{
  "description": null,
  "_filename": "example/Measure-FEMADailyHospitalCOVID19Reporting.json",
  "package_name": "hl7.fhir.uv.saner",
  "date": "2020-10-19T21:09:16+00:00",
  "group": [ {
    "code": {
      "text": "# of new positive test results released / # of total new tests released for previous date queried",
      "coding": [ {
        "code": "positiveIncreasePercent",
        "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
        "display": "Percent Positive among Newly Resulted Tests"
      } ]
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes",
      "extension": [ {
        "url": "scoring",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "continuous-variable",
            "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
          } ]
        }
      }, {
        "url": "subject",
        "valueCodeableConcept": {
          "text": "COVID-19 Diagnostic Testing",
          "coding": [ {
            "code": "ServiceRequest",
            "system": "http://hl7.org/fhir/resource-types"
          }, {
            "code": "252318005",
            "system": "http://snomed.info/sct",
            "display": "Immunology laboratory test (procedure)"
          } ]
        }
      }, {
        "url": "type",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "outcome",
            "system": "http://terminology.hl7.org/CodeSystem/measure-type"
          } ]
        }
      }, {
        "url": "improvementNotation",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "decrease",
            "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
          } ]
        }
      }, {
        "url": "rateAggregation",
        "valueString": "cumulative"
      } ]
    } ],
    "population": [ {
      "code": {
        "text": "Midnight to midnight cutoff, tests ordered on previous date queried",
        "coding": [ {
          "code": "totalOrdersIncrease",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "New Diagnostic Tests Ordered/Received"
        }, {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "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)",
        "description": "Orders initiated during %reportingPeriod"
      },
      "description": "Enter the number of new Diagnostic Tests Ordered/Received during the reporting period."
    }, {
      "code": {
        "text": "Midnight to midnight cutoff, test results released on previous date queried",
        "coding": [ {
          "code": "totalTestResultsIncrease",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "New Tests Resulted"
        }, {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "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)",
        "description": "Results recieved during reporting period"
      },
      "description": "nter the number of results recieved/generated during the reporting period.\nDo not include results where the test could not be completed because the specimen\nwas rejected or a positive/negative result could not be established"
    }, {
      "code": {
        "text": "Midnight to midnight cutoff, positive test results released on previous date queried",
        "coding": [ {
          "code": "positiveIncrease",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "New Positive COVID-19 Tests"
        }, {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "name": "positiveIncrease",
        "language": "text/fhirpath",
        "expression": "DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)",
        "description": "Result is positive with respect to COVID-19"
      },
      "description": "Enter the number of positive test results released during the reporting period."
    } ]
  }, {
    "code": {
      "text": "# of total positive results to released date / # of total tests results released to date",
      "coding": [ {
        "code": "positivePercent",
        "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
        "display": "Cumulative Percent Positive among Resulted Tests"
      } ]
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes",
      "extension": [ {
        "url": "scoring",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "continuous-variable",
            "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
          } ]
        }
      }, {
        "url": "subject",
        "valueCodeableConcept": {
          "text": "COVID-19 Cumulative Diagnostic Testing",
          "coding": [ {
            "code": "ServiceRequest",
            "system": "http://hl7.org/fhir/resource-types"
          }, {
            "code": "252318005",
            "system": "http://snomed.info/sct",
            "display": "Immunology laboratory test (procedure)"
          } ]
        }
      }, {
        "url": "type",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "outcome",
            "system": "http://terminology.hl7.org/CodeSystem/measure-type"
          } ]
        }
      }, {
        "url": "improvementNotation",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "decrease",
            "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
          } ]
        }
      }, {
        "url": "rateAggregation",
        "valueString": "cumulative"
      } ]
    } ],
    "population": [ {
      "code": {
        "text": "All tests ordered to date.",
        "coding": [ {
          "code": "totalOrders",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "Cumulative Diagnostic Tests Ordered/Received"
        }, {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "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)",
        "description": "Report all active or completed test orders for a COVID-19 test authored during the reporting period"
      },
      "description": "Enter the cumulative number of tests ordered to date."
