Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
Active as of 2021-04-23 |
Definitions for the indv-measurereport-deqm resource profile.
Guidance on how to interpret the contents of this table can be found here
0. MeasureReport | |
Must Support | false |
Invariants | deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() )deqm-3: ensures scoring is either specified only at the root, or on all groups ( extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) )deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 )deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) )deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both ( group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() ) |
2. MeasureReport.extension:message | |
Slice Name | message |
Control | 0..1 |
Type | Extension(Messages) (Extension Type: Reference(OperationOutcome)) |
Must Support | true |
4. MeasureReport.extension:reportingProgram | |
Slice Name | reportingProgram |
Control | 0..1 |
Type | Extension(DEQM Reporting Program Extension) (Extension Type: Choice of: CodeableConcept, canonical(CQFM Publishable Manifest)) |
Must Support | true |
6. MeasureReport.extension:inputParameters | |
Slice Name | inputParameters |
Control | 0..1 |
Type | Extension(Input parameters) (Extension Type: Reference(Parameters)) |
Must Support | true |
8. MeasureReport.extension:supplementalData | |
Slice Name | supplementalData |
Control | 0..* |
Type | Extension(Supplemental Data Extension) (Extension Type: Reference(Resource)) |
Must Support | true |
10. MeasureReport.extension:supplementalData.extension:criteriaReference | |
Slice Name | criteriaReference |
Control | 0..1 |
Type | Extension(Criteria Reference Extension) (Extension Type: string) |
Must Support | true |
12. MeasureReport.extension:supplementalData.extension:supplementalDataPopulationDescription | |
Slice Name | supplementalDataPopulationDescription |
Short | Description of the supplemental data |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Must Support | true |
14. MeasureReport.extension:scoring | |
Slice Name | scoring |
Short | proportion | ratio | continuous-variable | cohort | composite |
Control | 0..1 This element is affected by the following invariants: deqm-2, deqm-3 |
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) |
Must Support | true |
16. MeasureReport.extension:vendor | |
Slice Name | vendor |
Control | 0..1 |
Type | Extension(DEQM Reporting Vendor Extension) (Extension Type: Reference(QICore Organization)) |
Must Support | true |
18. MeasureReport.extension:cehrt | |
Slice Name | cehrt |
Short | CMS EHR Certifciation ID |
Control | 0..1 |
Type | Extension(DEQM Certification Identifier Extension) (Extension Type: Identifier) |
Must Support | true |
20. MeasureReport.extension:cehrt.valueIdentifier | |
Control | 1..1 |
Type | Identifier |
Must Support | true |
Pattern Value | { |
22. MeasureReport.extension:software | |
Slice Name | software |
Control | 0..* |
Type | Extension(CRMI Software System) (Extension Type: Reference(CRMI Software System Device)) |
Must Support | true |
24. MeasureReport.extension:location | |
Slice Name | location |
Control | 0..* |
Type | Extension(DEQM Data Location Extension) (Extension Type: Reference(QICore Location)) |
26. MeasureReport.status | |
Must Support | true |
28. MeasureReport.type | |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Requirements | For individual quality meaure reporting, this report is constrained to reporting on an individual. |
Fixed Value | individual |
30. MeasureReport.measure | |
Type | canonical(CRMI Shareable Measure) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Requirements | This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure. |
32. MeasureReport.subject | |
Control | 1..1 |
Type | Reference(QICore Patient, QICore Practitioner, QICore PractitionerRole, QICore Location, QICore Device, QICore RelatedPerson) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
34. MeasureReport.date | |
Short | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
Control | 1..1 |
Must Support | true |
36. MeasureReport.reporter | |
Definition | Organization that generated the MeasureReport |
Short | Organization that generated the MeasureReport |
Control | 1..1 |
Type | Reference(QICore Organization) |
Must Support | true |
38. MeasureReport.reporter.extension:group | |
Slice Name | group |
Control | 0..1 |
Type | Extension(DEQM Reporter Group Extension) (Extension Type: Reference(Group)) |
Must Support | true |
40. MeasureReport.period | |
Short | The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. |
Control | 1..1 This element is affected by the following invariants: deqm-1 |
Type | Period |
Must Support | true |
Invariants | deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) (start.toString().length()>9 and end.toString().length()>9 ) |
42. MeasureReport.period.start | |
Control | 1..1 |
Must Support | true |
44. MeasureReport.period.end | |
Control | 1..1 |
Must Support | true |
46. MeasureReport.improvementNotation | |
Control | 0..1 This element is affected by the following invariants: deqm-2 |
Must Support | true |
48. MeasureReport.group | |
Control | 0..* |
Must Support | true |
Invariants | deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. ((extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() ) |
50. MeasureReport.group.id | |
Must Support | true |
52. MeasureReport.group.extension:scoring | |
Slice Name | scoring |
Short | proportion | ratio | continuous-variable | cohort | composite |
Control | 0..1 This element is affected by the following invariants: deqm-3 |
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) |
Must Support | true |
54. MeasureReport.group.extension:calculatedDate | |
Slice Name | calculatedDate |
Control | 0..1 |
Type | Extension(DEQM Calculated Date Extension) (Extension Type: dateTime) |
Must Support | true |
56. MeasureReport.group.extension:groupImprovementNotation | |
Slice Name | groupImprovementNotation |
Short | increase | decrease |
Control | 0..1 This element is affected by the following invariants: deqm-4 |
Type | Extension(DEQM Group Improvement Notation Extension) (Extension Type: CodeableConcept) |
Must Support | true |
58. MeasureReport.group.extension:groupPopulationDescription | |
Slice Name | groupPopulationDescription |
Short | Description of the group |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Must Support | true |
60. MeasureReport.group.extension:numeratorMembership | |
Slice Name | numeratorMembership |
Short | Provides the number of subjects in the numerator population membership. |
Control | 0..1 |
Type | Extension(Numerator Membership) (Extension Type: Quantity) |
Must Support | true |
62. MeasureReport.group.extension:denominatorMembership | |
Slice Name | denominatorMembership |
Short | Provides the number of subjects in the denominator population membership. |
Control | 0..1 |
Type | Extension(Denominator Membership) (Extension Type: Quantity) |
Must Support | true |
64. MeasureReport.group.extension:measurePopulationMembership | |
Slice Name | measurePopulationMembership |
Short | Provides the number of subjects in the measure population membership. |
Control | 0..1 |
Type | Extension(Measure Population Membership) (Extension Type: Quantity) |
Must Support | true |
66. MeasureReport.group.code | |
Must Support | true |
68. MeasureReport.group.population | |
Must Support | true |
Invariants | deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both. (extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) |
70. MeasureReport.group.population.extension:countQuantity | |
Slice Name | countQuantity |
Definition | The count of the population represented as a Quantity. This is used in cases where the count may be a decimal value such as in a ratio measure. |
Short | Count as a Quantity |
Control | 0..1 This element is affected by the following invariants: deqm-8 |
