Occupancy"/>
</coding>
<text
value="Total number of staffed inpatient intensive care unit (ICU) beds"/>
</code>
<description
value="Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description value="An ICU Bed that is occupied."/>
<name value="numICUBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
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</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Device"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="706172005"/>
<display value="Ventilator (physical object)"/>
</coding>
<text value="Ventilator"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Ventilators"/>
<display value="Ventilators"/>
</coding>
<text value="Hospital Ventilators Reporting"/>
</code>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numVent"/>
<display value="Mechanical Ventilators"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="Total number of ventilators available"/>
</code>
<description
value="Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description
value="A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)"/>
<name value="numVent"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-VentilatorDevices and status = active)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numVentUse"/>
<display value="Mechanical Ventilators in Use"/>
</coding>
<text value="Total number of ventilators in use"/>
</code>
<description
value="Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description value="A ventilator that is attached to a patient."/>
<name value="numVentUse"/>
<language value="text/fhirpath"/>
<expression value="%numVent.where(patient!={})"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Encounter"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308335008"/>
<display value="Patient encounter procedure (procedure)"/>
</coding>
<text value="Encounter"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Encounters"/>
<display value="Encounters"/>
</coding>
<text value="Hospital COVID-19 Encounters Reporting"/>
</code>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HospPats"/>
<display value="Hospitalized COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an inpatient location"/>
<name value="numC19HospPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19MechVentPats"/>
<display value="Hospitalized and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter in an inpatient setting on a ventilator"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression value="%numC19HospPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HOPats"/>
<display value="Hospital Onset COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed with onset of suspected or
confirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases."/>
<criteria>
<description
value="Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start"/>
<name value="numC19HOPats"/>
<language value="text/fhirpath"/>
<expression
value="Condition.where(
code in %ValueSet-SuspectedOrDiagnosedCOVID19
and encounter in %numC19HospPats
and onset + 14 days > encounter.period.start).encounter"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OverflowPats"/>
<display value="ED/Overflow COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OverflowPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OFMechVentPats"/>
<display value="ED/Overflow and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who currently are in the ED or any overflow location awaiting an inpatient bed and on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression value="%numC19OverflowPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Died"/>
<display value="COVID-19 Patient Deaths"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who died in the hospital, ED or any overflow location on the date for which you are reporting."/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths."/>
<criteria>
<description
value="All C19 Patients who have died in an encounter during the reporting period."/>
<name value="numC19Died"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Pats"/>
<display value="All COVID-19 Confirmed or Suspected Patients"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 in any location."/>
</code>
<description
value="Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,
or a Condition of suspected or confirmed COVID-19 was created during that encounter."/>
<name value="numC19Pats"/>
<language value="text/fhirpath"/>
<expression
value="Encounter.where(clinicalStatus = 'active' and diagnosis.condition.ofType(Condition).code in %ValueSet-SuspectedOrDiagnosedCOVID19)
| Encounter.where(clinicalStatus = "active" and Condition.where(code in %ValueSet-SuspectedOrDiagnosedCOVID19).encounter = $this)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="numC19VentPats"/>
<display value="Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator."/>
</code>
<description
value="Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19."/>
<criteria>
<description
value="A COVID-19 encounter where the patient is ventilated"/>
<name value="numC19VentPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)"/>
</criteria>
</population>
</group>
</Measure>
IG © 2020+ HL7 International Public Health Workgroup. Package hl7.fhir.uv.saner#1.0.0 based on FHIR 4.0.1. Generated 2021-09-07
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