1. Measure Report FHIR Profile High level design overview

2. Overall structure composition Results Section ScoreReference rangeinterpretation Measure/measure component reference CasesRelated observations … Results Section Provider/hospital/entity being measured

3. Example 1 composition Results Section Observation Score = 80 patients National avg = 72% of patients Measure 1 numerator reference Group of Patients Related observations Score=100 patients Measure 1 denominator reference Group of patients Dr. Smith

4. Example 2 multiple measures composition Results Section Score = 80 patients Measure 1 numerator reference … Results Section Score = 70 patients Measure 2 continuous variable score reference … Results Section Score = 12 patients Measure 3 – Performance Rate reference … Good Health Hospital

5. Example 3 composite measure results composition Results Section Composite score = 9 Total Composite Measure Score reference Related observations observation Component measure 1 numerator reference Score … observation Component measure score 2 numerator reference Score … …

6. Example 4 multiple scores per measure composition Results Section score = 90 patients Measure Score reference Related observations observation Risk adjusted measure score reference Rosk adjusted score … observation Stratifier 1 score reference Stratifer 1 reference … …

7. Limits Does not allow one report (Composition) to contain results for multiple subjects (providers, hospitals, health plans, etc) Nesting of observations could be impractical, still exploring – Multiple measures, with multiple measure components, with multiple stratifiers and other groupings (sex, ethnicity, payer)

8. Search parameters composition Results Section ScoreReference rangeinterpretation Measure/measure component reference CasesRelated observations … Results Section Provider/hospital/entity being measured

9. Other considerations Do we need multiple reference ranges? – Multiple base lines National, regional, local, hospital, department