Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
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
| Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm | Version: 5.0.0 | |||
| Active as of 2021-04-23 | Computable Name: DEQMIndividualMeasureReportProfile | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.26 | ||||
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 subject. 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 reporter, subject, and any other resources that were used to calculate this measure.
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport Must Have:
Each MeasureReport Must Support:
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.
There are some elements like scoring and improvementNotation that can be specified either at the measure level or at the group level. If it is reported at the measure level it should not be specified for any group and if it is specified for any group it should be specified for every group and not at the measure level.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
  Slices for extension |
Content/Rules for all slices | |||
   reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
  Slices for extension |
Content/Rules for all slices | |||
 criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
 description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
 valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
  system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
 status |
S | |||
 type |
S | code | Fixed Value: individual | |
| measure |
S | canonical(CRMI Shareable Measure) | ||
 subject |
S | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | QICore Simple Observation) | |
| date |
S | 1..1 | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | |
| reporter |
S | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| Slices for extension |
Content/Rules for all slices | |||
| group |
S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period |
SC | 1..1 | Period | The 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 |
S | 1..1 | ||
| end |
S | 1..1 | ||
| improvementNotation |
SC | 0..1 | ||
| group |
SC | 0..* | 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. | |
| id |
S | |||
| Slices for extension |
Content/Rules for all slices | |||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate |
S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
| description |
S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| numeratorMembership |
S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
| denominatorMembership |
S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
| measurePopulationMembership |
S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
| code |
S | |||
| population |
SC | deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both. | ||
| Slices for extension |
Content/Rules for all slices | |||
| countQuantity |
SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
| description |
S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| code |
S | 1..1 | ||
| count |
SC | 0..1 | ||
| subjectResults |
0..0 | |||
| measureScore |
SC | 0..1 | ||
| Slices for extension |
Content/Rules for all slices | |||
| altscoretype |
S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier |
||||
| Slices for extension |
Content/Rules for all slices | |||
| description |
S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| code |
S | 0..1 | CodeableConcept | What stratifier of the group |
| stratum |
S | |||
| population |
SC | deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. | ||
 measurereport-countQuantity |
SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
| code |
S | 1..1 | ||
| count |
SC | 1..1 | ||
| evaluatedResource |
S | |||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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-4 | error | MeasureReport.group | 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() | |
| deqm-5 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() | |
| deqm-8 | error | MeasureReport.group.population | 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() | |
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | 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() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
 Slices for extension |
Content/Rules for all slices | |||
 criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
| Slices for value[x] |
1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
| type |
ΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. |
| measure |
Σ | 1..1 | canonical(Measure) | What measure was calculated |
| subject |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for |
| date |
Σ | 0..1 | dateTime | When the report was generated |
| reporter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data |
| period |
Σ | 1..1 | Period | What period the report covers |
| improvementNotation |
?!Σ | 0..1 | CodeableConcept | increase | 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 |
C | 0..* | BackboneElement | Measure results for each group |
| id |
0..1 | string | Unique id for inter-element referencing | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 0..1 | CodeableConcept | Meaning of the group |
| population |
0..* | BackboneElement | The populations in the group | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |
| measureScore |
Σ | 0..1 | Quantity | What score this group achieved |
| evaluatedResource |
0..* | Reference(Resource) | What data was used to calculate the measure score | |
| Slices for extension |
Content/Rules for all slices | |||
| popref |
S | 0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1from the FHIR Standard | |
| MeasureReport.type | required | MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | |
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | |
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) | ||||
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | ||||
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |||||
| value[x] |
0..1 | Reference(Resource) | 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. | |||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | ||||
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
| Slices for value[x] |
1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
| status |
?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. | ||||
| type |
ΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. | ||||
| measure |
Σ | 1..1 | canonical(Measure) | What measure was calculated | ||||
| subject |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for | ||||
| date |
Σ | 0..1 | dateTime | When the report was generated | ||||
| reporter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data | ||||
| period |
Σ | 1..1 | Period | What period the report covers | ||||
| improvementNotation |
?!Σ | 0..1 | CodeableConcept | increase | 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 |
C | 0..* | BackboneElement | Measure results for each group | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..1 | CodeableConcept | Meaning of the group | ||||
| population |
0..* | BackboneElement | The populations in the group | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |||||
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
| measureScore |
Σ | 0..1 | Quantity | What score this group achieved | ||||
| stratifier |
0..* | BackboneElement | Stratification results | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..* | CodeableConcept | What stratifier of the group | |||||
| stratum |
0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| value |
0..1 | CodeableConcept | The stratum value, e.g. male | |||||
| component |
0..* | BackboneElement | Stratifier component values | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | CodeableConcept | What stratifier component of the group | |||||
| value |
1..1 | CodeableConcept | The stratum component value, e.g. male | |||||
| population |
0..* | BackboneElement | Population results in this stratum | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |||||
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
| measureScore |
0..1 | Quantity | What score this stratum achieved | |||||
| evaluatedResource |
0..* | Reference(Resource) | What data was used to calculate the measure score | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| popref |
S | 0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1from the FHIR Standard | ||||
| MeasureReport.type | required | MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.evaluatedResource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() |
This structure is derived from MeasureReport
Summary
Mandatory: 0 element(10 nested mandatory elements)
