Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "Location-Aware-example",
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"entry" : [
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f01",
"resource" : {
"resourceType" : "Location",
"id" : "Loc-X140008",
"meta" : {
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_Loc-X140008\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location Loc-X140008</b></p><a name=\"Loc-X140008\"> </a><a name=\"hcLoc-X140008\"> </a><a name=\"Loc-X140008-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p><b>status</b>: Active</p><p><b>name</b>: CLARKE MEMORIAL HOSPITAL Building</p><p><b>mode</b>: Instance</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>address</b>: 701 W NORTH AVE MELROSE PARK IL 60160 USA (work)</p><p><b>physicalType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type si}\">Site</span></p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-87.841101</td><td>41.908342</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-Location-Aware-example.html#Organization_X140008\">Bundle: type = transaction</a></p></div>"
},
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"code" : "HOSP"
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"address" : {
"use" : "work",
"type" : "both",
"line" : [
"701 W NORTH AVE"
],
"city" : "MELROSE PARK",
"district" : "COOK",
"state" : "IL",
"postalCode" : "60160",
"country" : "USA"
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"latitude" : 41.908342
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"managingOrganization" : {
"reference" : "Organization/X140008"
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"request" : {
"method" : "POST",
"url" : "Location"
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{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f02",
"resource" : {
"resourceType" : "Measure",
"id" : "CDCPatientImpactAndHospitalCapacity",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Measure_CDCPatientImpactAndHospitalCapacity\"> </a>\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">CDCPatientImpactAndHospitalCapacity</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Patient Impact and Hospital Capacity</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type focus}\">Clinical Focus</span> = <span title=\"Codes:{http://snomed.info/sct 840539006}\">COVID-19</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): <a href=\"mailto:mailto:nhsn@cdc.gov\">mailto:nhsn@cdc.gov</a></td>\n</tr>\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">HL7 International / Public Health</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"mailto:pher@lists.hl7.org\">pher@lists.hl7.org</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">Keith W. Boone: <a href=\"mailto:mailto:kboone@ainq.com\">mailto:kboone@ainq.com</a></td>\n</tr>\n\n\n\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: CDC/NHSN COVID-19 Reporting CSV File Template\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">1.0.1</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n<td class=\"content-container\"><div><p>Ventilator\n: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive\npressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.\nNote: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and\nPEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators\nunless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).</p>\n<p>Beds\n: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.</p>\n<p>ICU beds\n: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">All Hospital Beds</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,\nand overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Hospital Inpatient Beds</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">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>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Hospital Inpatient Bed Occupancy</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">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.\n\nCDC Webinar 31-Mar-2020:\nBaby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">ICU Beds</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of staffed Intensive Care Unit (ICU) beds.\n\nCDC Webinar 31-Mar-2020:\nICU beds include NICU</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">ICU Bed Occupancy</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.\n\nCDC Webinar 31-Mar-2020:\nICU beds include NICU</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Mechanical Ventilators</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of mechanical ventilators, including anesthesia machines and\nportable/transport ventilators available in the facility.\nInclude BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Mechanical Ventilators in Use</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia\nmachines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Hospitalized COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients hospitalized in an inpatient bed at the time the data is collected\n who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.\nConfirmed: A patient with a laboratory confirmed COVID-19 diagnosis\nSuspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Hospitalized and Ventilated COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients hospitalized in an inpatient bed who have\nsuspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the\npatients with laboratory-confirmed or clinically diagnosed COVID-19.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Hospital Onset COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients hospitalized in an inpatient bed at the time the data is\ncollected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital\nday 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">ED/Overflow COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients with suspected or confirmed COVID-19 who are in the\nEmergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data\nis collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical\nlocations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">ED/Overflow and Ventilated COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a\nmechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">COVID-19 Patient Deaths</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This\nincludes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time\nthe data is collected instead of the cumulated number of deaths.