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{
 "resourceType": "Measure",
 "id": "FEMADailyHospitalCOVID19Reporting",
 "meta": {
 "profile": [
 "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"
 ]
 },
 "text": {
 "status": "extensions",
 "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated NarrativeEnables specification of proposed measure reporting: Do Once per 1 daysurl: <code>http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting</code>version: 1.0.0name: FEMADailyHospitalCOVID19Reportingstatus: draftexperimental: truedate: Sep 7, 2021 7:08:29 PMpublisher: HL7 International Public Health Workgroupcontact: <a href=\"http://hl7.org/Special/committees/pher\">http://hl7.org/Special/committees/pher</a>, <a href=\"mailto:pher@lists.hl7.org\">pher@lists.hl7.org</a>, Keith W. Boone: <a href=\"mailto:mailto:kboone@ainq.com\">mailto:kboone@ainq.com</a>jurisdiction: Worldtopic: Immunology laboratory test (procedure)author: HL7 Public Health Workgroup: <a href=\"mailto:mailto:pher@lists.hl7.org\">mailto:pher@lists.hl7.org</a>library: <a href=\"http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary\">http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary</a>type: OutcomerateAggregation: count<blockquote>group<blockquote>Attributes describing a group of measuresvalue: Continuous Variablevalue: COVID-19 Diagnostic Testingvalue: Outcomevalue: Decreased score indicates improvementvalue: cumulative</blockquote>code: # of new positive test results released / # of total new tests released for previous date queried<blockquote>populationcode: Midnight to midnight cutoff, tests ordered on previous date querieddescription: Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</blockquote><blockquote>populationcode: Midnight to midnight cutoff, test results released on previous date querieddescription: 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</blockquote><blockquote>populationcode: Midnight to midnight cutoff, positive test results released on previous date querieddescription: Enter the number of positive test results released during the reporting period.</blockquote></blockquote><blockquote>group<blockquote>Attributes describing a group of measuresvalue: Continuous Variablevalue: COVID-19 Cumulative Diagnostic Testingvalue: Outcomevalue: Decreased score indicates improvementvalue: cumulative</blockquote>code: # of total positive results to released date / # of total tests results released to date<blockquote>populationcode: All tests ordered to date.description: Enter the cumulative number of tests ordered to date.</blockquote><blockquote>populationcode: All specimens rejected for testing to datedescription: Enter the cumulative number of specimens rejected for testing to date.</blockquote><blockquote>populationcode: All tests with results released to datedescription: 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).</blockquote><blockquote>populationcode: All positive test results released to datedescription: Enter the total number of positive test results release to date.</blockquote><blockquote>populationcode: Reports to date including corrected, amended and canceled reportsdescription: This is in intermediate population used to simplify calculations</blockquote><blockquote>populationcode: Latest Reports to date for each orderdescription: This is in intermediate population used to simplify calculations</blockquote></blockquote></div>"
 },
 "extension": [
 {
 "url": "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
 "valueTiming": {
 "repeat": {
 "frequency": 1,
 "period": 1,
 "periodUnit": "d"
 }
 }
 }
 ],
 "url": "http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting",
 "version": "1.0.0",
 "name": "FEMADailyHospitalCOVID19Reporting",
 "status": "draft",
 "experimental": true,
 "date": "2021-09-07T19:08:29+00:00",
 "publisher": "HL7 International Public Health Workgroup",
 "contact": [
 {
 "telecom": [
 {
 "system": "url",
 "value": "http://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"
 }
 ]
 }
 ],
 "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"
 }
 ]
 }
 ],
 "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",
 "url": "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",
 "url": "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",
 "url": "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",
 "url": "https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"
 }
 ],
 "library": [
 "http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary"
 ],
 "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://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
 }
 ],
 "code": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
 }
 ],
 "code": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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://hl7.org/fhir/uv/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"
 }
 }
 ]
 }
 ]
}

name : FEMADailyHospitalCOVID19Reporting

{

}