Hide
Replace 2.1.1.4 with:
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- HL7 FHIR Resources Supporting Situational Awareness Reporting
In HL7 FHIR the [Location](https://hl7.org/fhir/R4/location.html) resource can describe information about
any bed within a facility. The [Group](https://hl7.org/fhir/R4/group.html) resource
can report on specific quantities of groups of resources available that match a specific
set of characteristics. The [MeasureReport](https://hl7.org/fhir/R4/measurereport.html)
resource can report on measures using counts and other metrics over a variety of resources.
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- Device Resource
The [Device](https://hl7.org/fhir/R4/device.html) Resource can report on medical devices, including ventilators, respirators,
personal protective equipment such as masks, and viral test kits. Device is not widely
used by systems reporting on device quantities or status.
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- Location Resource
While the [Location](https://hl7.org/fhir/R4/location.html) resource can report on beds, it can also be used to describe buildings, wards,
geographic area, or any other sort of place, including "mobile" places such as a mobile clinic or
ambulance. Given its broad application, would need to be profiled to support use for bed availability.
While many existing Certified EHR Systems support the FHIR standard and the Location resource today, there's
little use of the Location resource to report data about beds. It is more commonly used to report
Location data associated with the
[Common Clinical Data Set](https://www.healthit.gov/sites/default/files/commonclinicaldataset_ml_11-4-15.pdf) (now known as the US Core Data for
Interoperability or [USCDI](https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi)) required by the ONC 2015 Certification
regulations. These uses of Location are found in the Encounter, Procedure and Practitioner resources to
describe the facility where an encounter occurs, the location where a procedure is performed, or
the location of a practitioner or facility.
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- Group Resource
While the [Group](https://hl7.org/fhir/R4/group.html) resource can be used to support aggregate reporting on beds, as it allows reporting
of quantities of an item without referencing an individual item, it has not been deployed in this way by
any known system. This resource can also be used to report on other types of resources, such as
ventilators, respirators, and N95 masks.
NOTE: While Group doesn't specifically support groups of Location resources, it can be used to
report on any group of things that can be defined by characteristics, it simply cannot
enumerate those resources. That is not essential for the use cases in this implementation
guide.
The Group resource is more lightly deployed in existing EHR products. It is not
a requirement of the 2015 Certification program.
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- Immunization
The [Immunization](https://hl7.org/fhir/R4/immunization.html) resource can be used to determine the quantity of immunizations dispensed to
vaccinate patients. The Immunization resource is included in USCDI and generally available in EHR
systems in the US.
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- MedicationDispense, MedicationAdministration
The [MedicationDispense](https://hl7.org/fhir/R4/medicationdispense.html) resource can be used to determine the quantity of specific types of medications
dispensed to treat patients (e.g., Remdesivir). MedicationAdministration would be used to determine the
quantity of medications given. MedicationDispense and MedicationAdministration are not widely available
through EHR systems generally.
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- SupplyRequest and SupplyDelivery
The [SupplyDelivery](https://hl7.org/fhir/R4/supplydelivery.html) resources can be used to determine quantities of supplies, such as PPE or or disposable items
used during treatment. These resources are relatively new and not widely available.
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- Measure and MeasureReport Resource
The [Measure](https://hl7.org/fhir/R4/measure.html) and [MeasureReport](https://hl7.org/fhir/R4/measurereport.html) resource can be used to support reporting of a variety of measures,
including simple counts, tracking of inventory (e.g., PPE, medication supply), or used with measures
over different strata. It is not readily searchable at the stratum level. MeasureReport is beginning
to gain traction because of efforts using it in the [DaVinci Project](https://www.hl7.org/about/davinci/)
and in clinical quality reporting efforts.
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- Questionnaire Response
The [QuestionnaireResponse](https://hl7.org/fhir/R4/questionnaireresponse.html) resource has been profiled for use in reporting to CDC's National
Healthcare Safety Network (NHSN) in two implementation guides to report the occurrence
of Healthcare Acquired Infections. These guides have seen limited implementation and
testing.