Type | Extension(Count Quantity) (Extension Type: Quantity) |
Must Support | true |
72. MeasureReport.group.population.extension:groupPopulationPopulationDescription | |
Slice Name | groupPopulationPopulationDescription |
Short | Description of the population |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Must Support | true |
74. MeasureReport.group.population.code | |
Control | 1..1 |
Must Support | true |
76. MeasureReport.group.population.count | |
Control | 0..1 This element is affected by the following invariants: deqm-8 |
Must Support | true |
78. MeasureReport.group.population.subjectResults | |
Control | 0..0 |
Must Support | false |
80. MeasureReport.group.measureScore | |
Comments | For individual reporting, the measure score is calculated for the individual. For a proportion measure, it would be 0.0 or 1.0 (indicating 0% or 100%). |
Control | 0..1 This element is affected by the following invariants: deqm-6 |
Must Support | true |
82. MeasureReport.group.measureScore.extension:altscoretype | |
Slice Name | altscoretype |
Control | 0..1 |
Type | Extension(DEQM Alternate Score Type Extension) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range, Duration, boolean) |
Must Support | true |
84. MeasureReport.group.stratifier | |
86. MeasureReport.group.stratifier.extension:stratifierPopulationDescription | |
Slice Name | stratifierPopulationDescription |
Short | Description of the stratifier |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Must Support | true |
88. MeasureReport.group.stratifier.code | |
Definition | The meaning of this stratifier, as defined in the measure definition. |
Short | What stratifier of the group |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
90. MeasureReport.group.stratifier.stratum | |
Must Support | true |
92. MeasureReport.group.stratifier.stratum.population | |
Must Support | true |
Invariants | deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. (extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) |
94. MeasureReport.group.stratifier.stratum.population.extension:stratumPopulationDescription | |
Slice Name | stratumPopulationDescription |
Control | 0..1 This element is affected by the following invariants: deqm-9 |
Type | Extension(Count Quantity) (Extension Type: Quantity) |
Must Support | true |
96. MeasureReport.group.stratifier.stratum.population.code | |
Control | 1..1 |
Must Support | true |
98. MeasureReport.group.stratifier.stratum.population.count | |
Control | 1..1 This element is affected by the following invariants: deqm-9 |
Must Support | true |
100. MeasureReport.evaluatedResource | |
Must Support | true |
Requirements | To support the reporting of supplemental data elements. |
102. MeasureReport.evaluatedResource.extension:popref | |
Slice Name | popref |
Control | 0..* |
Type | Extension(Criteria Reference Extension) (Extension Type: string) |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. MeasureReport | |
Definition | The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. |
Short | Results of a measure evaluation |
Control | 0..* |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ( (type != 'data-collection') or group.exists().not() )mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components ( group.stratifier.stratum.all(value.exists() xor component.exists()) )deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required ( extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() )deqm-3: ensures scoring is either specified only at the root, or on all groups ( extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) )deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 )deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) )deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both ( group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() )mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ((type != 'data-collection') or group.exists().not()) mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components (group.stratifier.stratum.all(value.exists() xor component.exists())) |
2. MeasureReport.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. MeasureReport.extension:message | |
Slice Name | message |
Definition | An OperationOutcome resource with information, warning, or error messages that were generated as part of processing an operation. |
Short | Evaluation messages |
Control | 0..1 |
Type | Extension(Messages) (Extension Type: Reference(OperationOutcome)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. MeasureReport.extension:reportingProgram | |
Slice Name | reportingProgram |
Definition | Reference the reporting program by referencing their unique id specified in a Library resource that conforms to the Quality Program profile. |
Short | Reporting program |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(DEQM Reporting Program Extension) (Extension Type: Choice of: CodeableConcept, canonical(CQFM Publishable Manifest)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
8. MeasureReport.extension:inputParameters | |
Slice Name | inputParameters |
Definition | Specifies the input parameters to the operation (such as a test case description or a data requirements or evaluate operation). This extension can be used as part of the result of an operation to indicate what the parameters were, but it can also be used as part of the definition of a test case to specify what the input parameters are expected to be for the test case. |
Short | What parameters |
Control | 0..1 |
Type | Extension(Input parameters) (Extension Type: Reference(Parameters)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
10. MeasureReport.extension:supplementalData | |
Slice Name | supplementalData |
Definition | Supplemental data described by the Measure. |
Short | Supplemental Data |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Supplemental Data Extension) (Extension Type: Reference(Resource)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. MeasureReport.extension:supplementalData.extension:criteriaReference | |
Slice Name | criteriaReference |
Definition | Reference a criteria by specifying that criteria's unique id |
Short | Criteria reference |
Control | 0..1 |
Type | Extension(Criteria Reference Extension) (Extension Type: string) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
14. MeasureReport.extension:supplementalData.extension:supplementalDataPopulationDescription | |
Slice Name | supplementalDataPopulationDescription |
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. |
Short | Description of the supplemental data |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
16. MeasureReport.extension:supplementalData.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
Fixed Value | http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
18. MeasureReport.extension:scoring | |
Slice Name | scoring |
Definition | An Extension |
Short | proportion | ratio | continuous-variable | cohort | composite |
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-2, deqm-3 |
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
20. MeasureReport.extension:vendor | |
Slice Name | vendor |
Definition | A reference to the vendor who queried the data, calculated results and/or generated the report. |
Short | Vendor information |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(DEQM Reporting Vendor Extension) (Extension Type: Reference(QICore Organization)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
22. MeasureReport.extension:cehrt | |
Slice Name | cehrt |
Definition | An identifier that represents the EHR certication number (CERHT). See Certified EHR Technology For more information. |
Short | CMS EHR Certifciation ID |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(DEQM Certification Identifier Extension) (Extension Type: Identifier) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
