Shareable components of measures start at the basic, or atomic level, the codes, or value set used to express a concept. Multiple value sets to express the same concept should be discouraged; rather reuse should be encouraged and concerns about missing or extraneous content should be managed by collaboration, or harmonization. Similarly, use of the value set in different context may require collaboration (e.g., use of a medication value set to express medications administered and also medications to which a patient may exhibit adverse reactions). Higher level expressions using value sets, phrases or clauses, may relate the values by timing relationships (e.g., medication administered within 1 hour prior to a surgical incision), and combine phrases into sentences to describe a broader population (e.g., medication administered within 1 hour of a surgical incision for all patients with mitral valve replacement surgery), and further into measure components (e.g., the denominator indicating all patients with medication administered within 1 hour of mitral valve replacement surgery during the calendar year). Each of these components from the value set up through the measure component, may be reusable in other measures; thus, each is potentially open for collaboration and harmonization as other measure stewards consider reuse.

Figure 4Use of shareable components in across measures

From: OMR Governance

Cover of Outcome Measures Framework: Information Model Report
Outcome Measures Framework: Information Model Report: Registry of Patient Registries [Internet].
Gliklich RE, Bibeau K, Eisenberg F, et al.
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