    }, {
      "code": {
        "text": "All specimens rejected for testing to date",
        "coding": [ {
          "code": "rejected",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "Cumulative Specimens Rejected"
        }, {
          "code": "denominator-exclusion",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "name": "rejected",
        "language": "text/fhirpath",
        "expression": "DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)",
        "description": "DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed."
      },
      "description": "Enter the cumulative number of specimens rejected for testing to date."
    }, {
      "code": {
        "text": "All tests with results released to date",
        "coding": [ {
          "code": "totalTestResults",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "Cumulative Tests Performed"
        }, {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "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)",
        "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."
      },
      "description": "nter the total number tests with results released to date. Do not include tests where a\npositive/negative result could not be determined (e.g., because the specimen was inadequate)."
    }, {
      "code": {
        "text": "All positive test results released to date",
        "coding": [ {
          "code": "positive",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "Cumulative Positive COVID-19 Tests"
        }, {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "name": "positive",
        "language": "text/fhirpath",
        "expression": "DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)",
        "description": "The result is positive for COVID-19"
      },
      "description": "Enter the total number of positive test results release to date."
    }, {
      "code": {
        "text": "Reports to date including corrected, amended and canceled reports",
        "coding": [ {
          "code": "allReports",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "All Laboratory Reports for any Order"
        } ]
      },
      "criteria": {
        "name": "allReports",
        "language": "text/fhirpath",
        "expression": "DiagnosticReport.where(basedOn in %totalOrders)",
        "description": "Diagnostic Reports provided in response to totalOrders"
      },
      "description": "This is in intermediate population used to simplify calculations"
    }, {
      "code": {
        "text": "Latest Reports to date for each order",
        "coding": [ {
          "code": "latestReports",
          "system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
          "display": "Most Recent Laboratory Reports for any Order"
        } ]
      },
      "criteria": {
        "name": "latestReports",
        "language": "text/fhirpath",
        "expression": "TBD",
        "description": "Most recent diagnostic reports provided in response to totalOrders"
      },
      "description": "This is in intermediate population used to simplify calculations"
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure" ]
  },
  "publisher": "HL7 International Public Health Workgroup",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "FEMADailyHospitalCOVID19Reporting",
  "useContext": [ {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "840539006",
        "system": "http://snomed.info/sct",
        "display": "COVID-19"
      } ]
    }
  } ],
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"outcome\\\"}]}]",
  "experimental": "true",
  "topic": [ {
    "coding": [ {
      "code": "252318005",
      "system": "http://snomed.info/sct",
      "display": "Immunology laboratory test (procedure)"
    } ]
  } ],
  "resourceType": "Measure",
  "title": null,
  "library": [ "http://hl7.org/fhir/uv/saner/StructureDefinition/FEMAMeasureLibrary" ],
  "package_version": "0.1.0",
  "author": [ {
    "name": "HL7 Public Health Workgroup",
    "telecom": [ {
      "value": "mailto:pher@lists.hl7.org",
      "system": "email"
    } ]
  } ],
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
    "valueTiming": {
      "repeat": {
        "period": 1,
        "frequency": 1,
        "periodUnit": "d"
      }
    }
  } ],
  "status": "draft",
  "id": "742848a6-2457-4278-8106-0b9bbb97020d",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/saner/Measure/FEMADailyHospitalCOVID19Reporting",
  "version": "0.1.0",
  "relatedArtifact": [ {
    "url": "https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing",
    "type": "documentation",
    "label": "CMS Press Release",
    "display": "Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing"
  }, {
    "url": "https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/",
    "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.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19",
    "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://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx",
    "type": "documentation",
    "label": "Excel Spreadsheet template for reporting to FEMA",
    "display": "Template for Daily Hospital COVID-19 Reporting.xlsx"
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/Special/committees/pher/index.cfm",
      "system": "url"
    } ]
  }, {
    "telecom": [ {
      "value": "pher@lists.hl7.org",
      "system": "email"
    } ]
  }, {
    "name": "HL7 Public Health Workgroup",
    "telecom": [ {
      "value": "http://hl7.org/Special/committees/pher/index.cfm",
      "system": "url"
    } ]
  }, {
    "name": "Keith W. Boone",
    "telecom": [ {
      "value": "mailto:kboone@ainq.com",
      "system": "email"
    } ]
  } ],
  "rateAggregation": "count"
}