{
"description": "US Situational Awareness Framework for Reporting (US SAFR)",
"_filename": "ImplementationGuide-hl7.fhir.us.safr.json",
"package_name": "hl7.fhir.us.safr",
"definition": {
"page": {
"page": [ {
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"nameUrl": "index.html",
"extension": [ {
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"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "index.html"
} ],
"generation": "markdown"
}, {
"title": "Actors",
"nameUrl": "actors.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
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} ],
"generation": "markdown"
}, {
"title": "Downloads",
"nameUrl": "downloads.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
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"valueUrl": "downloads.html"
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"generation": "markdown"
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"valueUrl": "security.html"
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"nameUrl": "specification.html",
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"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "specification.html"
} ],
"generation": "markdown"
}, {
"title": "Usecases",
"nameUrl": "usecases.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "usecases.html"
} ],
"generation": "markdown"
} ],
"title": "Table of Contents",
"nameUrl": "toc.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "toc.html"
} ],
"generation": "html"
},
"resource": [ {
"name": "Bundle - Bed Capacity Measure Bundle Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/BedCapacityMeasureBundle"
},
"description": "This Bundle resource is an example of a Bed Capacity Measure Bundle.",
"exampleCanonical": "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measure-bundle"
}, {
"name": "Bundle - Bed Capacity Report Bundle Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/HospitalBedCapacityReportBundle"
},
"description": "Bundle containing a measure report and all referenced resources for NHSN bed capacity reporting.",
"exampleCanonical": "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"
}, {
"name": "Bundle - HRD Measure Bundle Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/HRDMeasureBundle"
},
"description": "This Bundle resource is an example of a Hospital Respiratory Data (HRD) Measure Bundle.",
"exampleCanonical": "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measure-bundle"
}, {
"name": "Bundle - HRD Measure Report Bundle Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/HRDMeasureReportBundle"
},
"description": "Bundle containing a measure report and all referenced resources for NHSN Hospital Respiratory Disease (HRD) reporting",
"exampleCanonical": "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"
}, {
"name": "Device - CQF Tooling System Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Device"
} ],
"reference": {
"reference": "Device/cqf-tooling"
},
"description": "Example of a Software System Device instance for describing tooling that was used to process artifacts.",
"exampleBoolean": true
}, {
"name": "Healthcare Capacity Reporting Code System",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/us-safr-bed-capacity-example-codes"
},
"description": "This CodeSystem defines coded concepts for Healthcare Capacity reporting to US SAFR. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.",
"exampleBoolean": false
}, {
"name": "Healthcare Capacity Reporting Group Code System",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/us-safr-bed-capacity-group-example-codes"
},
"description": "This CodeSystem defines coded concepts for Healthcare Capacity Group reporting to US SAFR. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.",
"exampleBoolean": false
}, {
"name": "Hospital Respiratory Data Reporting Code System",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/us-safr-hrd-example-codes"
},
"description": "This CodeSystem defines coded concepts for Hospital Respiratory Data reporting for US SAFR IG. This is an example CodeSystem and is experimental, and is expected to be replaced by LOINC codes once they have been assigned.",
"exampleBoolean": false
}, {
"name": "Hospital Respiratory Data Supply Days Code System",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/us-safr-hrd-supply-days-example-codes"
},
"description": "This CodeSystem defines coded concepts for supply days in Hospital Respiratory Data reporting for US SAFR IG. This is an example CodeSystem and is experimental, and is expected to be replaced when a permanent location is identified.",
"exampleBoolean": false
}, {
"name": "Library - HRD Measure Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Library"
} ],
"reference": {
"reference": "Library/HRDMeasureLibrary"
},
"description": "This library contains CQL logic for evaluating structural measures related to hospital respiratory disease reporting capabilities",
"exampleBoolean": true
}, {
"name": "Library - Library of Bed Capacity Measure Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Library"
} ],
"reference": {
"reference": "Library/BedCapacityLibrary"
},
"description": "This library contains CQL logic for evaluating structural measures related to bed capacity reporting capabilities.",
"exampleBoolean": true
}, {
"name": "Measure - Bed Capacity Measure Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Measure"
} ],
"reference": {
"reference": "Measure/BedCapacityMeasure"
},
"description": "Example of a bed capacity measure for ICU, ED, and Pediatric beds for NHSN reporting.",
"exampleBoolean": true
}, {
"name": "Measure - HRD Measure Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Measure"
} ],
"reference": {
"reference": "Measure/HospitalRespiratoryDataMeasure"
},
"description": "Example of a Hospital Respiratory Disease (HRD) Measure for NHSN reporting.",
"exampleBoolean": true
}, {
"name": "MeasureReport - Bed Capacity MeasureReport Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MeasureReport"
} ],
"reference": {
"reference": "MeasureReport/BedCapacityMeasureReport"
},
"description": "Example MeasureReport for NHSN bed capacity monitoring showing ICU, ED, and Pediatric bed capacity",
"exampleBoolean": true
}, {
"name": "MeasureReport - HRD MeasureReport Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MeasureReport"
} ],
"reference": {
"reference": "MeasureReport/HRDMeasureReport"
},
"description": "This Bundle resource is an example of a Hospital Respiratory Data (HRD) MeasureReport.",
"exampleBoolean": true
}, {
"name": "Organization - Submitting Hospital Organization Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
} ],
"reference": {
"reference": "Organization/MemorialHospitalOrganization"
},
"description": "Organization - Example of a Submitting Hospital Organization",
"exampleCanonical": "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-submitting-organization"
}, {
"name": "US SAFR Data Aggregator CapabilityStatement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SafrCapabilityStatementDataAggregator"
