measure report fhir profile
DESCRIPTION
Measure Report FHIR Profile. High level design overview. Overall structure. Example 1. Example 2 multiple measures. Example 3 composite measure results. Example 4 multiple scores per measure. Limits. - PowerPoint PPT PresentationTRANSCRIPT
Measure Report FHIR Profile
High level design overview
Overall structure
composition
Results Section
Score Reference range interpretation Measure/measure
component reference
Cases Related observations
…
Results Section Results Section
Provider/hospital/entity being measured
Example 1composition
Results Section
Observation Score = 80 patients
National avg = 72% of patients
Measure 1 numerator reference
Group of Patients
Related observations
Score=100 patients
Measure 1 denominator
reference
Group of patients
Dr. Smith
Example 2 multiple measures
composition
Results Section
Score = 80 patients
Measure 1 numerator reference
…
Results Section
Score = 70 patients
Measure 2 continuous variable
score reference
…
Results Section
Score = 12 patients
Measure 3 – Performance Rate
reference
…
Good Health Hospital
Example 3 composite measure results
composition
Results Section
Composite score = 9Total Composite Measure Score
referenceRelated observations
observation
Component measure 1 numerator reference
Score
…
observation
Component measure score 2 numerator
reference
Score
…
…
Example 4 multiple scores per measure
composition
Results Section
score = 90 patients
Measure Score reference
Related observations
observation
Risk adjusted measure score
reference
Rosk adjusted score
…
observation
Stratifier 1 score reference
Stratifer 1 reference
…
…
Limits
• Does not allow one report (Composition) to contain results for multiple subjects (providers, hospitals, health plans, etc)
• Nesting of observations could be impractical, still exploring– Multiple measures, with multiple measure
components, with multiple stratifiers and other groupings (sex, ethnicity, payer)
Search parameters
composition
Results Section
Score Reference range interpretation Measure/measure
component reference
Cases Related observations
…
Results Section Results Section
Provider/hospital/entity being measured
Other considerations
• Do we need multiple reference ranges?– Multiple base lines• National, regional, local, hospital, department