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">All COVID-19 Confirmed or Suspected Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients in any location at the time the data is collected who have suspected or confirmed\nCOVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.\nConfirmed: A patient with a laboratory confirmed COVID-19 diagnosis\nSuspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Ventilated COVID-19 Patients</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of patients in any location who have suspected or confirmed COVID-19 and are\ncurrently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically\ndiagnosed COVID-19.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><code>http://example.org/fhir/saner/StructureDefinition/NHSNMeasureLibrary</code></td>\n</tr>\n\n\n\n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
},
"extension" : [
{
"url" : "http://example.org/fhir/saner/StructureDefinition/ReportingPeriod",
"valueTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
],
"url" : "http://example.org/fhir/saner/Measure/CDCPatientImpactAndHospitalCapacity",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.42.29.3"
}
],
"version" : "1.0.1",
"name" : "CDCPatientImpactAndHospitalCapacity",
"title" : "Patient Impact and Hospital Capacity",
"status" : "draft",
"experimental" : true,
"date" : "2024-05-18T21:25:01+00:00",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
},
{
"telecom" : [
{
"system" : "email",
"value" : "pher@lists.hl7.org"
}
]
},
{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "mailto:kboone@ainq.com"
}
]
}
],
"description" : "This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"author" : [
{
"name" : "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)",
"telecom" : [
{
"system" : "email",
"value" : "mailto:nhsn@cdc.gov"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"label" : "NHSN COVID-19 Reporting",
"display" : "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/"
},
{
"type" : "documentation",
"label" : "How to import COVID-19 Summary Data",
"display" : "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"
},
{
"type" : "documentation",
"label" : "Table of Instructions",
"display" : "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"
},
{
"type" : "documentation",
"label" : "CSV File Template",
"display" : "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"
}
],
"library" : [
"http://example.org/fhir/saner/StructureDefinition/NHSNMeasureLibrary"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
},
"definition" : [
"Ventilator\n: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive\npressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.\nNote: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and\nPEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators\nunless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).\n\nBeds\n: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.\n\nICU beds\n: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)"
],
"group" : [
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
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{
"url" : "subject",
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"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Location"
},
{
"system" : "http://snomed.info/sct",
"code" : "91537007",
"display" : "Hospital bed, device (physical object)"
}
],
"text" : "Hospital Beds"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "count"
}
],
"url" : "http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Beds",
"display" : "Beds"
}
],
"text" : "Hospital Bed Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numTotBeds",
"display" : "All Hospital Beds"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients"
},
"description" : "Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,\nand overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds.",
"criteria" : {
"description" : "A bed in any location",
"name" : "numTotBeds",
"language" : "text/fhirpath",
"expression" : "Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numbeds",
"display" : "Hospital Inpatient Beds"
}
],
"text" : "Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients"
},
"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" : {
"description" : "A Bed where the location is an inpatient location.",
"name" : "numbeds",
"language" : "text/fhirpath",
"expression" : "%numTotBeds.where(location.type in %ValueSet-InpatientLocations)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numBedsOcc",
"display" : "Hospital Inpatient Bed Occupancy"
}
],
"text" : "Total number of staffed inpatient beds that are occupied"
},
"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.\n\nCDC Webinar 31-Mar-2020:\nBaby beds in mom's room count as 1 bed, even if there are multiple baby beds\nFollow-up in progress if staffed is less than licensed.\nTotal includes all beds, even if with surge beds it exceeds licensed beds.",
"criteria" : {
"description" : "An Inpatient Bed where the Bed is occupied.",
"name" : "numBedsOcc",
"language" : "text/fhirpath",
"expression" : "%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numICUBeds",
"display" : "ICU Beds"
}
],
"text" : "ICU Bed Occupancy"
},
"description" : "Enter the total number of staffed Intensive Care Unit (ICU) beds.\n\nCDC Webinar 31-Mar-2020:\nICU beds include NICU",
"criteria" : {
"description" : "A Bed where the location is an inpatient ICU location.",
"name" : "numICUBeds",
"language" : "text/fhirpath",
"expression" : "%numbeds.where(location.type in %ValueSet-ICULocations)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numICUBedsOcc",
