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  1. FHIR Specification Feedback
  2. FHIR-40443

Measure.scoring value set item "cohort" is not a score and should be modified

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    • Icon: Change Request Change Request
    • Resolution: Considered for Future Use
    • Icon: Medium Medium
    • US Quality Measures (FHIR)
    • current
    • Clinical Quality Information
    • CQFM Scoring
    • Profiles
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      More time is needed to be sure that the change made to the IG meets the needs of the original requester.

      A Potential idea for updated definitions as follows:

      Code Display Definition
      proportion Proportion The measure score is represented as a proportion.
      ratio Ratio The measure score is represented as a ratio.
      continuous-variable Continuous Variable The measure score is represented as the calculation of some clinical quantity (example: minutes from hospital entry to procedure start time).
      cohort   cohort-count The measure score represented as the count of all items in the group.  
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      More time is needed to be sure that the change made to the IG meets the needs of the original requester. A Potential idea for updated definitions as follows: Code Display Definition proportion Proportion The measure score is represented as a proportion. ratio Ratio The measure score is represented as a ratio. continuous-variable Continuous Variable The measure score is represented as the calculation of some clinical quantity (example: minutes from hospital entry to procedure start time). cohort   cohort-count The measure score represented as the count of all items in the group.  
    • Juliet Rubini/Yan Heras:14-0-0

    Description

      The Measure.scoring value set includes several values:

      Code Display Definition
      proportion Proportion The measure score is defined using a proportion.
      ratio Ratio The measure score is defined using a ratio.
      continuous-variable Continuous Variable The score is defined by a calculation of some quantity.
      cohort Cohort The measure is a cohort definition
      1. These definitions use the name of the code in the definition; definitions should include description of the code and not re-use the code as an explanation of itself.  Definitions should come from their respective sections in the IG - Proportion from 3.4.3.1; ratio from 3.4.4.1; continuous-variable from 3.4.5; and "cohort" (see below) from 3.4.6.
      2. "Cohort" is overused in that it is also a Measure.type. It is really about a population that references a set of actors meeting specific criteria for which specific data must be collected - I.e., somewhat of a "count" of all meeting criteria listing all supplemental data, but not a "score." The reason for the distinction is alignment with other definitions of measure scoring by National Quality Forum, CMS (CMS Measures Blueprint) and others - see attachment with analysis by Kathy Lesh (Battelle). A more appropriate scoring term would be more appropriate - suggestions include:
        1. Count - perhaps too limited
        2. None - I.e., not scored, just reported
        3. CohortList, CohortEnumeration (or something referencing Cohort)
        4. Enumeration

      The goal is to attain alignment of terminology across the quality community using terminology understandable to technical implementers.

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            feisenberg Floyd Eisenberg
            Floyd Eisenberg
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