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  1. FHIR Specification Feedback
  2. FHIR-26655

Clarify "inclusion" nature of population criteria in Measure and MeasureReport

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    • Type: Change Request
    • Status: Resolved - change required (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      FHIR Core (FHIR)
    • Raised in Version:
      R4
    • Work Group:
      Clinical Quality Information
    • Related Artifact(s):
      Measure
      MeasureReport
    • Resolution Description:
      Hide

      CQI Voted not to create new terms but instead to modify definitions of existing terms:

      Numerator: Numerator criteria define the patients or events that should be included in the upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, or event defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the measure.

      Denominator: Denominator criteria define the patients or events that should be included in the lower portion of a fraction used to calculate a rate, proportion, or ratio. The denominator criteria can be the same as that of the initial population, or a subset of the initial population to further constrain the population for the purpose of the measure.

      No need to update definition for Measure Population since it already includes indication that it represents the criteria for inclusion.

      Also will add concept maps relating the new terms to their HQMF equivalents.

      Show
      CQI Voted not to create new terms but instead to modify definitions of existing terms: Numerator: Numerator criteria define the patients or events that should be included in the upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, or event defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the measure. Denominator: Denominator criteria define the patients or events that should be included in the lower portion of a fraction used to calculate a rate, proportion, or ratio. The denominator criteria can be the same as that of the initial population, or a subset of the initial population to further constrain the population for the purpose of the measure. No need to update definition for Measure Population since it already includes indication that it represents the criteria for inclusion. Also will add concept maps relating the new terms to their HQMF equivalents.
    • Resolution Vote:
      Bryn Rhodes/Floyd Eisenberg: 28-0-0
    • Change Category:
      Clarification
    • Change Impact:
      Non-substantive

      Description

      The population criteria and definitions for denominator, numerator, and measure-population are confusing in that they are named for the overall aspect, but really are characterizing only the "inclusion" criteria for the overall numerator, denominator, or measure-population.

       

      Add the following codes to the MeasurePopulation code system and value set:

      numerator-inclusion|Numerator Inclusion|Numerator inclusion criteria define patients or events to be included in the numerator. Numerator inclusions are used in proportion and ratio measures to define the criteria for inclusion in the numerator.

       

      denominator-inclusion|Denominator Inclusion|Denominator inclusion criteria define patients or events to be included in the denominator. Denominator inclusions are used in proportion and ratio measures to define the criteria for inclusion in the denominator.

       

      measure-population-inclusion|Measure Population Inclusion|Measure population inclusion criteria define patients or events for which the individual observation for the measure should be taken. Measure population inclusion criteria are used for continuous variable measures rather than numerator and denominator criteria.

       

       

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              Assignee:
              Unassigned Unassigned
              Reporter:
              bryn.rhodes Bryn Rhodes
              Watchers:
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                Updated:
                Resolved:
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