{
"description": null,
"_filename": "example/Measure-CDCPatientImpactAndHospitalCapacity.json",
"package_name": "hl7.fhir.uv.saner",
"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)" ],
"date": "2020-10-19T21:09:16+00:00",
"group": [ {
"code": {
"text": "Hospital Bed Reporting",
"coding": [ {
"code": "Beds",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"display": "Beds"
} ]
},
"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": "Hospital Beds",
"coding": [ {
"code": "Location",
"system": "http://hl7.org/fhir/resource-types"
}, {
"code": "91537007",
"system": "http://snomed.info/sct",
"display": "Hospital bed, device (physical object)"
} ]
}
}, {
"url": "type",
"valueCodeableConcept": {
"coding": [ {
"code": "structure",
"system": "http://terminology.hl7.org/CodeSystem/measure-type"
} ]
}
}, {
"url": "improvementNotation",
"valueCodeableConcept": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
}
}, {
"url": "rateAggregation",
"valueString": "count"
} ]
} ],
"population": [ {
"code": {
"text": "Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients",
"coding": [ {
"code": "numTotBeds",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "All Hospital Beds"
}, {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"name": "numTotBeds",
"language": "text/fhirpath",
"expression": "Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)",
"description": "A bed in any location"
},
"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."
}, {
"code": {
"text": "Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients",
"coding": [ {
"code": "numbeds",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Hospital Inpatient Beds"
} ]
},
"criteria": {
"name": "numbeds",
"language": "text/fhirpath",
"expression": "%numTotBeds.where(location.type in %ValueSet-InpatientLocations)",
"description": "A Bed where the location is an inpatient location."
},
"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."
}, {
"code": {
"text": "Total number of staffed inpatient beds that are occupied",
"coding": [ {
"code": "numBedsOcc",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Hospital Inpatient Bed Occupancy"
} ]
},
"criteria": {
"name": "numBedsOcc",
"language": "text/fhirpath",
"expression": "%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)",
"description": "An Inpatient Bed where the Bed is 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."
}, {
"code": {
"text": "ICU Bed Occupancy",
"coding": [ {
"code": "numICUBeds",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "ICU Beds"
} ]
},
"criteria": {
"name": "numICUBeds",
"language": "text/fhirpath",
"expression": "%numbeds.where(location.type in %ValueSet-ICULocations)",
"description": "A Bed where the location is an inpatient ICU location."
},
"description": "Enter the total number of staffed Intensive Care Unit (ICU) beds.\n\nCDC Webinar 31-Mar-2020:\nICU beds include NICU"
}, {
"code": {
"text": "Total number of staffed inpatient intensive care unit (ICU) beds",
"coding": [ {
"code": "numICUBedsOcc",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "ICU Bed Occupancy"
} ]
},
"criteria": {
"name": "numICUBedsOcc",
"language": "text/fhirpath",
"expression": "%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)",
"description": "An ICU Bed that is occupied."
},
"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"
} ]
}, {
"code": {
"text": "Hospital Ventilators Reporting",
"coding": [ {
"code": "Ventilators",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"display": "Ventilators"
} ]
},
"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": "Ventilator",
"coding": [ {
"code": "Device",
"system": "http://hl7.org/fhir/resource-types"
}, {
"code": "706172005",
"system": "http://snomed.info/sct",
"display": "Ventilator (physical object)"
} ]
}
}, {
"url": "type",
"valueCodeableConcept": {
"coding": [ {
"code": "structure",
"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": "count"
} ]
} ],
"population": [ {
"code": {
"text": "Total number of ventilators available",
"coding": [ {
"code": "numVent",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Mechanical Ventilators"
}, {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"name": "numVent",
"language": "text/fhirpath",
"expression": "Device.where(type in %ValueSet-VentilatorDevices and status = active)",
"description": "A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)"
},
"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."
}, {
"code": {
"text": "Total number of ventilators in use",
"coding": [ {
"code": "numVentUse",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Mechanical Ventilators in Use"
} ]
},
"criteria": {
"name": "numVentUse",
"language": "text/fhirpath",
"expression": "%numVent.where(patient!={})",
"description": "A ventilator that is attached to a patient."
},
"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."
} ]
}, {
"code": {
"text": "Hospital COVID-19 Encounters Reporting",
"coding": [ {
"code": "Encounters",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasureGroupSystem",
"display": "Encounters"
} ]
},
"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": "Encounter",
"coding": [ {
"code": "Encounter",
"system": "http://hl7.org/fhir/resource-types"
}, {
"code": "308335008",
"system": "http://snomed.info/sct",
"display": "Patient encounter procedure (procedure)"
} ]
}
}, {
"url": "type",
"valueCodeableConcept": {
"coding": [ {
"code": "structure",
"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": "count"
} ]
} ],
"population": [ {
"code": {
"text": "Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19",
"coding": [ {
"code": "numC19HospPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Hospitalized COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19HospPats",
"language": "text/fhirpath",
"expression": "%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))",
"description": "An COVID-19 encounter where the active location is an inpatient location"
},
"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)."
}, {
"code": {
"text": "Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator",
"coding": [ {
"code": "numC19MechVentPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Hospitalized and Ventilated COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19OFMechVentPats",
"language": "text/fhirpath",
"expression": "%numC19HospPats.intersect(%numC19VentPats)",
"description": "An COVID-19 encounter in an inpatient setting on a 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."
}, {
"code": {
"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",
"coding": [ {
"code": "numC19HOPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Hospital Onset COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19HOPats",
"language": "text/fhirpath",
"expression": "dition.where(\ncode in %ValueSet-SuspectedOrDiagnosedCOVID19\nand encounter in %numC19HospPats\nand onset + 14 days > encounter.period.start).encounter",
"description": "Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start"
},
"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."
}, {
"code": {
"text": "Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed",
"coding": [ {
"code": "numC19OverflowPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "ED/Overflow COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19OverflowPats",
"language": "text/fhirpath",
"expression": "%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))",
"description": "An COVID-19 encounter where the active location is an ED or Overflow location"
},
"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."
}, {
"code": {
"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",
"coding": [ {
"code": "numC19OFMechVentPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "ED/Overflow and Ventilated COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19OFMechVentPats",
"language": "text/fhirpath",
"expression": "%numC19OverflowPats.intersect(%numC19VentPats)",
"description": "An COVID-19 encounter where the active location is an ED or Overflow location"
},
"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."
}, {
"code": {
"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.",
"coding": [ {
"code": "numC19Died",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "COVID-19 Patient Deaths"
} ]
},
"criteria": {
"name": "numC19Died",
"language": "text/fhirpath",
"expression": "%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied",
"description": "All C19 Patients who have died in an encounter during the reporting period."
},
"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."
}, {
"code": {
"text": "Patients with suspected or confirmed COVID-19 in any location.",
"coding": [ {
"code": "numC19Pats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "All COVID-19 Confirmed or Suspected Patients"
}, {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"name": "numC19Pats",
"language": "text/fhirpath",
"expression": "ncounter.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)",
"description": "ctive encounters where the encounter diagnosis is suspected or confirmed COVID-19,\nor a Condition of suspected or confirmed COVID-19 was created during that encounter."
},
"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)."
}, {
"code": {
"text": "Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator.",
"coding": [ {
"code": "numC19VentPats",
"system": "http://hl7.org/fhir/uv/saner/CodeSystem/MeasuredValues",
"display": "Ventilated COVID-19 Patients"
} ]
},
"criteria": {
"name": "numC19VentPats",
"language": "text/fhirpath",
"expression": "%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)",
"description": "A COVID-19 encounter where the patient is ventilated"
},
"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."
} ]
} ],
"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": "CDCPatientImpactAndHospitalCapacity",
"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": null,
"experimental": "true",
"resourceType": "Measure",
"title": "Patient Impact and Hospital Capacity",
"library": [ "http://hl7.org/fhir/uv/saner/StructureDefinition/NHSNMeasureLibrary" ],
"package_version": "0.1.0",
"author": [ {
"name": "Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)",
"telecom": [ {
"value": "mailto:nhsn@cdc.gov",
"system": "email"
} ]
} ],
"extension": [ {
"url": "http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod",
"valueTiming": {
"repeat": {
"period": 1,
"frequency": 1,
"periodUnit": "d"
}
}
} ],
"status": "draft",
"id": "84784465-aeca-411b-867e-347e6b45f65b",
"kind": null,
"url": "http://hl7.org/fhir/uv/saner/Measure/CDCPatientImpactAndHospitalCapacity",
"version": "0.1.0",
"relatedArtifact": [ {
"url": "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/",
"type": "documentation",
"label": "NHSN COVID-19 Reporting",
"display": "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page"
}, {
"url": "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf",
"type": "documentation",
"label": "How to import COVID-19 Summary Data",
"display": "Importing COVID-19 Patient Module Denominator data for Patient Safety Component"
}, {
"url": "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-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)"
}, {
"url": "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv",
"type": "documentation",
"label": "CSV File Template",
"display": "CDC/NHSN COVID-19 Reporting CSV File Template"
} ],
"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"
} ]
} ]
}