24. MeasureReport.extension:cehrt.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
Fixed Value | http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
26. MeasureReport.extension:cehrt.value[x] | |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Short | Value of extension |
Control | 10..1 |
Type | Identifier, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MeasureReport.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
28. MeasureReport.extension:cehrt.value[x]:valueIdentifier | |
Slice Name | valueIdentifier |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Short | Value of extension |
Control | 10..1 |
Type | Identifier, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Summary | false |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. MeasureReport.extension:software | |
Slice Name | software |
Definition | Specifies the software systems used in the packaging and testing of knowledge artifacts. Specifically to support explicitly stating which versions of the various software components were used in the authoring, packaging, and testing. |
Short | Extension |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(CRMI Software System) (Extension Type: Reference(CRMI Software System Device)) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
32. MeasureReport.extension:location | |
Slice Name | location |
Definition | Location from which reported data was gathered. This extension is used to provide the location(s) from which reported data was gathered in a MeasureReport, such as individual, summary and data exchange measure report. |
Short | Location(s) from which reported data was gathered |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(DEQM Data Location Extension) (Extension Type: Reference(QICore Location)) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
34. MeasureReport.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
36. MeasureReport.status | |
Definition | The MeasureReport status. No data will be available until the MeasureReport status is complete. |
Short | complete | pending | error |
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 )The status of the measure report. |
Type | code |
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. MeasureReport.type | |
Definition | The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure. |
Short | individual | subject-list | summary | data-collection |
Comments | Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may. |
Control | 1..1 This element is affected by the following invariants: mrp-1 |
Binding | The codes SHALL be taken from MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 )The type of the measure report. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | For individual quality meaure reporting, this report is constrained to reporting on an individual. |
Fixed Value | individual |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. MeasureReport.measure | |
Definition | A reference to the Measure that was calculated to produce this report. |
Short | What measure was calculated |
Control | 1..1 |
Type | canonical(CRMI Shareable Measure, Measure) |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
42. MeasureReport.subject | |
Definition | Optional subject identifying the individual or individuals the report is for. |
Short | What individual(s) the report is for |
Control | 10..1 |
Type | Reference(QICore Patient, QICore Practitioner, QICore PractitionerRole, QICore Location, QICore Device, QICore RelatedPerson, Patient, Practitioner, PractitionerRole, Location, Device, RelatedPerson, Group) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. MeasureReport.date | |
Definition | The date this measure report was generated. |
Short | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
Control | 10..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. MeasureReport.reporter | |
Definition | Organization that generated the MeasureReport The individual, location, or organization that is reporting the data. |
Short | Organization that generated the MeasureReportWho is reporting the data |
Control | 10..1 |
Type | Reference(QICore Organization, Practitioner, PractitionerRole, Location, Organization) |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
48. MeasureReport.reporter.extension:group | |
Slice Name | group |
Definition | Group of practitioners responsible for a report. This extension is used to provide the capability to allow the participating practitioners to be documented. |
Short | Group of practitioners responsible for a report |
Control | 0..1 |
Type | Extension(DEQM Reporter Group Extension) (Extension Type: Reference(Group)) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
50. MeasureReport.period | |
Definition | The reporting period for which the report was calculated. |
Short | The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.What period the report covers |
Control | 1..1 This element is affected by the following invariants: deqm-1 |
Type | Period |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) ( start.toString().length()>9 and end.toString().length()>9 ) |
52. MeasureReport.period.start | |
Definition | The start of the period. The boundary is inclusive. |
Short | Starting time with inclusive boundary |
Comments | If the low element is missing, the meaning is that the low boundary is not known. |
Control | 10..1 This element is affected by the following invariants: per-1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. MeasureReport.period.end | |
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. |
Short | End time with inclusive boundary, if not ongoing |
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. |
Control | 10..1 This element is affected by the following invariants: per-1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. MeasureReport.improvementNotation | |
Definition | Whether improvement in the measure is noted by an increase or decrease in the measure score. |
Short | increase | decrease |
Comments | This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score. |
Control | 0..1 This element is affected by the following invariants: deqm-2 |
Binding | The codes SHALL be taken from MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 )Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
Type | CodeableConcept |
Is Modifier | true because Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement) |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. MeasureReport.group | |
Definition | The results of the calculation, one for each population group in the measure. |
Short | Measure results for each group |
Control | 0..* This element is affected by the following invariants: mrp-1 |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() ) |
60. MeasureReport.group.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
Must Support | true |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
62. MeasureReport.group.extension:scoring | |
Slice Name | scoring |
Definition | An Extension |
Short | proportion | ratio | continuous-variable | cohort | composite |
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-3 |
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
64. MeasureReport.group.extension:calculatedDate | |
Slice Name | calculatedDate |
Definition | This applies to the date this metric was actually calculated. If your measure calculation draws on stored calculations and there are multiple calculation dates, this extension would not apply, as in the example of a composite measure where the individual measures were calculated on different dates. This would only cover the case where there is only one calculation date. |
Short | The date the score was calculated |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(DEQM Calculated Date Extension) (Extension Type: dateTime) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
66. MeasureReport.group.extension:groupImprovementNotation | |
Slice Name | groupImprovementNotation |
Definition | An Extension |
Short | increase | decrease |
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-4 |
Type | Extension(DEQM Group Improvement Notation Extension) (Extension Type: CodeableConcept) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
68. MeasureReport.group.extension:groupPopulationDescription | |
Slice Name | groupPopulationDescription |
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. |
Short | Description of the group |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
70. MeasureReport.group.extension:numeratorMembership | |
Slice Name | numeratorMembership |
Definition | The numerator population membership is the number of subjects in the numerator after exceptions and exclusions. |
Short | Provides the number of subjects in the numerator population membership. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Numerator Membership) (Extension Type: Quantity) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
72. MeasureReport.group.extension:denominatorMembership | |
Slice Name | denominatorMembership |
Definition | The denominator population membership is the number of subjects in the denominator after exceptions and exclusions. |
Short | Provides the number of subjects in the denominator population membership. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Denominator Membership) (Extension Type: Quantity) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
74. MeasureReport.group.extension:measurePopulationMembership | |
Slice Name | measurePopulationMembership |
Definition | The measure population membership is the number of subjects in the measure population after exclusions. |
Short | Provides the number of subjects in the measure population membership. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Measure Population Membership) (Extension Type: Quantity) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
76. MeasureReport.group.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
78. MeasureReport.group.code | |
Definition | The meaning of the population group as defined in the measure definition. |
Short | Meaning of the group |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
80. MeasureReport.group.population | |
Definition | The populations that make up the population group, one for each type of population appropriate for the measure. |
Short | The populations in the group |
Control | 0..* This element is affected by the following invariants: deqm-5 |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both. ( extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) |
82. MeasureReport.group.population.extension:countQuantity | |
Slice Name | countQuantity |
Definition | The count of the population represented as a Quantity. This is used in cases where the count may be a decimal value such as in a ratio measure. |
Short | Count as a Quantity |
Control | 0..1 This element is affected by the following invariants: deqm-8 |
Type | Extension(Count Quantity) (Extension Type: Quantity) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
84. MeasureReport.group.population.extension:groupPopulationPopulationDescription | |
Slice Name | groupPopulationPopulationDescription |
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. |
Short | Description of the population |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
86. MeasureReport.group.population.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
88. MeasureReport.group.population.code | |
Definition | The type of the population. |
Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
Control | 10..1 |
Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population (extensible to http://hl7.org/fhir/ValueSet/measure-population )The type of population (e.g. initial, numerator, denominator, etc.). |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
90. MeasureReport.group.population.count | |
Definition | The number of members of the population. |
Short | Size of the population |
Control | 0..1 This element is affected by the following invariants: deqm-8 |
Type | integer |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
92. MeasureReport.group.population.subjectResults | |
Definition | This element refers to a List of subject level MeasureReport resources, one for each subject in this population. |
Short | For subject-list reports, the subject results in this population |
Control | 0..01 |
Type | Reference(List) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
94. MeasureReport.group.measureScore | |
Definition | The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group. |
Short | What score this group achieved |
Comments | For individual reporting, the measure score is calculated for the individual. For a proportion measure, it would be 0.0 or 1.0 (indicating 0% or 100%). |
Control | 0..1 This element is affected by the following invariants: deqm-6 |
Type | Quantity |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
96. MeasureReport.group.measureScore.extension:altscoretype | |
Slice Name | altscoretype |
Definition | Possible value types for the measureScore elements in addition to the standard Quantity type. The alternate type is determined by the Quality Measure Aggregate Method extension used on the Measure. The reported type of the measureScore for continuous variable measures is determined by the result type of the aggregate method operation. |
Short | Possible additional measureScore value types |
Comments | This extension corresponds to the additional MeasureScore type added to the R5 version of MeasureReport. |
Control | 0..1 |
Type | Extension(DEQM Alternate Score Type Extension) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range, Duration, boolean) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
98. MeasureReport.group.measureScore.comparator | |
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
Short | < | <= | >= | > - how to understand the value |
Control | 0..1 |
Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
Meaning if Missing | If there is no comparator, then there is no modification of the value |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
100. MeasureReport.group.stratifier | |
Definition | When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure. |
Short | Stratification results |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
102. MeasureReport.group.stratifier.extension:stratifierPopulationDescription | |
Slice Name | stratifierPopulationDescription |
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. |
Short | Description of the stratifier |
Control | 0..1 |
Type | Extension(Measure Report Population Description) (Extension Type: markdown) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
104. MeasureReport.group.stratifier.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
106. MeasureReport.group.stratifier.code | |
Definition | The meaning of this stratifier, as defined in the measure definition. |
Short | What stratifier of the group |
Control | 0..1* |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
108. MeasureReport.group.stratifier.stratum | |
Definition | This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value. |
Short | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
110. MeasureReport.group.stratifier.stratum.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
112. MeasureReport.group.stratifier.stratum.population | |
Definition | The populations that make up the stratum, one for each type of population appropriate to the measure. |
Short | Population results in this stratum |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. ( extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) |
114. MeasureReport.group.stratifier.stratum.population.extension:stratumPopulationDescription | |
Slice Name | stratumPopulationDescription |
