Measure Participations for The SANER Project

There's so many people and organizations involved in creation of a computable measure, it's hard to keep it all straight.  That's because there's the "Measure Resource", and the measure it represents, and these are separate things, getting to the former from the latter is a process (executed by Publisher, so lets start)

Publisher

For The SANER IG, the publisher is going to be HL7.  So we'll follow the same protocols for the Measure resource as we would for the IG content at this time.  Other attributes determined by the publisher include: contact, copyright, status and experimental, because the attributes are about the Measure Resource, not the originally authored measure.  The status of the measure will certainly impact the status of the Measure Resource, but these describe the Measure Resource artifact, not the original measure content.  If you want to get into metadata about the author's original measure, I suggest you look into DocumentReference, which is intended to do just that.  We aren't going to use that right now due to complexity.

Author

Author is who wrote the content describing the measure, not necessarily put it into Measure Resource format.  For the Covid 19 Patient and Hospital Impact Module, that would CDC who wrote the form and instructions.  Having established that, the effectivePeriod for the measure becomes whatever the author says it is, which could be before the publication date as a Measure Resource.  That's legit.  The effective time captures the start and ending period over which the measure is approved to be in use by the author, at least to start.

Editor

The editor is who prepared the Measure resource for publication.  That would be The Saner Project.

Reviewer

For measures going through something like a ballot process, the reviewers are the balloters, or the organization (HL7) running that process.  There are other review processes, and I expect we'll eventually evolve those in The Saner Project.

Endorser

Endorsers are organizations that "approve" the measure as fit for a particular purpose -- certifying or regulatory, or similar bodies.  There can obviously be multiple endorsers.  A measure can be published without endorsement, and endorsements of a measure are asynchronous from publication.

Fighting COVID-19 with FHIR®