"display" : "ICU Bed Occupancy"
}
],
"text" : "Total number of staffed inpatient intensive care unit (ICU) beds"
},
"description" : "Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.\n\nCDC Webinar 31-Mar-2020:\nICU beds include NICU",
"criteria" : {
"description" : "An ICU Bed that is occupied.",
"name" : "numICUBedsOcc",
"language" : "text/fhirpath",
"expression" : "%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
}
},
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Device"
},
{
"system" : "http://snomed.info/sct",
"code" : "706172005",
"display" : "Ventilator (physical object)"
}
],
"text" : "Ventilator"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "count"
}
],
"url" : "http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Ventilators",
"display" : "Ventilators"
}
],
"text" : "Hospital Ventilators Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numVent",
"display" : "Mechanical Ventilators"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Total number of ventilators available"
},
"description" : "Enter the total number of mechanical ventilators, including anesthesia machines and\nportable/transport ventilators available in the facility.\nInclude BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.",
"criteria" : {
"description" : "A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)",
"name" : "numVent",
"language" : "text/fhirpath",
"expression" : "Device.where(type in %ValueSet-VentilatorDevices and status = active)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numVentUse",
"display" : "Mechanical Ventilators in Use"
}
],
"text" : "Total number of ventilators in use"
},
"description" : "Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia\nmachines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.",
"criteria" : {
"description" : "A ventilator that is attached to a patient.",
"name" : "numVentUse",
"language" : "text/fhirpath",
"expression" : "%numVent.where(patient!={})"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
}
},
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Encounter"
},
{
"system" : "http://snomed.info/sct",
"code" : "308335008",
"display" : "Patient encounter procedure (procedure)"
}
],
"text" : "Encounter"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "count"
}
],
"url" : "http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Encounters",
"display" : "Encounters"
}
],
"text" : "Hospital COVID-19 Encounters Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19HospPats",
"display" : "Hospitalized COVID-19 Patients"
}
],
"text" : "Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19"
},
"description" : "Enter the number of patients hospitalized in an inpatient bed at the time the data is collected\n who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.\nConfirmed: A patient with a laboratory confirmed COVID-19 diagnosis\nSuspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).",
"criteria" : {
"description" : "An COVID-19 encounter where the active location is an inpatient location",
"name" : "numC19HospPats",
"language" : "text/fhirpath",
"expression" : "%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19MechVentPats",
"display" : "Hospitalized and Ventilated COVID-19 Patients"
}
],
"text" : "Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator"
},
"description" : "Enter the number of patients hospitalized in an inpatient bed who have\nsuspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the\npatients with laboratory-confirmed or clinically diagnosed COVID-19.",
"criteria" : {
"description" : "An COVID-19 encounter in an inpatient setting on a ventilator",
"name" : "numC19OFMechVentPats",
"language" : "text/fhirpath",
"expression" : "%numC19HospPats.intersect(%numC19VentPats)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19HOPats",
"display" : "Hospital Onset COVID-19 Patients"
}
],
"text" : "Patients currently hospitalized in an inpatient bed with onset of suspected or\nconfirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19"
},
"description" : "Enter the number of patients hospitalized in an inpatient bed at the time the data is\ncollected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital\nday 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases.",
"criteria" : {
"description" : "Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start",
"name" : "numC19HOPats",
"language" : "text/fhirpath",
"expression" : "Condition.where(\n code in %ValueSet-SuspectedOrDiagnosedCOVID19\n and encounter in %numC19HospPats\n and onset + 14 days > encounter.period.start).encounter"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19OverflowPats",
"display" : "ED/Overflow COVID-19 Patients"
}
],
"text" : "Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed"
},
"description" : "Enter the number of patients with suspected or confirmed COVID-19 who are in the\nEmergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data\nis collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical\nlocations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents.",
"criteria" : {
"description" : "An COVID-19 encounter where the active location is an ED or Overflow location",
"name" : "numC19OverflowPats",
"language" : "text/fhirpath",
"expression" : "%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19OFMechVentPats",
"display" : "ED/Overflow and Ventilated COVID-19 Patients"
}
],
"text" : "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"
},
"description" : "Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a\nmechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19.",
"criteria" : {
"description" : "An COVID-19 encounter where the active location is an ED or Overflow location",
"name" : "numC19OFMechVentPats",
"language" : "text/fhirpath",
"expression" : "%numC19OverflowPats.intersect(%numC19VentPats)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19Died",
"display" : "COVID-19 Patient Deaths"
}
],
"text" : "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."
