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

• Narrative Content
• XML
• JSON
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: Example Ng Measure (Claim Approval Rate) - JSON Representation

Active as of 2025-09-15

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{
  "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<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">false</td>\n</tr>\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 &amp; 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://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
      "value" : "HCF-12345"
    }
  ],
  "version" : "0.1.0",
  "name" : "ClaimApprovalRate",
  "title" : "Claim Approval Rate",
  "status" : "active",
  "experimental" : false,
  "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"
          }
        }
      ]
    }
  ]
}