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Backport MeasureReport.subject from R5 #4508

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rahul1 opened this issue May 3, 2024 · 1 comment · Fixed by #4589
Closed

Backport MeasureReport.subject from R5 #4508

rahul1 opened this issue May 3, 2024 · 1 comment · Fixed by #4589
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fhir-datastore Related to the FHIR datastore, includes API and FHIR operations

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@rahul1
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rahul1 commented May 3, 2024

Use Case

In many VBC use cases, quality measures (e.g. cost score, risk score, quality score) are computed not only on Practitioners, but on the Organization level (e.g. Hospital cost score).

In R4 and R4b, MeasureReport.subject can point to a Patient and Practitioner (amongst other resourceTypes), but not to a Organization. This was rectified in R5

Proposal

  • Backport the choice of types for MeasureReport.subject from R5 -> R4. I acknowledge that this might be controversial, because we (rightly) want to avoid creating a chimera of mixed R4/R5 models - so I'm open to alternatives.

Alternatives Considered

  • Using Observation instead of MeasureReport: This has the same problem MeasureReport - subject can be an Organization in R5, but not R4
  • Setting MeasureReport.subject to a Location : This breaks the semantics of Location - In general an organization (e.g. hospital system) might have 2+ locations (facilities, buildings). So associating the the MeasureReport with a Location doesn't have the right cardinality, unless we enforce making a "dummy" Location
@reshmakh reshmakh added the fhir-datastore Related to the FHIR datastore, includes API and FHIR operations label May 3, 2024
@rahul1 rahul1 added this to the May 31st, 2024 milestone May 7, 2024
@codyebberson codyebberson self-assigned this May 7, 2024
github-merge-queue bot pushed a commit that referenced this issue May 9, 2024
* Fixes #4508 - MeasureReport-subject search param backport

* Updated StructureDefinition
@codyebberson
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Fixed in #4530