Show
Replace 2.1.1.4 with:
HL7 FHIR Resources Supporting Situational Awareness Reporting
In HL7 FHIR the [Location] ( https://hl7.org/fhir/R4/location.html ) resource can describe information about
any bed within a facility. The [Group] ( https://hl7.org/fhir/R4/group.html ) resource
can report on specific quantities of groups of resources available that match a specific
set of characteristics. The [MeasureReport] ( https://hl7.org/fhir/R4/measurereport.html )
resource can report on measures using counts and other metrics over a variety of resources.
Device Resource
The [Device] ( https://hl7.org/fhir/R4/device.html ) Resource can report on medical devices, including ventilators, respirators,
personal protective equipment such as masks, and viral test kits. Device is not widely
used by systems reporting on device quantities or status.
Location Resource
While the [Location] ( https://hl7.org/fhir/R4/location.html ) resource can report on beds, it can also be used to describe buildings, wards,
geographic area, or any other sort of place, including "mobile" places such as a mobile clinic or
ambulance. Given its broad application, would need to be profiled to support use for bed availability.
While many existing Certified EHR Systems support the FHIR standard and the Location resource today, there's
little use of the Location resource to report data about beds. It is more commonly used to report
Location data associated with the
[Common Clinical Data Set] ( https://www.healthit.gov/sites/default/files/commonclinicaldataset_ml_11-4-15.pdf ) (now known as the US Core Data for
Interoperability or [USCDI] ( https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi )) required by the ONC 2015 Certification
regulations. These uses of Location are found in the Encounter, Procedure and Practitioner resources to
describe the facility where an encounter occurs, the location where a procedure is performed, or
the location of a practitioner or facility.
Group Resource
While the [Group] ( https://hl7.org/fhir/R4/group.html ) resource can be used to support aggregate reporting on beds, as it allows reporting
of quantities of an item without referencing an individual item, it has not been deployed in this way by
any known system. This resource can also be used to report on other types of resources, such as
ventilators, respirators, and N95 masks.
NOTE: While Group doesn't specifically support groups of Location resources, it can be used to
report on any group of things that can be defined by characteristics, it simply cannot
enumerate those resources. That is not essential for the use cases in this implementation
guide.
The Group resource is more lightly deployed in existing EHR products. It is not
a requirement of the 2015 Certification program.
Immunization
The [Immunization] ( https://hl7.org/fhir/R4/immunization.html ) resource can be used to determine the quantity of immunizations dispensed to
vaccinate patients. The Immunization resource is included in USCDI and generally available in EHR
systems in the US.
MedicationDispense, MedicationAdministration
The [MedicationDispense] ( https://hl7.org/fhir/R4/medicationdispense.html ) resource can be used to determine the quantity of specific types of medications
dispensed to treat patients (e.g., Remdesivir). MedicationAdministration would be used to determine the
quantity of medications given. MedicationDispense and MedicationAdministration are not widely available
through EHR systems generally.
SupplyRequest and SupplyDelivery
The [SupplyDelivery] ( https://hl7.org/fhir/R4/supplydelivery.html ) resources can be used to determine quantities of supplies, such as PPE or or disposable items
used during treatment. These resources are relatively new and not widely available.
Measure and MeasureReport Resource
The [Measure] ( https://hl7.org/fhir/R4/measure.html ) and [MeasureReport] ( https://hl7.org/fhir/R4/measurereport.html ) resource can be used to support reporting of a variety of measures,
including simple counts, tracking of inventory (e.g., PPE, medication supply), or used with measures
over different strata. It is not readily searchable at the stratum level. MeasureReport is beginning
to gain traction because of efforts using it in the [DaVinci Project] ( https://www.hl7.org/about/davinci/ )
and in clinical quality reporting efforts.
Questionnaire Response
The [QuestionnaireResponse] ( https://hl7.org/fhir/R4/questionnaireresponse.html ) resource has been profiled for use in reporting to CDC's National
Healthcare Safety Network (NHSN) in two implementation guides to report the occurrence
of Healthcare Acquired Infections. These guides have seen limited implementation and
testing.