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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Measure;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "PatientsByRiskFactorWithSupplementalData"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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/PatientsByRiskFactorWithSupplementalData</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: PatientsByRiskFactor</p><p><b>title</b>: COVID-19 Patients By Risk Factor</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/Library/ComputableNHSNMeasureLibrary\">http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary</a></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://hl7.org/fhir/resource-types Encounter}, {http://snomed.info/sct 398284004}\">Patient in room</span></p><p><b>value</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring queue-length}\">Queue Length</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>: point-in-time</p></blockquote><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem Encounters}\">Hospital COVID-19 Patient 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 confirmedC19Pats}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Patients with confirmed COVID-19 in any location.</span></p><p><b>description</b>: Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\nor a Condition of confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\nor clinically diagnosed COVID-19.</p></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">By Risk Factor</span></p><p><b>description</b>: Stratifies the population by Condition/RiskFactor</p></blockquote></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Encounter}\">Encounter</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: The patient encounter</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Patient}\">Patient</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: The patient</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Location}\">Location</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: The patient location</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Condition}\">Condition</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: The encounter and other diagnosis</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types MedicationRequest}, {http://hl7.org/fhir/resource-types MedicationAdministration}, {http://hl7.org/fhir/resource-types Immunization}\">MedicationRequest</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: Medications/Immunizations given during the encounter</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Observation}\">Observation</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: COVID-19 Lab Results</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types DiagnosticReport}, {http://hl7.org/fhir/resource-types DocumentReference}, {http://hl7.org/fhir/resource-types Observation}, {http://hl7.org/fhir/resource-types ServiceRequest}\">DiagnosticReport</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: VTE Diagnostic Results</p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/resource-types Procedure}, {http://hl7.org/fhir/resource-types ServiceRequest}\">Procedure</span></p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: Isolation Precautions</p></blockquote></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod" ];
fhir:Extension.valueTiming [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]
];
fhir:Measure.url [ fhir:value "http://hl7.org/fhir/uv/saner/Measure/PatientsByRiskFactorWithSupplementalData"];
fhir:Measure.version [ fhir:value "1.0.0"];
fhir:Measure.name [ fhir:value "PatientsByRiskFactor"];
fhir:Measure.title [ fhir:value "COVID-19 Patients By Risk Factor"];
fhir:Measure.status [ fhir:value "draft"];
fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
fhir:Measure.date [ fhir:value "2021-09-07T19:08:29+00:00"^^xsd:dateTime];
fhir:Measure.publisher [ fhir:value "HL7 International Public Health Workgroup"];
fhir:Measure.contact [
fhir:index 0;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://hl7.org/Special/committees/pher" ] ]
], [
fhir:index 1;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "pher@lists.hl7.org" ] ]
], [
fhir:index 2;
fhir:ContactDetail.name [ fhir:value "Keith W. Boone" ];
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "mailto:kboone@ainq.com" ] ]
];
fhir:Measure.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ] ];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:840539006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "840539006" ];
fhir:Coding.display [ fhir:value "COVID-19" ] ] ]
];
fhir:Measure.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
fhir:Coding.code [ fhir:value "001" ] ]
];
fhir:Measure.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)" ];
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "mailto:nhsn@cdc.gov" ] ]
];
fhir:Measure.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.label [ fhir:value "NHSN COVID-19 Reporting" ];
fhir:RelatedArtifact.display [ fhir:value "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page" ];
fhir:RelatedArtifact.url [ fhir:value "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/" ]
], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.label [ fhir:value "How to import COVID-19 Summary Data" ];
fhir:RelatedArtifact.display [ fhir:value "Importing COVID-19 Patient Module Denominator data for Patient Safety Component" ];
fhir:RelatedArtifact.url [ fhir:value "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf" ]
], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.label [ fhir:value "Table of Instructions" ];
fhir:RelatedArtifact.display [ fhir:value "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)" ];
fhir:RelatedArtifact.url [ fhir:value "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf" ]
], [
fhir:index 3;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.label [ fhir:value "CSV File Template" ];
fhir:RelatedArtifact.display [ fhir:value "CDC/NHSN COVID-19 Reporting CSV File Template" ];
fhir:RelatedArtifact.url [ fhir:value "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv" ]
];
fhir:Measure.library [
fhir:value "http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary";
fhir:index 0;
fhir:link <http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary>
];
fhir:Measure.group [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "subject" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Encounter" ] ], [
fhir:index 1;
a sct:398284004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "398284004" ];
fhir:Coding.display [ fhir:value "Patient in room" ] ];
fhir:CodeableConcept.text [ fhir:value "Patient in room" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "scoring" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/saner/CodeSystem/PublicHealthMeasureScoring" ];
fhir:Coding.code [ fhir:value "queue-length" ] ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
fhir:Coding.code [ fhir:value "structure" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "improvementNotation" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
fhir:Coding.code [ fhir:value "decrease" ] ] ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "rateAggregation" ];
fhir:Extension.valueString [ fhir:value "point-in-time" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes" ] ];
fhir:Measure.group.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem" ];
fhir:Coding.code [ fhir:value "Encounters" ];
fhir:Coding.display [ fhir:value "Encounters" ] ];
fhir:CodeableConcept.text [ fhir:value "Hospital COVID-19 Patient Encounters Reporting" ] ];
fhir:Measure.group.population [
fhir:index 0;
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues" ];
fhir:Coding.code [ fhir:value "confirmedC19Pats" ];
fhir:Coding.display [ fhir:value "All Confirmed COVID-19 Patients" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "initial-population" ] ];
fhir:CodeableConcept.text [ fhir:value "Patients with confirmed COVID-19 in any location." ] ];
fhir:Measure.group.population.description [ fhir:value "Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\nor a Condition of confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed\nor clinically diagnosed COVID-19." ];
fhir:Measure.group.population.criteria [
fhir:Expression.description [ fhir:value "This expression finds encounters that were active or finished in the reporting period, and their referenced Patient, Condition\nand Observation resources. It filters these based on cases where Encounter reports a reason or condition in the\nConfirmedCOVID19Diagnoses value set, or where a positive lab test from the Covid19Labs valueset, or where the patient\nhas any such associated Condition or Observation resources in the prior two weeks." ];
fhir:Expression.name [ fhir:value "ConfirmedC19Pats" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('Encounter',\n including('subject','condition','reasonReference'),\n with('status').equalTo('in-progress,finished'),\n with('date').within(%ReportingPeriod)\n ).onServers(%Base).\n where(\n iif(\n (Encounter.reasonCode | Condition.code).member0f(%ConfirmedCOVID19Diagnoses.url) |\n Observation.where(code.member0f(%Covid19Labs.url) and value.member0f(%PositiveResults.url)),\n true,\n iif(\n Patient.distinct()\n .whereExists('Observation',\n for('patient', $this.id),\n with('status').equalTo(\n 'registered,preliminary,final,amended,corrected'),\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%Covid19Labs),\n with('value-concept').in(%PositiveResults)\n ).onServers(%Base),\n true,\n Patient.distinct()\n .whereExists('Condition',\n for('patient', $this.id),\n with('verification-status').notEqualTo('refuted,entered-in-error').\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%ConfirmedCOVID19Diagnoses.url)\n ).onServers(%Base)\n )\n )\n)\n.ofType(Encounter)\n.distinct()\n.aggregate(\n iif($total.subject contains $this.subject, $total, $total | $this )\n)" ] ] ];
fhir:Measure.group.stratifier [
fhir:index 0;
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.text [ fhir:value "By Risk Factor" ] ];
fhir:Measure.group.stratifier.description [ fhir:value "Stratifies the population by Condition/RiskFactor" ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.description [ fhir:value "Final all conditions for each patient in the AllCOVID19RiskFactors ValueSet\nand stratify by membership in subsets of that value set. NOTE: A patient\ncan belong to multiple strata in this example." ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('Condition',\n for('patient', $this.subject),\n with('code').in(%AllCOVID19RiskFactors.url),\n with('onset-date').greaterThan(%ReportingPeriod.start - 1 'year')\n ).onServers(%Base).select(\n iif(code.member0f(%NeoplasticCOVID19RiskFactors.url), 'Neoplastic Disease', {}) |\n iif(code.member0f(%COPDCOVID19RiskFactors.url), 'COPD', {}) |\n iif(code.member0f(%TobaccoCOVID19RiskFactors.url), 'Tobacco User', {}) |\n iif(code.member0f(%HypertensionCOVID19RiskFactors.url), 'Hypertension', {}) | // Calling out Hypertension separately for reasons\n iif(code.member0f(%CardiovascularCOVID19RiskFactors.url), 'Cardiovascular Disease', {}) | // Even though it isa Cardiovascular disease\n iif(code.member0f(%ObesityCOVID19RiskFactors.url), 'Obesity', {}) |\n iif(code.member0f(%SickleCellCOVID19RiskFactors.url), 'Sickle cell Disease', {}) |\n iif(code.member0f(%KidneyDiseaseCOVID19RiskFactors.url), 'Chronic Kidney Disease', {}) |\n iif(code.member0f(%PregnancyCOVID19RiskFactors.url), 'Pregnant', {}) |\n iif(code.member0f(%DiabetesCOVID19RiskFactors.url), 'Diabetes', {})\n )" ] ] ]
];
fhir:Measure.supplementalData [
fhir:index 0;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Encounter" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "The patient encounter" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Encounter dates, reason (e.g., Chief Complaint), discharge disposition" ];
fhir:Expression.name [ fhir:value "Encounter" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "Encounter" ] ]
], [
fhir:index 1;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Patient" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "The patient" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "The Patient, including sex, dob, race and ethnicity" ];
fhir:Expression.name [ fhir:value "Patient" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "Encounter.subject.resolve()" ] ]
], [
fhir:index 2;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Location" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "The patient location" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "The Patient Location" ];
fhir:Expression.name [ fhir:value "PatientLocation" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "Encounter.location.location.resolve()" ] ]
], [
fhir:index 3;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Condition" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "The encounter and other diagnosis" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Retrieves all conditions associated with the encounter" ];
fhir:Expression.name [ fhir:value "EncounterDiagnosis" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "(Encounter.reasonReference|Encounter.diagnosis.condition).resolve() |\nfindAll('Condition',\n for('patient', $this.subject),\n with('encounter').equalTo($this.id)\n).onServers(%Base)" ] ]
], [
fhir:index 4;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "MedicationRequest" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "MedicationAdministration" ] ], [
fhir:index 2;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Immunization" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "Medications/Immunizations given during the encounter" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Retrieves all medications/immunizations associated with the encounter" ];
fhir:Expression.name [ fhir:value "EncounterMeds" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('MedicationRequest',\n for('patient', $this.subject),\n with('encounter').equalTo($this.id) // alternately, this could be within encounter dates\n).onServers(%Base) |\nfindAll('MedicationAdministration',\n for('patient', $this.subject),\n with('effective-time').within(%ReportingPeriod)\n).onServers(%Base) |\nfindAll('Immunization',\n for('patient', $this.subject),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)" ] ]
], [
fhir:index 5;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Observation" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "COVID-19 Lab Results" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Retrieves all Observations associated with COVID-19 Labs" ];
fhir:Expression.name [ fhir:value "COVID19Labs" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('Observation',\n for('patient', $this.subject),\n with('code').in(%Covid19Labs.url),\n with('date').greaterThan(%ReportingPeriod.start - 1 'year')\n).onServers(%Base)" ] ]
], [
fhir:index 6;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "DiagnosticReport" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "DocumentReference" ] ], [
fhir:index 2;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Observation" ] ], [
fhir:index 3;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "ServiceRequest" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "VTE Diagnostic Results" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Retrieves diagnostics associated with VTE" ];
fhir:Expression.name [ fhir:value "VTEDiagnostics" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('DiagnosticReport',\n for('patient', $this.subject),\n including('result', 'media'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('DocumentReference',\n for('patient', $this.subject),\n including('related'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('type').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('Observation',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base) |\nfindAll('ServiceRequest',\n for('patient', $this.subject),\n including('based-on'), // what else?\n with('date').greaterThan(%ReportingPeriod.start - 1 'year'),\n with('code').in(%VTEReports.url)\n).onServers(%Base)" ] ]
], [
fhir:index 7;
fhir:Measure.supplementalData.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "Procedure" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
fhir:Coding.code [ fhir:value "ServiceRequest" ] ] ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.description [ fhir:value "Isolation Precautions" ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.description [ fhir:value "Retrieves orders or procedures associated with Isolation Precautions" ];
fhir:Expression.name [ fhir:value "IsolationOrders" ];
fhir:Expression.language [ fhir:value "text/fhirpath" ];
fhir:Expression.expression [ fhir:value "findAll('ServiceRequest',\n for('patient', $this.subject),\n for('encounter', $this.id),\n with('code').in(%IsolationPrecautions.url)\n).onServers(%Base) |\nfindAll('Procedure',\n for('patient', $this.subject),\n for('encounter', $this.id),\n with('code').in(%IsolationPrecautions.url)\n).onServers(%Base)" ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.