Generated Narrative: Bundle Location-Aware-example

Bundle Location-Aware-example of type transaction

Entry 1 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f01

Resource Location:

Generated Narrative: Location Loc-X140008

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

status: Active

name: CLARKE MEMORIAL HOSPITAL Building

mode: Instance

type: Hospital

address: 701 W NORTH AVE MELROSE PARK IL 60160 USA (work)

Positions

-	Longitude	Latitude
*	-87.841101	41.908342

managingOrganization: Bundle: type = transaction

Request:

POST Location

Entry 2 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f02

Resource Measure:

Knowledge Artifact Metadata
Name (machine-readable)	CDCPatientImpactAndHospitalCapacity
Title (human-readable)	Patient Impact and Hospital Capacity
Status	Draft
Experimental	true
Description	This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.
Use Context	Clinical Focus = COVID-19
Measure Developer	Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): mailto:nhsn@cdc.gov
Measure Steward	HL7 International / Public Health
Steward Contact Details	http://www.hl7.org/Special/committees/pher
Steward Contact Details	pher@lists.hl7.org
Steward Contact Details	Keith W. Boone: mailto:kboone@ainq.com
Documentation	Description: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page Citation: https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/
Documentation	Description: Importing COVID-19 Patient Module Denominator data for Patient Safety Component Citation: https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf
Documentation	Description: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130) Citation: https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf
Documentation	Description: CDC/NHSN COVID-19 Reporting CSV File Template Citation: https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv
Measure Metadata
Version Number	1.0.1
Measure Scoring	Continuous Variable
Measure Population Criteria
All Hospital Beds	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.
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.
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.
ICU Beds	Description: Enter the total number of staffed Intensive Care Unit (ICU) beds. CDC Webinar 31-Mar-2020: ICU beds include NICU
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
Measure Population Criteria
Mechanical Ventilators	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.
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.
Measure Population Criteria
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).
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.
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.
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.
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.
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.
All COVID-19 Confirmed or Suspected Patients	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).
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.
Measure Logic
Primary Library	http://example.org/fhir/saner/StructureDefinition/NHSNMeasureLibrary
Generated using version 0.4.6 of the sample-content-ig Liquid templates

Request:

POST Measure

Entry 3 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f03

Resource Organization:

Generated Narrative: Organization X140008

identifier: http://sanerproject.org/connectathon/hospitals/X140008

active: true

type: Healthcare Provider

name: CLARKE MEMORIAL HOSPITAL

Contacts

-	Address
*	701 W NORTH AVE MELROSE PARK IL 60160 USA (work)

Request:

POST Organization

Entry 4 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f04

Resource Organization:

Generated Narrative: Organization NJ-DPH

name: New Jersey Department of Public Health

Request:

POST Organization

Entry 5 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f05

Resource MeasureReport:

Generated Narrative: MeasureReport ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting

identifier: Uniform Resource Identifier (URI)/urn:uuid:375c3957-9219-11ea-1863-09173f13e4c5

status: Complete

type: Summary

measure: FEMA Laboratory Orders and Results Daily Increase Reporting

date: 2020-04-04 00:00:00-0500

reporter: New Jersey Department of Public Health

period: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500

group

code: positiveIncreasePercent

population

code: totalOrdersIncrease

count: Absent because : unsupported

population

code: totalTestResultsIncrease

count: 7853

population

code: positiveIncrease

count: 4229

group

code: positivePercent

population

code: totalOrders

count: Absent because : unsupported

population

code: rejected

count: Absent because : unsupported

population

code: totalTestResults

count: 75356

population

code: positive

count: 34124

population

code: All Laboratory Reports for any Order

count: Absent because : unsupported

population

code: Most Recent Laboratory Reports for any Order

count: Absent because : unsupported

Request:

POST MeasureReport

Entry 6 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f06

Resource MeasureReport:

Generated Narrative: MeasureReport ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity

identifier: Uniform Resource Identifier (URI)/urn:uuid:f87d8777-876e-11ea-1639-09173f13e4c5

status: Complete

type: Summary

measure: Patient Impact and Hospital Capacity

date: 2020-04-04 00:00:00-0500

reporter: New Jersey Department of Public Health

period: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500

group

code: Beds

population

code: numTotBeds

count: 20000

population

code: numbeds

count: 15000

population

code: numBedsOcc

count: Absent because : unsupported

population

code: numICUBeds

count: 2500

population

code: numICUBedsOcc

count: Absent because : unsupported

group

code: Ventilators

population

code: numVent

count: 2250

population

code: numVentUse

count: Absent because : unsupported

group

code: Encounters

population

code: numC19HospPats

count: 4000

population

code: numC19MechVentPats

count: Absent because : unsupported

population

code: numC19HOPats

count: Absent because : unsupported

population

code: numC19OverflowPats

count: Absent because : unsupported

population

code: numC19OFMechVentPats

count: Absent because : unsupported

population

code: numC19Died

count: Absent because : unsupported

population

code: Patients with suspected or confirmed COVID-19 in any location.

count: Absent because : unsupported

population

code: Ventilated COVID-19 Patients

count: Absent because : unsupported

Request:

POST MeasureReport

Entry 7 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f07

Resource Measure:

Knowledge Artifact Metadata
Name (machine-readable)	FEMADailyHospitalCOVID19Reporting
Title (human-readable)	FEMA Laboratory Orders and Results Daily Increase Reporting
Status	Draft
Experimental	true
Description	This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.
Use Context	Clinical Focus = COVID-19
Topic	Immunology laboratory test (procedure)
Measure Developer	HL7 Public Health Workgroup: mailto:pher@lists.hl7.org
Measure Steward	HL7 International / Public Health
Steward Contact Details	http://www.hl7.org/Special/committees/pher
Steward Contact Details	pher@lists.hl7.org
Steward Contact Details	Keith W. Boone: mailto:kboone@ainq.com
Documentation	Description: Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing Citation: https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing
Documentation	Description: Text of a Letter from the Vice President to Hospital Administrators Citation: https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/
Documentation	Description: Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator Citation: https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19
Documentation	Description: Template for Daily Hospital COVID-19 Reporting.xlsx Citation: https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx
Measure Metadata
Version Number	1.0.1
Measure Scoring	Continuous Variable
Measure Type	Outcome
Rate Aggregation	count
Measure Population Criteria
New Diagnostic Tests Ordered/Received	Description: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.
New Tests Resulted	Description: Enter the number of results recieved/generated during the reporting period. Do not include results where the test could not be completed because the specimen was rejected or a positive/negative result could not be established
New Positive COVID-19 Tests	Description: Enter the number of positive test results released during the reporting period.
Measure Population Criteria
Cumulative Diagnostic Tests Ordered/Received	Description: Enter the cumulative number of tests ordered to date.
Cumulative Specimens Rejected	Description: Enter the cumulative number of specimens rejected for testing to date.
Cumulative Tests Performed	Description: Enter the total number tests with results released to date. Do not include tests where a positive/negative result could not be determined (e.g., because the specimen was inadequate).
Cumulative Positive COVID-19 Tests	Description: Enter the total number of positive test results release to date.
All Laboratory Reports for any Order	Description: This is in intermediate population used to simplify calculations
Most Recent Laboratory Reports for any Order	Description: This is in intermediate population used to simplify calculations
Measure Logic
Primary Library	http://example.org/fhir/saner/StructureDefinition/FEMAMeasureLibrary
Generated using version 0.4.6 of the sample-content-ig Liquid templates

Request:

POST Measure