Situational Awareness for Novel Epidemic Response
0.1.0 - CI Build
Situational Awareness for Novel Epidemic Response
0.1.0 - CI Build
Situational Awareness for Novel Epidemic Response - Local Development build (v0.1.0). See the Directory of published versions
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<Measure xmlns="http://hl7.org/fhir"> <id value="CDCPatientImpactAndHospitalCapacity"/> <meta> <profile value="http://hl7.org/fhir/us/saner/StructureDefinition/PublicHealthMeasure"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: CDCPatientImpactAndHospitalCapacity</p><p><b>meta</b>: </p><p><b>url</b>: <a href="http://hl7.org/fhir/us/saner/Measure/CDCPatientImpactAndHospitalCapacity">http://hl7.org/fhir/us/saner/Measure/CDCPatientImpactAndHospitalCapacity</a></p><p><b>version</b>: 0.1.0</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>: Apr 27, 2020, 7:08:50 AM</p><p><b>publisher</b>: HL7 International</p><p><b>contact</b>: , , </p><p><b>useContext</b>: </p><p><b>jurisdiction</b>: United States of America <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America)</span></p><p><b>author</b>: </p><p><b>relatedArtifact</b>: , , , </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><p><b>code</b>: Hospital Bed Reporting <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Beds' = 'Beds', given as 'Beds'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients <span style="background: LightGoldenRodYellow">(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)</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numBeds' = 'Hospital Inpatient Beds', given as 'Hospital Inpatient Beds'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of staffed inpatient beds that are occupied <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numBedsOcc' = 'Hospital Inpatient Bed Occupancy', given as 'Hospital Inpatient Bed Occupancy'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: ICU Bed Occupancy <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numICUBeds' = 'ICU Beds', given as 'ICU Beds'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of staffed inpatient intensive care unit (ICU) beds <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numICUBedsOcc' = 'ICU Bed Occupancy', given as 'ICU Bed Occupancy'})</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><p><b>criteria</b>: </p></blockquote></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: Hospital Ventilators Reporting <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Ventilators' = 'Ventilators', given as 'Ventilators'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Total number of ventilators available <span style="background: LightGoldenRodYellow">(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)</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Total number of ventilators in use <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numVentUse' = 'Mechanical Ventilators in Use', given as 'Mechanical 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><p><b>criteria</b>: </p></blockquote></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: Hospital COVID-19 Encounters Reporting <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem code 'Encounters' = 'Encounters', given as 'Encounters'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 in any location. <span style="background: LightGoldenRodYellow">(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)</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator. <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19VentPats' = 'Ventilated COVID-19 Patients', given as 'Ventilated COVID-19 Patients'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19 <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19HospPats' = 'Hospitalized COVID-19 Patients', given as 'Hospitalized COVID-19 Patients'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator <span style="background: LightGoldenRodYellow">(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'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: 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 style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19HOPats' = 'Hospital Onset COVID-19 Patients', given as 'Hospital Onset COVID-19 Patients'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19OverflowPats' = 'ED/Overflow COVID-19 Patients', given as 'ED/Overflow COVID-19 Patients'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: 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 style="background: LightGoldenRodYellow">(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'})</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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: 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 style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'numC19Died' = 'COVID-19 Patient Deaths', given as 'COVID-19 Patient Deaths'})</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><p><b>criteria</b>: </p></blockquote></blockquote></div> </text> <url value="http://hl7.org/fhir/us/saner/Measure/CDCPatientImpactAndHospitalCapacity"/> <version value="0.1.0"/> <name value="CDCPatientImpactAndHospitalCapacity"/> <title value="Patient Impact and Hospital Capacity"/> <status value="draft"/> <experimental value="true"/> <date value="2020-04-27T07:08:50-04:00"/> <publisher value="HL7 International"/> <contact> <name value="HL7 Patient Administration Workgroup"/> <telecom> <system value="url"/> <value value="http://hl7.org/Special/committees/pafm/index.cfm"/> </telecom> </contact> <contact> <name value="Audacious Inquiry"/> <telecom> <system value="url"/> <value value="http://ainq.com"/> </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="urn:iso:std:iso:3166"/> <code value="US"/> </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://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://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"/> </relatedArtifact> <relatedArtifact> <type value="documentation"/> <label value="Table of Instructions"/> <display value="Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)"/> <url value="https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"/> </relatedArtifact> <relatedArtifact> <type value="documentation"/> <label value="CSV File Template"/> <display value="CDC/NHSN COVID-19 Reporting CSV File Template"/> <url value="https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"/> </relatedArtifact> <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/us/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="aggregable-by-period"/> </extension> </extension> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem"/> <code value="Beds"/> <display value="Beds"/> </coding> <text value="Hospital Bed Reporting"/> </code> <population> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/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="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="aggregable-by-period"/> </extension> </extension> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem"/> <code value="Ventilators"/> <display value="Ventilators"/> </coding> <text value="Hospital Ventilators Reporting"/> </code> <population> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/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="aggregable-by-period"/> </extension> </extension> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/GroupSystem"/> <code value="Encounters"/> <display value="Encounters"/> </coding> <text value="Hospital COVID-19 Encounters Reporting"/> </code> <population> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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="ctive 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="ncounter.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/us/saner/CodeSystem/PopulationSystem"/> <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> <population> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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="dition.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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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> </group> </Measure>
IG © 2020+ HL7 International. Package hl7.fhir.us.saner#0.1.0 based on FHIR 4.0.1. Generated 2020-04-27
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