FHIR IG analytics| Package | org.dhin-hie.sandbox |
| Resource Type | Measure |
| Id | Measure-NgMeasure-003.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Nigeria-FHIR-Community/2025Connectathon/Measure-NgMeasure-003.html |
| URL | https://sandbox.dhin-hie.org/ig/Measure/NgMeasure-003 |
| Version | 0.2.0 |
| Status | active |
| Date | 2025-09-15 |
| Name | ClaimApprovalRate |
| Title | Claim Approval Rate |
| Description | Measures the proportion of claims adjudicated as approved out of all submitted claims. |
| Purpose | Track payer performance and provider claim quality. |
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Note: links and images are rebased to the (stated) source
| Knowledge Artifact Metadata | |
|---|---|
| Name (machine-readable) | ClaimApprovalRate |
| Title (human-readable) | Claim Approval Rate |
| Status | Active |
| Experimental | false |
| Description | Measures the proportion of claims adjudicated as approved out of all submitted claims. |
| Purpose | Track payer performance and provider claim quality. |
| Topic | Claims & Insurance |
| Measure Steward | DHIN |
| Steward Contact Details | DHIN: https://www.dhin-hie.org,info@dhin-hie.org |
| Steward Contact Details | Digital Health Interoperability Network.: info@dhin-hie.org |
| Measure Metadata | |
| Version Number | 0.2.0 |
| Measure Scoring | Proportion |
| Improvement Notation | Increased score indicates improvement |
| Measure Population Criteria | |
| Denominator |
Description:
All claims submitted during the measurement period. |
| Numerator |
Description:
Claims with adjudication outcome 'approved'. |
| Generated using version 0.4.6 of the sample-content-ig Liquid templates | |
FHIR
FHIRsmith{
"resourceType": "Measure",
"id": "NgMeasure-003",
"meta": {
"profile": [
"https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-measure"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"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": "0.2.0",
"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.",
"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"
}
}
]
}
]
}