DHIN 2025Connectathon FHIR IG
0.1.0 - draft
DHIN 2025Connectathon FHIR IG, published by DHIN. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Nigeria-FHIR-Community/2025Connectathon/ and changes regularly. See the Directory of published versions
| Active as of 2025-09-15 |
{
"resourceType" : "Measure",
"id" : "NgMeasure-003",
"meta" : {
"profile" : [
🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-measure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">ClaimApprovalRate</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Claim Approval Rate</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Active</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>Measures the proportion of claims adjudicated as approved out of all submitted claims.</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n<td class=\"content-container\"><div><p>Track payer performance and provider claim quality.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n<td class=\"content-container\"><span title=\"Codes:\">Claims & Insurance</span></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">DHIN</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">DHIN: <a href=\"https://www.dhin-hie.org\">https://www.dhin-hie.org</a>,<a href=\"mailto:info@dhin-hie.org\">info@dhin-hie.org</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">Digital Health Interoperability Network.: <a href=\"mailto:info@dhin-hie.org\">info@dhin-hie.org</a></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">0.1.0</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></td>\n</tr>\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n \n \n \n \n \n \n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">All claims submitted during the measurement period.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n \n \n \n \n \n \n \n \n \n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Claims with adjudication outcome 'approved'.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
},
"url" : "https://sandbox.dhin-hie.org/ig/Measure/NgMeasure-003",
"identifier" : [
{
"system" : "https://www.dhin-hie.org/ig/measure-id",
"value" : "claims-approval-rate"
}
],
"version" : "0.1.0",
"name" : "ClaimApprovalRate",
"title" : "Claim Approval Rate",
"status" : "active",
"date" : "2025-09-15",
"publisher" : "DHIN",
"contact" : [
{
"name" : "DHIN",
"telecom" : [
{
"system" : "url",
"value" : "https://www.dhin-hie.org"
},
{
"system" : "email",
"value" : "info@dhin-hie.org"
}
]
},
{
"name" : "Digital Health Interoperability Network.",
"telecom" : [
{
"system" : "email",
"value" : "info@dhin-hie.org",
"use" : "work"
}
]
}
],
"description" : "Measures the proportion of claims adjudicated as approved out of all submitted claims.",
"purpose" : "Track payer performance and provider claim quality.",
"topic" : [
{
"text" : "Claims & Insurance"
}
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
}
]
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"description" : "All claims submitted during the measurement period.",
"criteria" : {
"description" : "All submitted Claim resources within the Measurement Period.",
"language" : "text/cql-identifier",
"expression" : "AllClaimsSubmittedInPeriod"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"description" : "Claims with adjudication outcome 'approved'.",
"criteria" : {
"description" : "All submitted Claim resources within the Measurement Period.",
"language" : "text/cql-identifier",
"expression" : "AllClaimsSubmittedInPeriod"
}
}
]
}
]
}