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 
{
"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><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/FEMADailyHospitalCOVID19Reporting</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: FEMADailyHospitalCOVID19Reporting</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>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><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><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 ServiceRequest}, {http://snomed.info/sct 252318005}\">COVID-19 Diagnostic Testing</span></p><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</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>: 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></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>: 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</p></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></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 ServiceRequest}, {http://snomed.info/sct 252318005}\">COVID-19 Cumulative Diagnostic Testing</span></p><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</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>: 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></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></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>: 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).</p></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></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></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></blockquote></blockquote></div>"
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"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" : "2021-09-07T19:08:29+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" : [
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],
"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"
}
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{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
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}
},
{
"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"
}
}
]
}
]
}
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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