Situational Awareness for Novel Epidemic Response - Local Development build (v0.1.0). See the Directory of published versions
Source view
<Measure xmlns="http://hl7.org/fhir"> <id value="FEMADailyHospitalCOVID19Reporting"/> <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>: FEMADailyHospitalCOVID19Reporting</p><p><b>meta</b>: </p><p><b>url</b>: <a href="http://hl7.org/fhir/us/saner/Measure/FEMADailyHospitalCOVID19Reporting">http://hl7.org/fhir/us/saner/Measure/FEMADailyHospitalCOVID19Reporting</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: FEMADailyHospitalCOVID19Reporting</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>topic</b>: Immunology laboratory test (procedure) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '252318005' = 'Immunology laboratory test', given as 'Immunology laboratory test (procedure)'})</span></p><p><b>author</b>: </p><p><b>relatedArtifact</b>: , , , </p><p><b>type</b>: Outcome <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/measure-type code 'outcome' = 'Outcome)</span></p><p><b>rateAggregation</b>: aggregable-by-period</p><blockquote><p><b>group</b></p><p><b>code</b>: # of new positive test results released / # of total new tests released for previous date queried <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'positiveIncreasePercent' = 'Percent Positive among Newly Resulted Tests', given as 'Percent Positive among Newly Resulted Tests'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, tests ordered on previous date queried <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'totalOrdersIncrease' = 'New Diagnostic Tests Ordered/Received', given as 'New Diagnostic Tests Ordered/Received'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population)</span></p><p><b>description</b>: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, test results released on previous date queried <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'totalTestResultsIncrease' = 'New Tests Resulted', given as 'New Tests Resulted'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator)</span></p><p><b>description</b>: nter 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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Midnight to midnight cutoff, positive test results released on previous date queried <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'positiveIncrease' = 'New Positive COVID-19 Tests', given as 'New Positive COVID-19 Tests'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator)</span></p><p><b>description</b>: Enter the number of positive test results released during the reporting period.</p><p><b>criteria</b>: </p></blockquote></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: # of total positive results to released date / # of total tests results released to date <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'positivePercent' = 'Cumulative Percent Positive among Resulted Tests', given as 'Cumulative Percent Positive among Resulted Tests'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: All tests ordered to date. <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'totalOrders' = 'Cumulative Diagnostic Tests Ordered/Recieved', given as 'Cumulative Diagnostic Tests Ordered/Recieved'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population)</span></p><p><b>description</b>: Enter the cumulative number of tests ordered to date.</p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Reports to date including corrected, amended and canceled reports <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'allReports' = 'All Laboratory Reports for any Order', given as 'All Laboratory Reports for any Order'})</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Latest Reports to date for each order <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'latestReports' = 'Most Recent Laboratory Reports for any Order', given as 'Most Recent Laboratory Reports for any Order'})</span></p><p><b>description</b>: This is in intermediate population used to simplify calculations</p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All specimens rejected for testing to date <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'rejected' = 'Cumulative Specimens Rejected*', given as 'Cumulative Specimens Rejected*'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion)</span></p><p><b>description</b>: Enter the cumulative number of specimens rejected for testing to date.</p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All tests with results released to date <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'totalTestResults' = 'Cumulative Tests Performed', given as 'Cumulative Tests Performed'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator)</span></p><p><b>description</b>: nter 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><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: All positive test results released to date <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem code 'positive' = 'Cumulative Positive COVID-19 Tests', given as 'Cumulative Positive COVID-19 Tests'}; {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator)</span></p><p><b>description</b>: Enter the total number of positive test results release to date.</p><p><b>criteria</b>: </p></blockquote></blockquote></div> </text> <url value="http://hl7.org/fhir/us/saner/Measure/FEMADailyHospitalCOVID19Reporting"/> <version value="0.1.0"/> <name value="FEMADailyHospitalCOVID19Reporting"/> <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> <topic> <coding> <system value="http://snomed.info/sct"/> <code value="252318005"/> <display value="Immunology laboratory test (procedure)"/> </coding> </topic> <author> <name value="FEMA"/> <telecom> <system value="email"/> <value value="mailto:fema-hhs-covid-diagnostics-tf@fema.dhs.gov "/> </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> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-type"/> <code value="outcome"/> </coding> </type> <rateAggregation value="aggregable-by-period"/> <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="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="aggregable-by-period"/> </extension> </extension> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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="nter 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/us/saner/CodeSystem/PopulationSystem"/> <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/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="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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <code value="totalOrders"/> <display value="Cumulative Diagnostic Tests Ordered/Recieved"/> </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/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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> <population> <code> <coding> <system value="http://hl7.org/fhir/us/saner/CodeSystem/PopulationSystem"/> <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/us/saner/CodeSystem/PopulationSystem"/> <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="nter 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/us/saner/CodeSystem/PopulationSystem"/> <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> </group> </Measure>