},
"description" : "Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This\nincludes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time\nthe data is collected instead of the cumulated number of deaths.",
"criteria" : {
"description" : "All C19 Patients who have died in an encounter during the reporting period.",
"name" : "numC19Died",
"language" : "text/fhirpath",
"expression" : "%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19Pats",
"display" : "All COVID-19 Confirmed or Suspected Patients"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Patients with suspected or confirmed COVID-19 in any location."
},
"description" : "Enter the number of patients in any location at the time the data is collected who have suspected or confirmed\nCOVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.\nConfirmed: A patient with a laboratory confirmed COVID-19 diagnosis\nSuspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance\nfor Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed\nCOVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).",
"criteria" : {
"description" : "Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,\n or a Condition of suspected or confirmed COVID-19 was created during that encounter.",
"name" : "numC19Pats",
"language" : "text/fhirpath",
"expression" : "Encounter.where(clinicalStatus = 'active' and diagnosis.condition.ofType(Condition).code in %ValueSet-SuspectedOrDiagnosedCOVID19)\n | Encounter.where(clinicalStatus = \"active\" and Condition.where(code in %ValueSet-SuspectedOrDiagnosedCOVID19).encounter = $this)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19VentPats",
"display" : "Ventilated COVID-19 Patients"
}
],
"text" : "Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator."
},
"description" : "Enter the number of patients in any location who have suspected or confirmed COVID-19 and are\ncurrently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically\ndiagnosed COVID-19.",
"criteria" : {
"description" : "A COVID-19 encounter where the patient is ventilated",
"name" : "numC19VentPats",
"language" : "text/fhirpath",
"expression" : "%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)"
}
}
]
}
]
},
"request" : {
"method" : "POST",
"url" : "Measure"
}
},
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f03",
"resource" : {
"resourceType" : "Organization",
"id" : "X140008",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_X140008\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization X140008</b></p><a name=\"X140008\"> </a><a name=\"hcX140008\"> </a><a name=\"X140008-en-US\"> </a><p><b>identifier</b>: <code>http://sanerproject.org/connectathon/hospitals</code>/X140008</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: CLARKE MEMORIAL HOSPITAL</p><p><b>address</b>: 701 W NORTH AVE MELROSE PARK IL 60160 USA (work)</p></div>"
},
"identifier" : [
{
"system" : "http://sanerproject.org/connectathon/hospitals",
"value" : "X140008"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "CLARKE MEMORIAL HOSPITAL",
"address" : [
{
"use" : "work",
"type" : "both",
"line" : [
"701 W NORTH AVE"
],
"city" : "MELROSE PARK",
"district" : "COOK",
"state" : "IL",
"postalCode" : "60160",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f04",
"resource" : {
"resourceType" : "Organization",
"id" : "NJ-DPH",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_NJ-DPH\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization NJ-DPH</b></p><a name=\"NJ-DPH\"> </a><a name=\"hcNJ-DPH\"> </a><a name=\"NJ-DPH-en-US\"> </a><p><b>name</b>: New Jersey Department of Public Health</p></div>"
},
"name" : "New Jersey Department of Public Health"
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f05",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting</b></p><a name=\"ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting\"> </a><a name=\"hcExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting\"> </a><a name=\"ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:375c3957-9219-11ea-1863-09173f13e4c5</p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"Bundle-Location-Aware-example.html\">FEMA Laboratory Orders and Results Daily Increase Reporting</a></p><p><b>date</b>: 2020-04-04 00:00:00-0500</p><p><b>reporter</b>: <a href=\"Bundle-Location-Aware-example.html#Organization_NJ-DPH\">New Jersey Department of Public Health</a></p><p><b>period</b>: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500</p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem positiveIncreasePercent}\">positiveIncreasePercent</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalOrdersIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">totalOrdersIncrease</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalTestResultsIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">totalTestResultsIncrease</span></p><p><b>count</b>: 7853</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues positiveIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">positiveIncrease</span></p><p><b>count</b>: 4229</p></blockquote><p><b>measureScore</b>: 53.85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem positivePercent}\">positivePercent</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalOrders}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">totalOrders</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues rejected}, {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">rejected</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalTestResults}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">totalTestResults</span></p><p><b>count</b>: 75356</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues positive}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">positive</span></p><p><b>count</b>: 34124</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues allReports}\">All Laboratory Reports for any Order</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues latestReports}\">Most Recent Laboratory Reports for any Order</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 45.28 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:375c3957-9219-11ea-1863-09173f13e4c5"
}
],
"status" : "complete",
"type" : "summary",
"measure" : "http://example.org/fhir/saner/Measure/FEMADailyHospitalCOVID19Reporting",
"date" : "2020-04-04T00:00:00-05:00",
"reporter" : {
"reference" : "Organization/NJ-DPH",
"display" : "New Jersey Department of Public Health"
},
"period" : {
"start" : "2020-04-04T00:00:00-05:00",
"end" : "2020-04-04T00:00:00-05:00"
