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AudaciousInquiry / fhir-saner

Situation Awareness for Novel Epidemic Response (COVID-19 driven project to track resource availability)
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User Story: Understand Testing Results and Trends #27

Open jmandel opened 4 years ago

jmandel commented 4 years ago

Scenario: Alerting

As a Public Health Official or Treating Provider I want to understand trends in a variety of metrics, e.g. as being developed by Epic: So that I can be alerted when a facility or region surpasses established limits or matches the criteria. These can involve reporting numerators, denominators, and percentages:

Given a date range and region, I should be able to look up these metrics and there component parts for any health systems in the region.

Example metric image

michaeldonnelly commented 4 years ago

The component parts are key. We want a consumer to know not just what percent of encounters were with patients with a presumptive positive test; they should know the numerator and denominator in case (for example) they want to aggregate those with comparable metrics from other hospitals.

keithboone commented 4 years ago

Yeah, we can do just about anything with measures (I worked on Query Health and HQMF for a couple of years).

I'm focused on Utilization right now. Surveillance is a separate set of issues with different data sources necessarily than utilization. I know Epic can do both, but the world is not all about Epic (and don't get me wrong, I looked for a provider who uses Epic b/c MyChart is best available EHR-based patient portal from my patient perspective). Some hospitals in my area use Meditech, others other systems, and they can't all report measures on surveillance data as readily.

Measurement is great, but to get to a measure, you have to get to the data behind it first, then aggregate, then count, then compute. The same count can go into multiple measures.

jmandel commented 4 years ago

Measurement is great, but to get to a measure, you have to get to the data behind it first, then aggregate, then count, then compute. The same count can go into multiple measures.

Is this story different for Groups? If you limit the scope of the IG to simple counts, then it's "easy" for Groups and MeasureReports; if you also have a need to support measures with numerators and denominators, then it's at least possible for MeasureReports.