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="FEMADailyHospitalCOVID19Reporting"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"/>
</meta>
<text>
<status value="extensions"/>
<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.
Do not include results where the test could not be completed because the specimen
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
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>
</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/FEMADailyHospitalCOVID19Reporting"/>
<version value="1.0.0"/>
<name value="FEMADailyHospitalCOVID19Reporting"/>
<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>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<topic>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
</topic>
<author>
<name value="HL7 Public Health Workgroup"/>
<telecom>
<system value="email"/>
<value value="mailto:pher@lists.hl7.org"/>
</telecom>
</author>
<relatedArtifact>
<type value="documentation"/>
<label value="CMS Press Release"/>
<display
value="Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing"/>
<url
value="https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Vice President Pence Letter to Hospital Administrators"/>
<display
value="Text of a Letter from the Vice President to Hospital Administrators"/>
<url
value="https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="AHA Advisory on COVID-19 Reporting"/>
<display
value="Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator"/>
<url
value="https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Excel Spreadsheet template for reporting to FEMA"/>
<display value="Template for Daily Hospital COVID-19 Reporting.xlsx"/>
<url
value="https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"/>
</relatedArtifact>
<library
value="http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</coding>
</type>
<rateAggregation value="count"/>
<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="ServiceRequest"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 Diagnostic Testing"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</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="cumulative"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positiveIncreasePercent"/>
<display value="Percent Positive among Newly Resulted Tests"/>
</coding>
<text
value="# of new positive test results released / # of total new tests released for previous date queried"/>
</code>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrdersIncrease"/>
<display value="New Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Midnight to midnight cutoff, tests ordered on previous date queried"/>
</code>
<description
value="Enter the number of new Diagnostic Tests Ordered/Received during the reporting period."/>
<criteria>
<description value="Orders initiated during %reportingPeriod"/>
<name value="totalOrdersIncrease"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResultsIncrease"/>
<display value="New Tests Resulted"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text
value="Midnight to midnight cutoff, test results released on previous date queried"/>
</code>
<description
value="Enter the number of results recieved/generated during the reporting period.
Do not include results where the test could not be completed because the specimen
was rejected or a positive/negative result could not be established"/>
<criteria>
<description value="Results recieved during reporting period"/>
<name value="totalTestResultsIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(
issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('final, 'amended', 'corrected', 'appended')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="positiveIncrease"/>
<display value="New Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text
value="Midnight to midnight cutoff, positive test results released on previous date queried"/>
</code>
<description
value="Enter the number of positive test results released during the reporting period."/>
<criteria>
<description value="Result is positive with respect to COVID-19"/>
<name value="positiveIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</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="ServiceRequest"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 Cumulative Diagnostic Testing"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</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="cumulative"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positivePercent"/>
<display value="Cumulative Percent Positive among Resulted Tests"/>
</coding>
<text
value="# of total positive results to released date / # of total tests results released to date"/>
</code>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrders"/>
<display value="Cumulative Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="All tests ordered to date."/>
</code>
<description value="Enter the cumulative number of tests ordered to date."/>
<criteria>
<description
value="Report all active or completed test orders for a COVID-19 test authored during the reporting period"/>
<name value="totalOrders"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('active', 'completed')
and code in %ValueSet-COVID19DiagnosticTest
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="rejected"/>
<display value="Cumulative Specimens Rejected"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
<text value="All specimens rejected for testing to date"/>
</code>
<description
value="Enter the cumulative number of specimens rejected for testing to date."/>
<criteria>
<description
value="DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed."/>
<name value="rejected"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResults"/>
<display value="Cumulative Tests Performed"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text value="All tests with results released to date"/>
</code>
<description
value="Enter the total number tests with results released to date. Do not include tests where a
positive/negative result could not be determined (e.g., because the specimen was inadequate)."/>
<criteria>
<description
value="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 value="totalTestResults"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="positive"/>
<display value="Cumulative Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text value="All positive test results released to date"/>
</code>
<description
value="Enter the total number of positive test results release to date."/>
<criteria>
<description value="The result is positive for COVID-19"/>
<name value="positive"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="allReports"/>
<display value="All Laboratory Reports for any Order"/>
</coding>
<text
value="Reports to date including corrected, amended and canceled reports"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Diagnostic Reports provided in response to totalOrders"/>
<name value="allReports"/>
<language value="text/fhirpath"/>
<expression value="DiagnosticReport.where(basedOn in %totalOrders)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system value="http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues"/>
<code value="latestReports"/>
<display value="Most Recent Laboratory Reports for any Order"/>
</coding>
<text value="Latest Reports to date for each order"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Most recent diagnostic reports provided in response to totalOrders"/>
<name value="latestReports"/>
<language value="text/fhirpath"/>
<expression value="TBD"/>
</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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