medplumbot added a commit that referenced this issue May 25, 2024
Fix age display in PatientSummary (#4484)Fixes #4471 - DetectedIssue.status valueset and search param (#4483)
Qualify columns with table name in generated SQL (#4487)
fix(migrations): only take lock if migrating (#4490)
Document updating profiles (#4402)
Run expand tests against old and new (#4503)
Adding OpenCareHub support post (#4504)
[Medplum Provider app] Various fixes and touchups (#4500)
ci(agent): add workflow for building agent outside of a release (#4512)
feat(agent): `Agent/$reload-config` operation (#4457)
Remove broken links to Foo Provider (#4518)
Dependency upgrades 2024-05-06 (#4515)
PatientSummary and provider app tweaks (#4521)
Fixes #4509 - Improve exact match search support for token parameters in `matchesTokenFilter` (#4516)
Link to new Demo Applications (#4514)
Clarify that autobatching only applies to `GET` requests (#4479)
Added missing useEffect dependency in chat demo (#4527)
fix: allows CORS for `keyvalue` API (#4476)
Fixes #4508 - MeasureReport-subject search param backport (#4530)
Fix CLI update-server version flag (#4534)
Patient summary appointments and encounters links (#4524)
Remove unused DB columns (#4532)
fix(agent): unwrap response for `$reload-config` by id (#4542)
`PatientSummary` Problem List uses US Core profile (#4535)
fix(cli): always exit with exit code 1 after error occurs during command (#4536)
Add failing test about validating nested extensions (#4548)
Add error message when `cli` fails on login (#4507)
Remove functions moved to core (#4547)
fix: AttachmentDisplay use uncached url for download link (#4501)
feat(agent): respect `Agent.status` and `Agent.channel.endpoint.status` being `off` (#4523)
CMS 1500 and Superbill (#4543)
Demo Bot: Agent Setup (#4555)
feat(Subscription): add `author` as a `SearchParameter` (#4540)
Dependency upgrades 2024-05-13 (#4544)
Full linked Project ordering in CodeSystem lookup (#4522)
Disable super admin refresh tokens (#4492)
Minor fixes for the agent setup bot (#4560)
docs(agent): document how logging works with `Bot` and `Agent` (#4563)
Split rate limits into two buckets (#4568)
Properly detect array elements (#4569)
Apply filter to ValueSet with expansion.contains (#4570)
More efficiently validate included concepts (#4573)
Dependency upgrades 2024-05-20 (#4574)
tweak(agent): add timezone in status `lastUpdated` time (#4564)
fix(client/keyvalue): set keyvalue content-type text (#4575)
Allow configuring server default rate limits (#4491)
feat(cli): add `token` command to get access token (#4579)
Updating device resources and videos (#4578)
fix(subscriptions): don't retry ws subs if sub is deleted (#4577)
Add support for 'pr' filter operation (#4584)
Super admin endpoint for database stats (#4443)
github-merge-queue bot pushed a commit that referenced this issue May 25, 2024
Fix age display in PatientSummary (#4484)Fixes #4471 - DetectedIssue.status valueset and search param (#4483)
Qualify columns with table name in generated SQL (#4487)
fix(migrations): only take lock if migrating (#4490)
Document updating profiles (#4402)
Run expand tests against old and new (#4503)
Adding OpenCareHub support post (#4504)
[Medplum Provider app] Various fixes and touchups (#4500)
ci(agent): add workflow for building agent outside of a release (#4512)
feat(agent): `Agent/$reload-config` operation (#4457)
Remove broken links to Foo Provider (#4518)
Dependency upgrades 2024-05-06 (#4515)
PatientSummary and provider app tweaks (#4521)
Fixes #4509 - Improve exact match search support for token parameters in `matchesTokenFilter` (#4516)
Link to new Demo Applications (#4514)
Clarify that autobatching only applies to `GET` requests (#4479)
Added missing useEffect dependency in chat demo (#4527)
fix: allows CORS for `keyvalue` API (#4476)
Fixes #4508 - MeasureReport-subject search param backport (#4530)
Fix CLI update-server version flag (#4534)
Patient summary appointments and encounters links (#4524)
Remove unused DB columns (#4532)
fix(agent): unwrap response for `$reload-config` by id (#4542)
`PatientSummary` Problem List uses US Core profile (#4535)
fix(cli): always exit with exit code 1 after error occurs during command (#4536)
Add failing test about validating nested extensions (#4548)
Add error message when `cli` fails on login (#4507)
Remove functions moved to core (#4547)
fix: AttachmentDisplay use uncached url for download link (#4501)
feat(agent): respect `Agent.status` and `Agent.channel.endpoint.status` being `off` (#4523)
CMS 1500 and Superbill (#4543)
Demo Bot: Agent Setup (#4555)
feat(Subscription): add `author` as a `SearchParameter` (#4540)
Dependency upgrades 2024-05-13 (#4544)
Full linked Project ordering in CodeSystem lookup (#4522)
Disable super admin refresh tokens (#4492)
Minor fixes for the agent setup bot (#4560)
docs(agent): document how logging works with `Bot` and `Agent` (#4563)
Split rate limits into two buckets (#4568)
Properly detect array elements (#4569)
Apply filter to ValueSet with expansion.contains (#4570)
More efficiently validate included concepts (#4573)
Dependency upgrades 2024-05-20 (#4574)
tweak(agent): add timezone in status `lastUpdated` time (#4564)
fix(client/keyvalue): set keyvalue content-type text (#4575)
Allow configuring server default rate limits (#4491)
feat(cli): add `token` command to get access token (#4579)
Updating device resources and videos (#4578)
fix(subscriptions): don't retry ws subs if sub is deleted (#4577)
Add support for 'pr' filter operation (#4584)
Super admin endpoint for database stats (#4443)
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Labels
fhir-datastore Related to the FHIR datastore, includes API and FHIR operations
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