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "positiveIncreasePercent"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalOrdersIncrease"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResultsIncrease"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"count" : 7853
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "positiveIncrease"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 4229
}
],
"measureScore" : {
"value" : 53.85,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "positivePercent"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalOrders"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "rejected"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResults"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"count" : 75356
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "positive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 34124
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "allReports"
}
],
"text" : "All Laboratory Reports for any Order"
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "latestReports"
}
],
"text" : "Most Recent Laboratory Reports for any Order"
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
}
],
"measureScore" : {
"value" : 45.28,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f06",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity</b></p><a name=\"ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity\"> </a><a name=\"hcExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity\"> </a><a name=\"ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:f87d8777-876e-11ea-1639-09173f13e4c5</p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"Bundle-Location-Aware-example.html\">Patient Impact and Hospital Capacity</a></p><p><b>date</b>: 2020-04-04 00:00:00-0500</p><p><b>reporter</b>: <a href=\"Bundle-Location-Aware-example.html#Organization_NJ-DPH\">New Jersey Department of Public Health</a></p><p><b>period</b>: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500</p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Beds}\">Beds</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numTotBeds}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">numTotBeds</span></p><p><b>count</b>: 20000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numbeds}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numbeds</span></p><p><b>count</b>: 15000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numBedsOcc}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numBedsOcc</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numICUBeds}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numICUBeds</span></p><p><b>count</b>: 2500</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numICUBedsOcc}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numICUBedsOcc</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 34</p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Ventilators}\">Ventilators</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numVent}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">numVent</span></p><p><b>count</b>: 2250</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numVentUse}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numVentUse</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 11</p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Encounters}\">Encounters</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19HospPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19HospPats</span></p><p><b>count</b>: 4000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19MechVentPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19MechVentPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19HOPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19HOPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19OverflowPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19OverflowPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19OFMechVentPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19OFMechVentPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19Died}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">numC19Died</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19Pats}\">Patients with suspected or confirmed COVID-19 in any location.</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19VentPats}\">Ventilated COVID-19 Patients</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 233</p></blockquote></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:f87d8777-876e-11ea-1639-09173f13e4c5"
}
],
"status" : "complete",
"type" : "summary",
"measure" : "http://example.org/fhir/saner/Measure/CDCPatientImpactAndHospitalCapacity",
"date" : "2020-04-04T00:00:00-05:00",
"reporter" : {
"reference" : "Organization/NJ-DPH",
"display" : "New Jersey Department of Public Health"
},
"period" : {
"start" : "2020-04-04T00:00:00-05:00",
"end" : "2020-04-04T00:00:00-05:00"
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Beds"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numTotBeds"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"count" : 20000
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numbeds"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"count" : 15000
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numBedsOcc"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numICUBeds"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"count" : 2500
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numICUBedsOcc"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
}
],
"measureScore" : {
"value" : 34
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Ventilators"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numVent"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"count" : 2250
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numVentUse"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
}
],
"measureScore" : {
"value" : 11
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "Encounters"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19HospPats"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"count" : 4000
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19MechVentPats"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19HOPats"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19OverflowPats"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19OFMechVentPats"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19Died"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population"
}
]
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19Pats"
}
],
"text" : "Patients with suspected or confirmed COVID-19 in any location."