Definition | A Quantity representing the size of the population. This is important to support the case when a population value may result in a decimal when reporting composite measures. |
Short | Size of the population as a quantity. |
Control | 0..1 This element is affected by the following invariants: deqm-9 |
Type | Extension(Count Quantity) (Extension Type: Quantity) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
116. MeasureReport.group.stratifier.stratum.population.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
118. MeasureReport.group.stratifier.stratum.population.code | |
Definition | The type of the population. |
Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
Control | 10..1 |
Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population (extensible to http://hl7.org/fhir/ValueSet/measure-population )The type of population (e.g. initial, numerator, denominator, etc.). |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
120. MeasureReport.group.stratifier.stratum.population.count | |
Definition | The number of members of the population in this stratum. |
Short | Size of the population |
Control | 10..1 This element is affected by the following invariants: deqm-9 |
Type | integer |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
122. MeasureReport.evaluatedResource | |
Definition | A reference to a Bundle containing the Resources that were used in the calculation of this measure. |
Short | What data was used to calculate the measure score |
Control | 0..* |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | To support the reporting of supplemental data elements. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
124. MeasureReport.evaluatedResource.extension:popref | |
Slice Name | popref |
Definition | Reference a criteria by specifying that criteria's unique id |
Short | Criteria reference |
Control | 0..* |
Type | Extension(Criteria Reference Extension) (Extension Type: string) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Guidance on how to interpret the contents of this table can be found here
0. MeasureReport | |||||
Definition | The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. | ||||
Short | Results of a measure evaluation | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ( (type != 'data-collection') or group.exists().not() )mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components ( group.stratifier.stratum.all(value.exists() xor component.exists()) )deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required ( extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() )deqm-3: ensures scoring is either specified only at the root, or on all groups ( extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) )deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 )deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) )deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both ( group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() ) | ||||
2. MeasureReport.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. MeasureReport.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. MeasureReport.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. MeasureReport.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. MeasureReport.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. MeasureReport.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. MeasureReport.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
16. MeasureReport.extension:message | |||||
Slice Name | message | ||||
Definition | An OperationOutcome resource with information, warning, or error messages that were generated as part of processing an operation. | ||||
Short | Evaluation messages | ||||
Control | 0..1 | ||||
Type | Extension(Messages) (Extension Type: Reference(OperationOutcome)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. MeasureReport.extension:reportingProgram | |||||
Slice Name | reportingProgram | ||||
Definition | Reference the reporting program by referencing their unique id specified in a Library resource that conforms to the Quality Program profile. | ||||
Short | Reporting program | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(DEQM Reporting Program Extension) (Extension Type: Choice of: CodeableConcept, canonical(CQFM Publishable Manifest)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. MeasureReport.extension:inputParameters | |||||
Slice Name | inputParameters | ||||
Definition | Specifies the input parameters to the operation (such as a test case description or a data requirements or evaluate operation). This extension can be used as part of the result of an operation to indicate what the parameters were, but it can also be used as part of the definition of a test case to specify what the input parameters are expected to be for the test case. | ||||
Short | What parameters | ||||
Control | 0..1 | ||||
Type | Extension(Input parameters) (Extension Type: Reference(Parameters)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
22. MeasureReport.extension:supplementalData | |||||
Slice Name | supplementalData | ||||
Definition | Supplemental data described by the Measure. | ||||
Short | Supplemental Data | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Supplemental Data Extension) (Extension Type: Reference(Resource)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
24. MeasureReport.extension:supplementalData.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
26. MeasureReport.extension:supplementalData.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
28. MeasureReport.extension:supplementalData.extension:criteriaReference | |||||
Slice Name | criteriaReference | ||||
Definition | Reference a criteria by specifying that criteria's unique id | ||||
Short | Criteria reference | ||||
Control | 0..1 | ||||
Type | Extension(Criteria Reference Extension) (Extension Type: string) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
30. MeasureReport.extension:supplementalData.extension:supplementalDataPopulationDescription | |||||
Slice Name | supplementalDataPopulationDescription | ||||
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. | ||||
Short | Description of the supplemental data | ||||
Control | 0..1 | ||||
Type | Extension(Measure Report Population Description) (Extension Type: markdown) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
32. MeasureReport.extension:supplementalData.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData | ||||
34. MeasureReport.extension:supplementalData.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource. | ||||
Control | 0..1 | ||||
Type | Reference(Resource) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. MeasureReport.extension:scoring | |||||
Slice Name | scoring | ||||
Definition | An Extension | ||||
Short | proportion | ratio | continuous-variable | cohort | composite | ||||
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-2, deqm-3 | ||||
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
38. MeasureReport.extension:vendor | |||||
Slice Name | vendor | ||||
Definition | A reference to the vendor who queried the data, calculated results and/or generated the report. | ||||
Short | Vendor information | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(DEQM Reporting Vendor Extension) (Extension Type: Reference(QICore Organization)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
40. MeasureReport.extension:cehrt | |||||
Slice Name | cehrt | ||||
Definition | An identifier that represents the EHR certication number (CERHT). See Certified EHR Technology For more information. | ||||
Short | CMS EHR Certifciation ID | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(DEQM Certification Identifier Extension) (Extension Type: Identifier) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
42. MeasureReport.extension:cehrt.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
44. MeasureReport.extension:cehrt.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
46. MeasureReport.extension:cehrt.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | ||||
48. MeasureReport.extension:cehrt.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 | ||||
Type | Identifier | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
50. MeasureReport.extension:cehrt.value[x]:valueIdentifier | |||||
Slice Name | valueIdentifier | ||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 | ||||
Type | Identifier | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. MeasureReport.extension:software | |||||
Slice Name | software | ||||
Definition | Specifies the software systems used in the packaging and testing of knowledge artifacts. Specifically to support explicitly stating which versions of the various software components were used in the authoring, packaging, and testing. | ||||
Short | Extension | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(CRMI Software System) (Extension Type: Reference(CRMI Software System Device)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
54. MeasureReport.extension:location | |||||
Slice Name | location | ||||
Definition | Location from which reported data was gathered. This extension is used to provide the location(s) from which reported data was gathered in a MeasureReport, such as individual, summary and data exchange measure report. | ||||
Short | Location(s) from which reported data was gathered | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(DEQM Data Location Extension) (Extension Type: Reference(QICore Location)) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
56. MeasureReport.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
58. MeasureReport.identifier | |||||
Definition | A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance. | ||||
Short | Additional identifier for the MeasureReport | ||||
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. MeasureReport.status | |||||
Definition | The MeasureReport status. No data will be available until the MeasureReport status is complete. | ||||
Short | complete | pending | error | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from MeasureReportStatus (required to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 )The status of the measure report. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. MeasureReport.type | |||||
Definition | The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure. | ||||
Short | individual | subject-list | summary | data-collection | ||||
Comments | Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may. | ||||
Control | 1..1 This element is affected by the following invariants: mrp-1 | ||||
Binding | The codes SHALL be taken from MeasureReportType (required to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 )The type of the measure report. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | For individual quality meaure reporting, this report is constrained to reporting on an individual. | ||||
Fixed Value | individual | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. MeasureReport.measure | |||||
Definition | A reference to the Measure that was calculated to produce this report. | ||||
Short | What measure was calculated | ||||
Control | 1..1 | ||||
Type | canonical(CRMI Shareable Measure) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. MeasureReport.subject | |||||
Definition | Optional subject identifying the individual or individuals the report is for. | ||||
Short | What individual(s) the report is for | ||||
Control | 1..1 | ||||
Type | Reference(QICore Patient, QICore Practitioner, QICore PractitionerRole, QICore Location, QICore Device, QICore RelatedPerson) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. MeasureReport.date | |||||
Definition | The date this measure report was generated. | ||||
Short | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. MeasureReport.reporter | |||||
Definition | Organization that generated the MeasureReport | ||||
Short | Organization that generated the MeasureReport | ||||
Control | 1..1 | ||||
Type | Reference(QICore Organization) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. MeasureReport.reporter.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
74. MeasureReport.reporter.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.reporter.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
76. MeasureReport.reporter.extension:group | |||||
Slice Name | group | ||||
Definition | Group of practitioners responsible for a report. This extension is used to provide the capability to allow the participating practitioners to be documented. | ||||
Short | Group of practitioners responsible for a report | ||||
Control | 0..1 | ||||
Type | Extension(DEQM Reporter Group Extension) (Extension Type: Reference(Group)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
78. MeasureReport.reporter.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. MeasureReport.reporter.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. MeasureReport.reporter.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. MeasureReport.reporter.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. MeasureReport.period | |||||
Definition | The reporting period for which the report was calculated. | ||||
Short | The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. | ||||
Control | 1..1 This element is affected by the following invariants: deqm-1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) ( start.toString().length()>9 and end.toString().length()>9 ) | ||||
88. MeasureReport.period.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
90. MeasureReport.period.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.period.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
92. MeasureReport.period.start | |||||
Definition | The start of the period. The boundary is inclusive. | ||||
Short | Starting time with inclusive boundary | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 1..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. MeasureReport.period.end | |||||
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. | ||||
Short | End time with inclusive boundary, if not ongoing | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. | ||||
Control | 1..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. MeasureReport.improvementNotation | |||||
Definition | Whether improvement in the measure is noted by an increase or decrease in the measure score. | ||||
Short | increase | decrease | ||||
Comments | This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score. | ||||
Control | 0..1 This element is affected by the following invariants: deqm-2 | ||||
Binding | The codes SHALL be taken from MeasureImprovementNotation (required to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 )Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
Type | CodeableConcept | ||||
Is Modifier | true because Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement) | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
98. MeasureReport.group | |||||
Definition | The results of the calculation, one for each population group in the measure. | ||||
Short | Measure results for each group | ||||
Control | 0..* This element is affected by the following invariants: mrp-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. ( (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() ) | ||||
100. MeasureReport.group.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Must Support | true | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
102. MeasureReport.group.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.group.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
104. MeasureReport.group.extension:scoring | |||||
Slice Name | scoring | ||||
Definition | An Extension | ||||
Short | proportion | ratio | continuous-variable | cohort | composite | ||||
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-3 | ||||