},
"description": "This statement defines the expected capabilities of a system that aggregates data from multiple Data Source actors before measure evaluation and then plays the role of a Data Source once aggregation is complete. An example would be a state public health agency aggregating data from all facilities in the state before using those data to produce a MeasureReport containing bed capacity data for the entire state. When FHIR enabled, a Data Aggregator acts as a [US Core Server](http://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html) when playing the role of a Data Source after aggregation. During aggregation, the Data Aggregator acts similar to the SANER options for aggregation, but implements its own CapabilityStatement due to the incompatibilities between DEQM and SANER.",
"exampleBoolean": false
}, {
"name": "US SAFR Data Evaluation Engine CapabilityStatement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SafrCapabilityStatementEvaluationEngine"
},
"description": "This statement defines the expected capabilities of a system that retrieves data from the Data Source and evaluates those data against one or more measures \nretrieved from the Measure Source. The resulting MeasureReport bundle and related resources are then sent to the MeasureReport recipient The dQM Evaluation Engine acts as a \n[US Core Client](https://www.hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-client.html), \na [DEQM Reporter Client](https://www.hl7.org/fhir/us/davinci-deqm/STU4/CapabilityStatement-reporter-client.html), and implements the $evaluation-measure operation",
"exampleBoolean": false
}, {
"name": "US SAFR Data Source CapabilityStatement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SafrCapabilityStatementDataSource"
},
"description": "This statement defines the expected capabilities of a system containing data (typically patient data, but could be situational awareness data) \nthat will be evaluated against one or more measures. This may be a FHIR server, an EHR with a FHIR endpoint (facade), an internal data store when the Data Source \nand dQM Evaluation Engine actors are played by the same system such as an EHR that does it’s own measure evaluation, or it may be a system containing other data \nsuch as situational awareness data that is reporting via CSV or other format. When FHIR enabled, the Data Source acts as a \n[US Core Server](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html)",
"exampleBoolean": false
}, {
"name": "US SAFR Measure Bundle",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/us-safr-measure-bundle"
},
"description": "This profile defines a Bundle provided by the MeasureServer containing a Measure resource and enables the inclusion of all related resources (ValueSet, Library, etc.).",
"exampleBoolean": false
}, {
"name": "US SAFR Measure Report Bundle",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/us-safr-measurereport-bundle"
},
"description": "This profile defines a valid submission bundle to NHSN with all resources contained within. The Bundle is comprised of entry slices representing the data \nsubmitting organization, submitting device, and individual MeasureReports.",
"exampleBoolean": false
}, {
"name": "US SAFR Measure Source CapabilityStatement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SafrCapabilityStatementMeasureSource"
},
"description": "This statement defines the expected capabilities of a system at NHSN that stores FHIR resources such as Measure, Library, ValueSet, etc. that are used for \ndQM Reporting. The dQM Evaluation Engine queries the Measure Source for the latest Measure content before querying the Patient Data Source and performing measure evaluation. \nThe Measure Source acts as a [CQFM Publishable Measure Repository](https://hl7.org/fhir/us/cqfmeasures/measure-repository-service.html#publishable-measure-repository).",
"exampleBoolean": false
}, {
"name": "US SAFR MeasureReport Recipient CapabilityStatement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SafrCapabilityStatementMeasureReportRecipient"
},
"description": "This statement defines the expected capabilities of a system at NHSN that receives MeasureReport bundles from the dQM Evaluation Engine and validates \nthe result against the profiles in this implementation guide, and potentially other measure-specific profiles that are distributed with the measures themselves \n(this kind of validation is referred to as “pre-qualification” at NHSN). The MeasureReport Recipient acts as a \n[DEQM Receiver Server](https://www.hl7.org/fhir/us/davinci-deqm/STU4/CapabilityStatement-receiver-server.html), provides write access to Bundle resources containing \nMeasureReport and other related resources, and implements the $validate operation.",
"exampleBoolean": false
}, {
"name": "US SAFR Submitting Organization",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/us-safr-submitting-organization"
},
"description": "This profile includes the name and identifier of the organization submitting the report Bundle, and may include other information about the organization.",
"exampleBoolean": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "copyrightyear"
}, {
"url": "value",
"valueString": "2025+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-expansion-params"
}, {
"url": "value",
"valueString": "../../exp-params.json"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "excludettl"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "templates\\liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "auto-oid-root"
}, {
"url": "value",
"valueString": "2.16.840.1.113883.4.642.40.53"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/us/safr/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "autoload-resources"
}, {
"url": "value",
"valueString": "true"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-qa"
}, {
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"valueString": "temp/qa"
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"url": "code",
"valueString": "path-temp"
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"valueString": "temp/pages"
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"valueCode": "copyrightyear"
}, {
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"valueString": "2025+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-expansion-params"
}, {
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} ]
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"extension": [ {
"url": "code",
"valueCode": "path-liquid"
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"url": "value",
"valueString": "templates\\liquid"
} ]
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"url": "code",
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} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/us/safr/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "autoload-resources"
}, {
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