Terminology

CodeSystem:MeasureReportType

The type of the measure report.
CodeDisplayDefinition
individualIndividualAn individual report that provides information on the performance for a given measure with respect to a single subject.
subject-listSubject ListA subject list report that includes a listing of subjects that satisfied each population criteria in the measure.
summarySummaryA summary report that returns the number of members in each population criteria for the measure.
data-collectionData CollectionA data collection report that contains data-of-interest for the measure.

CodeSystem:MeasureScoring

The scoring type of the measure.
CodeDisplayDefinition
proportionProportionThe measure score is defined using a proportion.
ratioRatioThe measure score is defined using a ratio.
continuous-variableContinuous VariableThe score is defined by a calculation of some quantity.
cohortCohortThe measure is a cohort definition.

CodeSystem:MeasureType

The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
CodeDisplayDefinition
processProcessA measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
outcomeOutcomeA measure that indicates the result of the performance (or non-performance) of a function or process.
structureStructureA measure that focuses on a health care provider's capacity, systems, and processes to provide high-quality care.
patient-reported-outcomePatient Reported OutcomeA measure that focuses on patient-reported information such as patient engagement or patient experience measures.
compositeCompositeA measure that combines multiple component measures in to a single quality measure.

CodeSystem:MeasureReportStatus

The status of the measure report.
CodeDisplayDefinition
completeCompleteThe report is complete and ready for use.
pendingPendingThe report is currently being generated.
errorErrorAn error occurred attempting to generate the report.

CodeSystem:CompositeMeasureScoring

The composite scoring method of the measure.
CodeDisplayDefinition
opportunityOpportunityOpportunity scoring combines the scores from component measures by combining the numerators and denominators for each component.
all-or-nothingAll-or-nothingAll-or-nothing scoring includes an individual in the numerator of the composite measure if they are in the numerators of all of the component measures in which they are in the denominator.
linearLinearLinear scoring gives an individual a score based on the number of numerators in which they appear.
weightedWeightedWeighted scoring gives an individual a score based on a weighted factor for each component numerator in which they appear.

CodeSystem:MeasurePopulationType

The type of population.
CodeDisplayDefinition
initial-populationInitial PopulationThe initial population refers to all patients or events to be evaluated by a quality measure involving patients who share a common set of specified characterstics. All patients or events counted (for example, as numerator, as denominator) are drawn from the initial population.
numeratorNumeratorThe upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, or event defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the measure.
numerator-exclusionNumerator ExclusionNumerator exclusion criteria define patients or events to be removed from the numerator. Numerator exclusions are used in proportion and ratio measures to help narrow the numerator (for inverted measures).
denominatorDenominatorThe lower portion of a fraction used to calculate a rate, proportion, or ratio. The denominator can be the same as the initial population, or a subset of the initial population to further constrain the population for the purpose of the measure.
denominator-exclusionDenominator ExclusionDenominator exclusion criteria define patients or events that should be removed from the denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator. For example, patients with bilateral lower extremity amputations would be listed as a denominator exclusion for a measure requiring foot exams.
denominator-exceptionDenominator ExceptionDenominator exceptions are conditions that should remove a patient or event from the denominator of a measure only if the numerator criteria are not met. Denominator exception allows for adjustment of the calculated score for those providers with higher risk populations. Denominator exception criteria are only used in proportion measures.
measure-populationMeasure PopulationMeasure population criteria define the patients or events for which the individual observation for the measure should be taken. Measure populations are used for continuous variable measures rather than numerator and denominator criteria.
measure-population-exclusionMeasure Population ExclusionMeasure population criteria define the patients or events that should be removed from the measure population before determining the outcome of one or more continuous variables defined for the measure observation. Measure population exclusion criteria are used within continuous variable measures to help narrow the measure population.
measure-observationMeasure ObservationDefines the individual observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.

CodeSystem:MeasureDataUsage

The intended usage for supplemental data elements in the measure.
CodeDisplayDefinition
supplemental-dataSupplemental DataThe data is intended to be provided as additional information alongside the measure results.
risk-adjustment-factorRisk Adjustment FactorThe data is intended to be used to calculate and apply a risk adjustment model for the measure.

CodeSystem:MeasureImprovementNotation

Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
CodeDisplayDefinition
increaseIncreased score indicates improvementImprovement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality).
decreaseDecreased score indicates improvementImprovement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality).

ValueSet: MeasureScoring

The scoring type of the measure.

ValueSet: CompositeMeasureScoring

The composite scoring method of the measure.

ValueSet: MeasureDataUsage

The intended usage for supplemental data elements in the measure.

ValueSet: MeasureType

The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).

ValueSet: MeasureReportType

The type of the measure report.

ValueSet: MeasurePopulationType

The type of population.

ValueSet: MeasureImprovementNotation

Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

ValueSet: MeasureReportStatus

The status of the measure report.