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  1. FHIR Specification Feedback
  2. FHIR-42116

ImprovementNotation Allowed Values

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Quality Measures (FHIR)
    • 4.0.0
    • Clinical Quality Information
    • CQFM Computable Measure
      CQFM Executable Measure
      CQFM Measure
      CQFM Publishable Measure
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      A) add a ballot question (see text below for ballot question) to determine if additional values are needed for this value set with the suggested inclusion of a code based off of the Blueprint (source https://mmshub.cms.gov/measure-lifecycle/measure-specification/data-protocol/scoring):

      Reference range with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality 

      b) Currently the guidance field is being used for this information.  Open separate tracker to continue discussion on use of guidance field versus creating new field for improvementNotation guidance. (done - https://jira.hl7.org/browse/FHIR-42976

       

      TEXT for ballot question:

      Reviewers: CQI will be adding the code:

      XYZ with definition ABC

      to this value set.  Please provide comments on this additional code and if there are other codes needed in the improvement notation value set.

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      A) add a ballot question (see text below for ballot question) to determine if additional values are needed for this value set with the suggested inclusion of a code based off of the Blueprint (source https://mmshub.cms.gov/measure-lifecycle/measure-specification/data-protocol/scoring): Reference range with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality  b) Currently the guidance field is being used for this information.  Open separate tracker to continue discussion on use of guidance field versus creating new field for improvementNotation guidance. (done - https://jira.hl7.org/browse/FHIR-42976 )    TEXT for ballot question: Reviewers: CQI will be adding the code: XYZ with definition ABC to this value set.  Please provide comments on this additional code and if there are other codes needed in the improvement notation value set.
    • Paul Denning/ Floyd Eisenberg: 20-0-1
    • Clarification
    • Non-substantive

    Description

      Currently ImprovementNotation has a required binding to the measure-improvement-notation value set which contains 2 codes: increase and decrease. A measure has been identified that defines the improvement concept as "Within Optimal Range". In this case (Cesarean Birth, CMS334), the measure does not intend to encourage an inappropriately low rate of cesarean births. CQFM Measure profiles should allow for this concept to be specified in a measure. 

      http://hl7.org/fhir/R4/valueset-measure-improvement-notation.html

      [Cesarean Birth | eCQI Resource Center (healthit.gov)|https://ecqi.healthit.gov/ecqm/eh/2024/cms0334v5]

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            abdullah.rafiqi Abdullah Rafiqi
            jen_seeman Jennifer Seeman
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              Created:
              Updated:
              Resolved: