FHIR IG Statistics: Measure/FEMADailyHospitalCOVID19Reporting

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{
  "resourceType": "Measure",
  "id": "FEMADailyHospitalCOVID19Reporting",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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",
  "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",
      "url": "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing",
      "document": {
        "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/",
      "document": {
        "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",
      "document": {
        "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",
      "document": {
        "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"
          }
        }
      ]
    }
  ]
}