{
  "resourceType" : "Measure",
  "id" : "NgMeasure-003",
  "meta" : {
    "profile" : ["https://fhir-ig.digitalhealth.gov.ng/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\">NDHI</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\">NDHI: <a href=\"https://digitalhealth.gov.ng\">https://digitalhealth.gov.ng</a>,<a href=\"mailto:emeka2015@gmail.com\">emeka2015@gmail.com</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\">Nigeria Digital in Health Initiative.: <a href=\"mailto:emeka2015@gmail.com\">emeka2015@gmail.com</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\">0.0.0</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://fhir-ig.digitalhealth.gov.ng/Measure/NgMeasure-003",
  "identifier" : [{
    "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry",
    "value" : "HCF-12345"
  }],
  "version" : "0.0.0",
  "name" : "ClaimApprovalRate",
  "title" : "Claim Approval Rate",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-15",
  "publisher" : "NDHI",
  "contact" : [{
    "name" : "NDHI",
    "telecom" : [{
      "system" : "url",
      "value" : "https://digitalhealth.gov.ng"
    },
    {
      "system" : "email",
      "value" : "emeka2015@gmail.com"
    }]
  },
  {
    "name" : "Nigeria Digital in Health Initiative.",
    "telecom" : [{
      "system" : "email",
      "value" : "emeka2015@gmail.com",
      "use" : "work"
    }]
  }],
  "description" : "Measures the proportion of claims adjudicated as approved out of all submitted claims.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "NG",
      "display" : "Nigeria"
    }]
  }],
  "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"
      }
    }]
  }]
}