Must-Support: 48 elements
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
| Slices for extension |
Content/Rules for all slices | |||
| reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
| status |
S | |||
| type |
S | code | Fixed Value: individual | |
| measure |
S | canonical(CRMI Shareable Measure) | ||
| subject |
S | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | QICore Simple Observation) | |
| date |
S | 1..1 | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | |
| reporter |
S | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| Slices for extension |
Content/Rules for all slices | |||
| group |
S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period |
SC | 1..1 | Period | The 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 |
S | 1..1 | ||
| end |
S | 1..1 | ||
| improvementNotation |
SC | 0..1 | ||
| group |
SC | 0..* | 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. | |
| id |
S | |||
| Slices for extension |
Content/Rules for all slices | |||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate |
S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
| description |
S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| numeratorMembership |
S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
| denominatorMembership |
S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
| measurePopulationMembership |
S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
| code |
S | |||
| population |
SC | deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both. | ||
| Slices for extension |
Content/Rules for all slices | |||
| countQuantity |
SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
| description |
S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| code |
S | 1..1 | ||
| count |
SC | 0..1 | ||
| subjectResults |
0..0 | |||
| measureScore |
SC | 0..1 | ||
| Slices for extension |
Content/Rules for all slices | |||
| altscoretype |
S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier |
||||
| Slices for extension |
Content/Rules for all slices | |||
| description |
S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| code |
S | 0..1 | CodeableConcept | What stratifier of the group |
| stratum |
S | |||
| population |
SC | deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. | ||
| measurereport-countQuantity |
SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
| code |
S | 1..1 | ||
| count |
SC | 1..1 | ||
| evaluatedResource |
S | |||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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-4 | error | MeasureReport.group | 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() | |
| deqm-5 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() | |
| deqm-8 | error | MeasureReport.group.population | 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() | |
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | 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() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
| Slices for value[x] |
1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
| type |
ΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. |
| measure |
Σ | 1..1 | canonical(Measure) | What measure was calculated |
| subject |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for |
| date |
Σ | 0..1 | dateTime | When the report was generated |
| reporter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data |
| period |
Σ | 1..1 | Period | What period the report covers |
| improvementNotation |
?!Σ | 0..1 | CodeableConcept | increase | 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 |
C | 0..* | BackboneElement | Measure results for each group |
| id |
0..1 | string | Unique id for inter-element referencing | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 0..1 | CodeableConcept | Meaning of the group |
| population |
0..* | BackboneElement | The populations in the group | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |
| measureScore |
Σ | 0..1 | Quantity | What score this group achieved |
| evaluatedResource |
0..* | Reference(Resource) | What data was used to calculate the measure score | |
| Slices for extension |
Content/Rules for all slices | |||
| popref |
S | 0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1from the FHIR Standard | |
| MeasureReport.type | required | MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | |
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | |
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MeasureReport |
C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components 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 deqm-3: ensures scoring is either specified only at the root, or on all groups 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 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| reportingProgram |
S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) | ||||
| inputParameters |
S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | ||||
| supplementalData |
S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| description |
S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |||||
| value[x] |
0..1 | Reference(Resource) | 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. | |||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
| vendor |
S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | ||||
| cehrt |
S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
| Slices for value[x] |
1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueIdentifier |
S | 1..1 | Identifier | Value of extension Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| software |
S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
| location |
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
| message |
S | 0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
| status |
?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. | ||||
| type |
ΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. | ||||
| measure |
Σ | 1..1 | canonical(Measure) | What measure was calculated | ||||
| subject |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for | ||||
| date |
Σ | 0..1 | dateTime | When the report was generated | ||||
| reporter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data | ||||
| period |
Σ | 1..1 | Period | What period the report covers | ||||
| improvementNotation |
?!Σ | 0..1 | CodeableConcept | increase | 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 |
C | 0..* | BackboneElement | Measure results for each group | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..1 | CodeableConcept | Meaning of the group | ||||
| population |
0..* | BackboneElement | The populations in the group | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |||||
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
| measureScore |
Σ | 0..1 | Quantity | What score this group achieved | ||||
| stratifier |
0..* | BackboneElement | Stratification results | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..* | CodeableConcept | What stratifier of the group | |||||
| stratum |
0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| value |
0..1 | CodeableConcept | The stratum value, e.g. male | |||||
| component |
0..* | BackboneElement | Stratifier component values | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | CodeableConcept | What stratifier component of the group | |||||
| value |
1..1 | CodeableConcept | The stratum component value, e.g. male | |||||
| population |
0..* | BackboneElement | Population results in this stratum | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | initial-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..1 | integer | Size of the population | |||||
| subjectResults |
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
| measureScore |
0..1 | Quantity | What score this stratum achieved | |||||
| evaluatedResource |
0..* | Reference(Resource) | What data was used to calculate the measure score | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| popref |
S | 0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1from the FHIR Standard | ||||
| MeasureReport.type | required | MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.evaluatedResource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-2 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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 | error | MeasureReport | 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() |
This structure is derived from MeasureReport
Summary
Mandatory: 0 element(10 nested mandatory elements)
Must-Support: 48 elements
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2024-10-21
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