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "numC19VentPats"
}
],
"text" : "Ventilated COVID-19 Patients"
},
"_count" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unsupported"
}
]
}
}
],
"measureScore" : {
"value" : 233
}
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f07",
"resource" : {
"resourceType" : "Measure",
"id" : "FEMADailyHospitalCOVID19Reporting",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Measure_FEMADailyHospitalCOVID19Reporting\"> </a>\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">FEMADailyHospitalCOVID19Reporting</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">FEMA Laboratory Orders and Results Daily Increase Reporting</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type focus}\">Clinical Focus</span> = <span title=\"Codes:{http://snomed.info/sct 840539006}\">COVID-19</span></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://snomed.info/sct 252318005}\">Immunology laboratory test (procedure)</span></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">HL7 Public Health Workgroup: <a href=\"mailto:mailto:pher@lists.hl7.org\">mailto:pher@lists.hl7.org</a></td>\n</tr>\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">HL7 International / Public Health</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"mailto:pher@lists.hl7.org\">pher@lists.hl7.org</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">Keith W. Boone: <a href=\"mailto:mailto:kboone@ainq.com\">mailto:kboone@ainq.com</a></td>\n</tr>\n\n\n\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Text of a Letter from the Vice President to Hospital Administrators\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Template for Daily Hospital COVID-19 Reporting.xlsx\n \n <br/>\n \n \n \n <em>Citation</em>: <div><p>https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx</p>\n</div>\n \n \n \n \n </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">1.0.1</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Rate Aggregation</th>\n\n<td class=\"content-container\">count</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">New Diagnostic Tests Ordered/Received</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">New Tests Resulted</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was rejected or a positive/negative result could not be established</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">New Positive COVID-19 Tests</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the number of positive test results released during the reporting period.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Cumulative Diagnostic Tests Ordered/Received</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the cumulative number of tests ordered to date.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Cumulative Specimens Rejected</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the cumulative number of specimens rejected for testing to date.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Cumulative Tests Performed</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number tests with results released to date. Do not include tests where a\n positive/negative result could not be determined (e.g., because the specimen was inadequate).</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Cumulative Positive COVID-19 Tests</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Enter the total number of positive test results release to date.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">All Laboratory Reports for any Order</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">This is in intermediate population used to simplify calculations</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Most Recent Laboratory Reports for any Order</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">This is in intermediate population used to simplify calculations</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><code>http://example.org/fhir/saner/StructureDefinition/FEMAMeasureLibrary</code></td>\n</tr>\n\n\n\n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
},
"extension" : [
{
"url" : "http://example.org/fhir/saner/StructureDefinition/ReportingPeriod",
"valueTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
],
"url" : "http://example.org/fhir/saner/Measure/FEMADailyHospitalCOVID19Reporting",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.42.29.5"
}
],
"version" : "1.0.1",
"name" : "FEMADailyHospitalCOVID19Reporting",
"title" : "FEMA Laboratory Orders and Results Daily Increase Reporting",
"status" : "draft",
"experimental" : true,
"date" : "2024-05-18T21:25:01+00:00",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
},
{
"telecom" : [
{
"system" : "email",
"value" : "pher@lists.hl7.org"
}
]
},
{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "mailto:kboone@ainq.com"
}
]
}
],
"description" : "This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"topic" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "252318005",
"display" : "Immunology laboratory test (procedure)"
}
]
}
],
"author" : [
{
"name" : "HL7 Public Health Workgroup",
"telecom" : [
{
"system" : "email",
"value" : "mailto:pher@lists.hl7.org"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"label" : "CMS Press Release",
"display" : "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"
},
{
"type" : "documentation",
"label" : "Vice President Pence Letter to Hospital Administrators",
"display" : "Text of a Letter from the Vice President to Hospital Administrators",
"citation" : "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"
},
{
"type" : "documentation",
"label" : "AHA Advisory on COVID-19 Reporting",
"display" : "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"
},
{
"type" : "documentation",
"label" : "Excel Spreadsheet template for reporting to FEMA",
"display" : "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"
}
],
"library" : [
"http://example.org/fhir/saner/StructureDefinition/FEMAMeasureLibrary"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
],
"rateAggregation" : "count",
"group" : [
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
}
},
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "ServiceRequest"
},
{
"system" : "http://snomed.info/sct",
"code" : "252318005",
"display" : "Immunology laboratory test (procedure)"
}
],
"text" : "COVID-19 Diagnostic Testing"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "positiveIncreasePercent",
"display" : "Percent Positive among Newly Resulted Tests"
}
],
"text" : "# of new positive test results released / # of total new tests released for previous date queried"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalOrdersIncrease",
"display" : "New Diagnostic Tests Ordered/Received"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "Midnight to midnight cutoff, tests ordered on previous date queried"
},
"description" : "Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.",
"criteria" : {
"description" : "Orders initiated during %reportingPeriod",
"name" : "totalOrdersIncrease",
"language" : "text/fhirpath",
"expression" : "ServiceRequest.where(\n authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n and status in ('active', 'completed')\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResultsIncrease",
"display" : "New Tests Resulted"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Midnight to midnight cutoff, test results released on previous date queried"
},
"description" : "Enter the number of results recieved/generated during the reporting period.\n Do not include results where the test could not be completed because the specimen\n was rejected or a positive/negative result could not be established",
"criteria" : {
"description" : "Results recieved during reporting period",
"name" : "totalTestResultsIncrease",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where(\n issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n and status in ('final, 'amended', 'corrected', 'appended')\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "positiveIncrease",
"display" : "New Positive COVID-19 Tests"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Midnight to midnight cutoff, positive test results released on previous date queried"
},
"description" : "Enter the number of positive test results released during the reporting period.",
"criteria" : {
"description" : "Result is positive with respect to COVID-19",
"name" : "positiveIncrease",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
}
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable"
}
]
}
},
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "ServiceRequest"
},
{
"system" : "http://snomed.info/sct",
"code" : "252318005",
"display" : "Immunology laboratory test (procedure)"
}
],
"text" : "COVID-19 Cumulative Diagnostic Testing"
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "outcome"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "cumulative"
}
],
"url" : "http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem",
"code" : "positivePercent",
"display" : "Cumulative Percent Positive among Resulted Tests"
}
],
"text" : "# of total positive results to released date / # of total tests results released to date"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalOrders",
"display" : "Cumulative Diagnostic Tests Ordered/Received"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
],
"text" : "All tests ordered to date."
},
"description" : "Enter the cumulative number of tests ordered to date.",
"criteria" : {
"description" : "Report all active or completed test orders for a COVID-19 test authored during the reporting period",
"name" : "totalOrders",
"language" : "text/fhirpath",
"expression" : "ServiceRequest.where(\n authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */\n and status in ('active', 'completed')\n and code in %ValueSet-COVID19DiagnosticTest\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "rejected",
"display" : "Cumulative Specimens Rejected"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
}
],
"text" : "All specimens rejected for testing to date"
},
"description" : "Enter the cumulative number of specimens rejected for testing to date.",
"criteria" : {
"description" : "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed.",
"name" : "rejected",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "totalTestResults",
"display" : "Cumulative Tests Performed"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "All tests with results released to date"
},
"description" : "Enter the total number tests with results released to date. Do not include tests where a\n positive/negative result could not be determined (e.g., because the specimen was inadequate).",
"criteria" : {
"description" : "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" : "totalTestResults",
"language" : "text/fhirpath",
"expression" : "ServiceRequest.where(\n status in ('active', 'completed')\n and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "positive",
"display" : "Cumulative Positive COVID-19 Tests"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "All positive test results released to date"
},
"description" : "Enter the total number of positive test results release to date.",
"criteria" : {
"description" : "The result is positive for COVID-19",
"name" : "positive",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "allReports",
"display" : "All Laboratory Reports for any Order"
}
],
"text" : "Reports to date including corrected, amended and canceled reports"
},
"description" : "This is in intermediate population used to simplify calculations",
"criteria" : {
"description" : "Diagnostic Reports provided in response to totalOrders",
"name" : "allReports",
"language" : "text/fhirpath",
"expression" : "DiagnosticReport.where(basedOn in %totalOrders)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/saner/CodeSystem/MeasuredValues",
"code" : "latestReports",
"display" : "Most Recent Laboratory Reports for any Order"
}
],
"text" : "Latest Reports to date for each order"
},
"description" : "This is in intermediate population used to simplify calculations",
"criteria" : {
"description" : "Most recent diagnostic reports provided in response to totalOrders",
"name" : "latestReports",
"language" : "text/fhirpath",
"expression" : "TBD"
}
}
]
}
]
},
"request" : {
"method" : "POST",
"url" : "Measure"
}
}
]
}
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2025-05-19
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