Type | Extension(DEQM Measure Scoring Extension) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
106. MeasureReport.group.extension:calculatedDate | |||||
Slice Name | calculatedDate | ||||
Definition | This applies to the date this metric was actually calculated. If your measure calculation draws on stored calculations and there are multiple calculation dates, this extension would not apply, as in the example of a composite measure where the individual measures were calculated on different dates. This would only cover the case where there is only one calculation date. | ||||
Short | The date the score was calculated | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(DEQM Calculated Date Extension) (Extension Type: dateTime) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
108. MeasureReport.group.extension:groupImprovementNotation | |||||
Slice Name | groupImprovementNotation | ||||
Definition | An Extension | ||||
Short | increase | decrease | ||||
Control | 0..1 This element is affected by the following invariants: ele-1, deqm-4 | ||||
Type | Extension(DEQM Group Improvement Notation Extension) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
110. MeasureReport.group.extension:groupPopulationDescription | |||||
Slice Name | groupPopulationDescription | ||||
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. | ||||
Short | Description of the group | ||||
Control | 0..1 | ||||
Type | Extension(Measure Report Population Description) (Extension Type: markdown) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
112. MeasureReport.group.extension:numeratorMembership | |||||
Slice Name | numeratorMembership | ||||
Definition | The numerator population membership is the number of subjects in the numerator after exceptions and exclusions. | ||||
Short | Provides the number of subjects in the numerator population membership. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Numerator Membership) (Extension Type: Quantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
114. MeasureReport.group.extension:denominatorMembership | |||||
Slice Name | denominatorMembership | ||||
Definition | The denominator population membership is the number of subjects in the denominator after exceptions and exclusions. | ||||
Short | Provides the number of subjects in the denominator population membership. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Denominator Membership) (Extension Type: Quantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
116. MeasureReport.group.extension:measurePopulationMembership | |||||
Slice Name | measurePopulationMembership | ||||
Definition | The measure population membership is the number of subjects in the measure population after exclusions. | ||||
Short | Provides the number of subjects in the measure population membership. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Measure Population Membership) (Extension Type: Quantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
118. MeasureReport.group.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
120. MeasureReport.group.code | |||||
Definition | The meaning of the population group as defined in the measure definition. | ||||
Short | Meaning of the group | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. MeasureReport.group.population | |||||
Definition | The populations that make up the population group, one for each type of population appropriate for the measure. | ||||
Short | The populations in the group | ||||
Control | 0..* This element is affected by the following invariants: deqm-5 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both. ( extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) | ||||
124. MeasureReport.group.population.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
126. MeasureReport.group.population.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.group.population.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
128. MeasureReport.group.population.extension:countQuantity | |||||
Slice Name | countQuantity | ||||
Definition | The count of the population represented as a Quantity. This is used in cases where the count may be a decimal value such as in a ratio measure. | ||||
Short | Count as a Quantity | ||||
Control | 0..1 This element is affected by the following invariants: deqm-8 | ||||
Type | Extension(Count Quantity) (Extension Type: Quantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
130. MeasureReport.group.population.extension:groupPopulationPopulationDescription | |||||
Slice Name | groupPopulationPopulationDescription | ||||
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. | ||||
Short | Description of the population | ||||
Control | 0..1 | ||||
Type | Extension(Measure Report Population Description) (Extension Type: markdown) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
132. MeasureReport.group.population.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
134. MeasureReport.group.population.code | |||||
Definition | The type of the population. | ||||
Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationType (extensible to http://hl7.org/fhir/ValueSet/measure-population )The type of population (e.g. initial, numerator, denominator, etc.). | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
136. MeasureReport.group.population.count | |||||
Definition | The number of members of the population. | ||||
Short | Size of the population | ||||
Control | 0..1 This element is affected by the following invariants: deqm-8 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. MeasureReport.group.population.subjectResults | |||||
Definition | This element refers to a List of subject level MeasureReport resources, one for each subject in this population. | ||||
Short | For subject-list reports, the subject results in this population | ||||
Control | 0..0 | ||||
Type | Reference(List) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
140. MeasureReport.group.measureScore | |||||
Definition | The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group. | ||||
Short | What score this group achieved | ||||
Comments | For individual reporting, the measure score is calculated for the individual. For a proportion measure, it would be 0.0 or 1.0 (indicating 0% or 100%). | ||||
Control | 0..1 This element is affected by the following invariants: deqm-6 | ||||
Type | Quantity | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
142. MeasureReport.group.measureScore.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
144. MeasureReport.group.measureScore.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.group.measureScore.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
146. MeasureReport.group.measureScore.extension:altscoretype | |||||
Slice Name | altscoretype | ||||
Definition | Possible value types for the measureScore elements in addition to the standard Quantity type. The alternate type is determined by the Quality Measure Aggregate Method extension used on the Measure. The reported type of the measureScore for continuous variable measures is determined by the result type of the aggregate method operation. | ||||
Short | Possible additional measureScore value types | ||||
Comments | This extension corresponds to the additional MeasureScore type added to the R5 version of MeasureReport. | ||||
Control | 0..1 | ||||
Type | Extension(DEQM Alternate Score Type Extension) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range, Duration, boolean) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
148. MeasureReport.group.measureScore.value | |||||
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
Short | Numerical value (with implicit precision) | ||||
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. MeasureReport.group.measureScore.comparator | |||||
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
Short | < | <= | >= | > - how to understand the value | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
152. MeasureReport.group.measureScore.unit | |||||
Definition | A human-readable form of the unit. | ||||
Short | Unit representation | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. MeasureReport.group.measureScore.system | |||||
Definition | The identification of the system that provides the coded form of the unit. | ||||
Short | System that defines coded unit form | ||||
Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to know the system that defines the coded form of the unit. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
156. MeasureReport.group.measureScore.code | |||||
Definition | A computer processable form of the unit in some unit representation system. | ||||
Short | Coded form of the unit | ||||
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
158. MeasureReport.group.stratifier | |||||
Definition | When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure. | ||||
Short | Stratification results | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
160. MeasureReport.group.stratifier.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
162. MeasureReport.group.stratifier.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
164. MeasureReport.group.stratifier.extension:stratifierPopulationDescription | |||||
Slice Name | stratifierPopulationDescription | ||||
Definition | A description of the group, population, stratifier, or supplemental data definition on which it appears. This is typically a restatement of the description of the corresponding element in the Measure being reported, but may also include additional information gathered by the reporting process. | ||||
Short | Description of the stratifier | ||||
Control | 0..1 | ||||
Type | Extension(Measure Report Population Description) (Extension Type: markdown) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
166. MeasureReport.group.stratifier.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
168. MeasureReport.group.stratifier.code | |||||
Definition | The meaning of this stratifier, as defined in the measure definition. | ||||
Short | What stratifier of the group | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. MeasureReport.group.stratifier.stratum | |||||
Definition | This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value. | ||||
Short | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. MeasureReport.group.stratifier.stratum.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
174. MeasureReport.group.stratifier.stratum.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
176. MeasureReport.group.stratifier.stratum.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
178. MeasureReport.group.stratifier.stratum.value | |||||
Definition | The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique. | ||||
Short | The stratum value, e.g. male | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
180. MeasureReport.group.stratifier.stratum.component | |||||
Definition | A stratifier component value. | ||||
Short | Stratifier component values | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
182. MeasureReport.group.stratifier.stratum.component.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
184. MeasureReport.group.stratifier.stratum.component.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
186. MeasureReport.group.stratifier.stratum.component.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
188. MeasureReport.group.stratifier.stratum.component.code | |||||
Definition | The code for the stratum component value. | ||||
Short | What stratifier component of the group | ||||
Control | 1..1 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
190. MeasureReport.group.stratifier.stratum.component.value | |||||
Definition | The stratum component value. | ||||
Short | The stratum component value, e.g. male | ||||
Control | 1..1 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
192. MeasureReport.group.stratifier.stratum.population | |||||
Definition | The populations that make up the stratum, one for each type of population appropriate to the measure. | ||||
Short | Population results in this stratum | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. ( extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() ) | ||||
194. MeasureReport.group.stratifier.stratum.population.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
196. MeasureReport.group.stratifier.stratum.population.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.population.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
198. MeasureReport.group.stratifier.stratum.population.extension:stratumPopulationDescription | |||||
Slice Name | stratumPopulationDescription | ||||
Definition | A Quantity representing the size of the population. This is important to support the case when a population value may result in a decimal when reporting composite measures. | ||||
Short | Size of the population as a quantity. | ||||
Control | 0..1 This element is affected by the following invariants: deqm-9 | ||||
Type | Extension(Count Quantity) (Extension Type: Quantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
200. MeasureReport.group.stratifier.stratum.population.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
202. MeasureReport.group.stratifier.stratum.population.code | |||||
Definition | The type of the population. | ||||
Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationType (extensible to http://hl7.org/fhir/ValueSet/measure-population )The type of population (e.g. initial, numerator, denominator, etc.). | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
204. MeasureReport.group.stratifier.stratum.population.count | |||||
Definition | The number of members of the population in this stratum. | ||||
Short | Size of the population | ||||
Control | 1..1 This element is affected by the following invariants: deqm-9 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
206. MeasureReport.group.stratifier.stratum.population.subjectResults | |||||
Definition | This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum. | ||||
Short | For subject-list reports, the subject results in this population | ||||
Control | 0..1 | ||||
Type | Reference(List) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
208. MeasureReport.group.stratifier.stratum.measureScore | |||||
Definition | The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum. | ||||
Short | What score this stratum achieved | ||||
Control | 0..1 | ||||
Type | Quantity | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
210. MeasureReport.evaluatedResource | |||||
Definition | A reference to a Bundle containing the Resources that were used in the calculation of this measure. | ||||
Short | What data was used to calculate the measure score | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | To support the reporting of supplemental data elements. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
212. MeasureReport.evaluatedResource.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
214. MeasureReport.evaluatedResource.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MeasureReport.evaluatedResource.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
216. MeasureReport.evaluatedResource.extension:popref | |||||
Slice Name | popref | ||||
Definition | Reference a criteria by specifying that criteria's unique id | ||||
Short | Criteria reference | ||||
Control | 0..* | ||||
Type | Extension(Criteria Reference Extension) (Extension Type: string) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
218. MeasureReport.evaluatedResource.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
220. MeasureReport.evaluatedResource.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
222. MeasureReport.evaluatedResource.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
224. MeasureReport.evaluatedResource.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |