Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - CI Build

Data Exchange For Quality Measures STU3 for FHIR R4, published by HL7 International - Clinical Quality Information Work Group. This is not an authorized publication; it is the continuous build for version 3.0.0). This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Resource Profile: DEQM Individual MeasureReport Profile

Defining URL:http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm
Version:3.0.0
Name:DEQMIndividualMeasureReportProfile
Title:DEQM Individual MeasureReport Profile
Status:Active as of 4/23/21
Definition:

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Individual MeasureReport Profile defined here is used when a measure is reported to an aggregator for one specific patient. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 1 report. In addition to the MeasureReport, the report would be collected in a Bundle with the Organization, Patient and any other resources that were used to calculate this measure.

Publisher:HL7 International - Clinical Quality Information Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each MeasureReport must have:

  1. A status
  2. A measure report type hardcoded to “individual”
  3. The reference to the Measure
  4. A patient the report is for
  5. The date the report was generated
  6. The organization that reported the data
  7. The period for which the report was generated. For the Gaps in Care use case, this is referred to as the gaps through period.
  8. The results of the calculation (the Measure Score)

Each MeasureReport should have (Must Support):

  1. Measure results for each group
  2. The number of members for each population in a group
  3. Indicate whether improvement in the measure is noted by an increase or decrease in the measure score.
  4. References to other resources involved in producing the report
  5. The scoring type defined by the referenced Measure using the DEQM Measure Scoring Extension
  6. Reference to a reporting vendor using the DEQM Reporting Vendor Extension
  7. A certification identifier using the DEQM Certification Identifier Extension
  8. Ability to use other types for measure score using the DEQM Alternate Score Type Extension
  9. Specify the software systems used by the reporting system using the CQFM Software System Extension

Additional Profile specific implementation guidance:

  • The MeasureReport.group.population.id is a must support element because it is used to link across the Measure and is equal to the Measure.population.group.id. This is needed because the MeasureReport.group.population.code is insufficient when the measure types have multiple populations with the same code.

  • If the measure scoring type is ‘proportion’, ‘ratio’, or ‘continuous-variable’ then the improvementNotation element is required.

  • If the measure scoring type is ‘proportion’ then the MeasureReport.group.measureScore.value SHALL be a numerical value between 0 and 1.

  • The reporter should be consistent with the X-Provenance header data if present.

  • the DEQM Reporting Vendor Extension is intended to represent the submitting entity when it is not the same as the reporting entity.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
... extension-measureScoring SI0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status S1..1codecomplete | pending | error
... type S1..1codeindividual | subject-list | summary | data-collection
Fixed Value: individual
... measure S1..1canonical(Measure)What measure was calculated
... subject S1..1Reference(QICorePatient)What individual(s) the report is for
... date S1..1dateTimeWhen the report was calculated
... reporter S1..1Reference(DEQM Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodThe period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTimeStarting time with inclusive boundary
.... end S1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation SI0..1CodeableConceptincrease | decrease
... group S0..*BackboneElementMeasure results for each group
.... id S0..1stringUnique id for inter-element referencing
.... population S1..*BackboneElementThe populations in the group
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... count S0..1integerSize of the population
..... subjectResults 0..0
.... measureScore SI1..1QuantityWhat score this group achieved
deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score
.... extension-populationReference S0..*stringPopulation reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-measureScoring SI0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... measure SΣ1..1canonical(Measure)What measure was calculated
... subject SΣ1..1Reference(QICorePatient)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was calculated
... reporter SΣ1..1Reference(DEQM Organization Profile)Organization that generated the MeasureReport
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..1PeriodThe period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣI0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... group SI0..*BackboneElementMeasure results for each group
.... id S0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..1CodeableConceptMeaning of the group
.... population S1..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count S0..1integerSize of the population
.... measureScore SΣI1..1QuantityWhat score this group achieved
deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... stratifier 0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..*CodeableConceptWhat stratifier of the group
..... stratum 0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value 0..1CodeableConceptThe stratum value, e.g. male
...... component 0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 1..1CodeableConceptWhat stratifier component of the group
....... value 1..1CodeableConceptThe stratum component value, e.g. male
...... population 0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1integerSize of the population
....... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
...... measureScore 0..1QuantityWhat score this stratum achieved
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-populationReference S0..*stringPopulation reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
... extension-measureScoring I0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... extension-reportingVendor 0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier 0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... value[x]:valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... cqfm-softwaresystem 0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status ?!Σ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type ΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... measure Σ1..1canonical(Measure)What measure was calculated
... subject Σ1..1Reference(QICorePatient)What individual(s) the report is for
... date Σ1..1dateTimeWhen the report was calculated
... reporter Σ1..1Reference(DEQM Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup 0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period ΣI1..1PeriodThe period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start ΣI1..1dateTimeStarting time with inclusive boundary
.... end ΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!ΣI0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... group I0..*BackboneElementMeasure results for each group
.... id 0..1stringUnique id for inter-element referencing
.... population 1..*BackboneElementThe populations in the group
..... code Σ1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count 0..1integerSize of the population
.... measureScore ΣI1..1QuantityWhat score this group achieved
deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
..... extension-alternateScoreType 0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource 0..*Reference(Resource)What data was used to calculate the measure score
.... extension-populationReference 0..*stringPopulation reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference

doco Documentation for this format

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
... extension-measureScoring SI0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status S1..1codecomplete | pending | error
... type S1..1codeindividual | subject-list | summary | data-collection
Fixed Value: individual
... measure S1..1canonical(Measure)What measure was calculated
... subject S1..1Reference(QICorePatient)What individual(s) the report is for
... date S1..1dateTimeWhen the report was calculated
... reporter S1..1Reference(DEQM Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodThe period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTimeStarting time with inclusive boundary
.... end S1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation SI0..1CodeableConceptincrease | decrease
... group S0..*BackboneElementMeasure results for each group
.... id S0..1stringUnique id for inter-element referencing
.... population S1..*BackboneElementThe populations in the group
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... count S0..1integerSize of the population
..... subjectResults 0..0
.... measureScore SI1..1QuantityWhat score this group achieved
deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score
.... extension-populationReference S0..*stringPopulation reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-measureScoring SI0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... measure SΣ1..1canonical(Measure)What measure was calculated
... subject SΣ1..1Reference(QICorePatient)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was calculated
... reporter SΣ1..1Reference(DEQM Organization Profile)Organization that generated the MeasureReport
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..1PeriodThe period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣI0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... group SI0..*BackboneElementMeasure results for each group
.... id S0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..1CodeableConceptMeaning of the group
.... population S1..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count S0..1integerSize of the population
.... measureScore SΣI1..1QuantityWhat score this group achieved
deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... stratifier 0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..*CodeableConceptWhat stratifier of the group
..... stratum 0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value 0..1CodeableConceptThe stratum value, e.g. male
...... component 0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 1..1CodeableConceptWhat stratifier component of the group
....... value 1..1CodeableConceptThe stratum component value, e.g. male
...... population 0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1integerSize of the population
....... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
...... measureScore 0..1QuantityWhat score this stratum achieved
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-populationReference S0..*stringPopulation reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.languagepreferredCommonLanguages
Max Binding: AllLanguages
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: individual
MeasureReport.reporter.typeextensibleResourceType
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.evaluatedResource.typeextensibleResourceType

Constraints

IdGradePathDetailsRequirements
deqm-2errorMeasureReportIf the measure 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').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*')
deqm-5errorMeasureReport.group.measureScoreIf the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
: extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value = 0.0 or measureScore.value = 1.0)

Notes:

This profile is used in the following transactions:

Individual Measure Reporting Interactions