2.1.1.3 focuses on bed availability and not enough on others

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Highest
    • Situation Awareness for Novel Epidemic Response (FHIR)
    • current
    • Public Health
    • Introduction
    • 2.1.1.3
    • Hide

      Replace 2.1.1.4 with:

       

            1. 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.
              1. 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.
              1. 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.

              1. 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.

              1. 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.
              1. 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.
              1. 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.
              1. 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.
              1. 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.  
    • David Pyke/Keith Boone: 22-0-0
    • Clarification
    • Non-substantive

      2.1.1.3 Assessment mentions 3 items, further text focuses on Bed Availability and not so much on the other 2 items.

            Assignee:
            Unassigned
            Reporter:
            Robert Stegwee
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: