Generated Narrative with Details

id: CDCPatientImpactAndHospitalCapacity

meta:

url: http://hl7.org/fhir/us/saner/Measure/CDCPatientImpactAndHospitalCapacity

version: 0.1.0

name: CDCPatientImpactAndHospitalCapacity

title: Patient Impact and Hospital Capacity

status: draft

experimental: true

date: Apr 27, 2020, 7:08:50 AM

publisher: HL7 International

contact: , ,

useContext:

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America)

author:

relatedArtifact: , , ,

definition: 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

code: Hospital Bed Reporting (Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Beds' = 'Beds', given as 'Beds'})

population

code: Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numTotBeds' = 'All Hospital Beds', given as 'All Hospital Beds'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population)

description: 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:

population

code: Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numBeds' = 'Hospital Inpatient Beds', given as 'Hospital Inpatient Beds'})

description: 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:

population

code: Total number of staffed inpatient beds that are occupied (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numBedsOcc' = 'Hospital Inpatient Bed Occupancy', given as 'Hospital Inpatient Bed Occupancy'})

description: 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:

population

code: ICU Bed Occupancy (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numICUBeds' = 'ICU Beds', given as 'ICU Beds'})

description: Enter the total number of staffed Intensive Care Unit (ICU) beds. CDC Webinar 31-Mar-2020: ICU beds include NICU

criteria:

population

code: Total number of staffed inpatient intensive care unit (ICU) beds (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numICUBedsOcc' = 'ICU Bed Occupancy', given as 'ICU Bed Occupancy'})

description: 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:

group

code: Hospital Ventilators Reporting (Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Ventilators' = 'Ventilators', given as 'Ventilators'})

population

code: Total number of ventilators available (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numVent' = 'Mechanical Ventilators', given as 'Mechanical Ventilators'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population)

description: 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:

population

code: Total number of ventilators in use (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numVentUse' = 'Mechanical Ventilators in Use', given as 'Mechanical Ventilators in Use'})

description: 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:

group

code: Hospital COVID-19 Encounters Reporting (Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Encounters' = 'Encounters', given as 'Encounters'})

population

code: Patients with suspected or confirmed COVID-19 in any location. (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19Pats' = 'All COVID-19 Confirmed or Suspected Patients', given as 'All COVID-19 Confirmed or Suspected Patients'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population)

description: 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:

population

code: Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator. (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19VentPats' = 'Ventilated COVID-19 Patients', given as 'Ventilated COVID-19 Patients'})

description: 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:

population

code: Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19 (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19HospPats' = 'Hospitalized COVID-19 Patients', given as 'Hospitalized COVID-19 Patients'})

description: 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:

population

code: Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19MechVentPats' = 'Hospitalized and Ventilated COVID-19 Patients', given as 'Hospitalized and Ventilated COVID-19 Patients'})

description: 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:

population

code: 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 (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19HOPats' = 'Hospital Onset COVID-19 Patients', given as 'Hospital Onset COVID-19 Patients'})

description: 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:

population

code: Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19OverflowPats' = 'ED/Overflow COVID-19 Patients', given as 'ED/Overflow COVID-19 Patients'})

description: 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:

population

code: 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 (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19OFMechVentPats' = 'ED/Overflow and Ventilated COVID-19 Patients', given as 'ED/Overflow and Ventilated COVID-19 Patients'})

description: 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:

population

code: 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. (Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19Died' = 'COVID-19 Patient Deaths', given as 'COVID-19 Patient Deaths'})

description: 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: