Mandatory Data Elements and Terminology

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

Each MeasureReport Must Have:

1. period.start: Starting time with inclusive boundary
2. subject: What individual(s) the report is for
3. status: complete | pending | error
4. type: individual | subject-list | summary | data-collection
5. period.end: End time with inclusive boundary, if not ongoing
6. date: When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
7. 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.
8. measure: What measure was calculated
9. reporter: Organization that generated the MeasureReport

Each MeasureReport Must Support:

1. description: Description of the population
2. careGapRemark: Condition Category remark
3. countQuantity: Count as a Quantity
4. category: What category is this measure report
5. group.population: The populations in the group
6. group.stratifier.stratum.population.code: initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
7. group.measureScore: What score this group achieved
8. group.population.count: Size of the population
9. scoring: proportion | ratio | continuous-variable | cohort | composite
10. group.stratifier.stratum.population.count: Size of the population
11. group: Measure results for each group
12. alternateScoreType: Possible additional measureScore value types
13. criteriaReference: Criteria reference
14. countQuantity: Size of the population as a quantity.
15. group.code: Meaning of the group
16. group.population.code: initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
17. group.id: Unique id for inter-element referencing
18. group.stratifier.code: What stratifier of the group
19. description: Description of the stratifier
20. evaluatedResource: What data was used to calculate the measure score
21. group.stratifier.stratum: Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
22. improvementNotation: increase | decrease
23. calculatedDate: The date the score was calculated
24. description: Description of the group
25. group.stratifier: Stratification results
26. supplementalData: Optional Extensions Element
27. group.stratifier.stratum.population: Population results in this stratum
28. group.stratifier.stratum.measureScore: What score this stratum achieved

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.group.population.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.

Examples

• Measurereport Indv Measurereport01
• Measurereport Indv Measurereport02
• Measurereport Indv Measurereport03

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
value[x]:valueIdentifier		1..1	Identifier	Value of extension ele-1: All FHIR elements must have a @value or children 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
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. ele-1: All FHIR elements must have a @value or children
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. ele-1: All FHIR elements must have a @value or children Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated ele-1: All FHIR elements must have a @value or children deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. ele-1: All FHIR elements must have a @value or children
reporter	SΣ	1..1	Reference(QICore Organization)	Organization that generated the MeasureReport ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
period	SΣC	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. ele-1: All FHIR elements must have a @value or children deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
improvementNotation	?!SΣC	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. ele-1: All FHIR elements must have a @value or children
group	SC	0..*	BackboneElement	Measure results for each group ele-1: All FHIR elements must have a @value or children 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	0..1	CodeableConcept	Meaning of the group ele-1: All FHIR elements must have a @value or children
population	SC	0..*	BackboneElement	The populations in the group ele-1: All FHIR elements must have a @value or children 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
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..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.). ele-1: All FHIR elements must have a @value or children
count	SC	0..1	integer	Size of the population ele-1: All FHIR elements must have a @value or children
measureScore	SΣC	0..1	Quantity	What score this group achieved ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
stratifier	SC	0..*	BackboneElement	Stratification results ele-1: All FHIR elements must have a @value or children deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	What stratifier of the group ele-1: All FHIR elements must have a @value or children
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
population	SC	0..*	BackboneElement	Population results in this stratum ele-1: All FHIR elements must have a @value or children deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..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.). ele-1: All FHIR elements must have a @value or children
count	SC	1..1	integer	Size of the population ele-1: All FHIR elements must have a @value or children
measureScore	S	0..1	Quantity	What score this stratum achieved ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 from the FHIR Standard
MeasureReport.type	required	Fixed Value: individual http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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()

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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
Slices for extension				Content/Rules for all slices
extension:careGapRemark	S	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
value[x]
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
valueIdentifier		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
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: individual
measure	SC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated deqm-0: Canonical URL SHALL contain a version.
subject	S	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for
date	S	1..1	dateTime	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
extension:group		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	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	SC	0..1	CodeableConcept	increase | decrease
group	SC	0..*	BackboneElement	Measure results for each group 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
code	S	0..1	CodeableConcept	Meaning of the group
population	SC	0..*	BackboneElement	The populations in the group 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
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	SC	0..1	integer	Size of the population
subjectResults		0..0
measureScore	SC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
stratifier	SC	0..*	BackboneElement	Stratification results deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
Slices for extension				Content/Rules for all slices
extension: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	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
population	SC	0..*	BackboneElement	Population results in this stratum deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	SC	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
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. Additional Bindings Purpose AllLanguages Max Binding
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
extension:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
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
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification 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		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)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for
date	SΣ	1..1	dateTime	When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	Organization that generated the MeasureReport
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
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
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
period	SΣC	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 )
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	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	SC	0..*	BackboneElement	Measure results for each group 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	0..*	BackboneElement	The populations in the group deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..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	SC	0..1	integer	Size of the population
measureScore	SΣC	0..1	Quantity	What score this group achieved
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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	SC	0..*	BackboneElement	Stratification results deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	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	SC	0..*	BackboneElement	Population results in this stratum deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..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	SC	1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
evaluatedResource	S	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
extension:criteriaReference	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.extension:supplementalData.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 from the FHIR Standard
MeasureReport.type	required	Fixed Value: individual http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard
MeasureReport.reporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.evaluatedResource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
value[x]:valueIdentifier		1..1	Identifier	Value of extension ele-1: All FHIR elements must have a @value or children 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
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. ele-1: All FHIR elements must have a @value or children
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. ele-1: All FHIR elements must have a @value or children Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated ele-1: All FHIR elements must have a @value or children deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. ele-1: All FHIR elements must have a @value or children
reporter	SΣ	1..1	Reference(QICore Organization)	Organization that generated the MeasureReport ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
period	SΣC	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. ele-1: All FHIR elements must have a @value or children deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
improvementNotation	?!SΣC	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. ele-1: All FHIR elements must have a @value or children
group	SC	0..*	BackboneElement	Measure results for each group ele-1: All FHIR elements must have a @value or children 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	0..1	CodeableConcept	Meaning of the group ele-1: All FHIR elements must have a @value or children
population	SC	0..*	BackboneElement	The populations in the group ele-1: All FHIR elements must have a @value or children 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
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..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.). ele-1: All FHIR elements must have a @value or children
count	SC	0..1	integer	Size of the population ele-1: All FHIR elements must have a @value or children
measureScore	SΣC	0..1	Quantity	What score this group achieved ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
stratifier	SC	0..*	BackboneElement	Stratification results ele-1: All FHIR elements must have a @value or children deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	0..1	CodeableConcept	What stratifier of the group ele-1: All FHIR elements must have a @value or children
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
population	SC	0..*	BackboneElement	Population results in this stratum ele-1: All FHIR elements must have a @value or children deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..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.). ele-1: All FHIR elements must have a @value or children
count	SC	1..1	integer	Size of the population ele-1: All FHIR elements must have a @value or children
measureScore	S	0..1	Quantity	What score this stratum achieved ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 from the FHIR Standard
MeasureReport.type	required	Fixed Value: individual http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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()

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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
Slices for extension				Content/Rules for all slices
extension:careGapRemark	S	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
value[x]
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
valueIdentifier		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
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: individual
measure	SC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated deqm-0: Canonical URL SHALL contain a version.
subject	S	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for
date	S	1..1	dateTime	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
extension:group		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	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	SC	0..1	CodeableConcept	increase | decrease
group	SC	0..*	BackboneElement	Measure results for each group 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
code	S	0..1	CodeableConcept	Meaning of the group
population	SC	0..*	BackboneElement	The populations in the group 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
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	SC	0..1	integer	Size of the population
subjectResults		0..0
measureScore	SC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
stratifier	SC	0..*	BackboneElement	Stratification results deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
Slices for extension				Content/Rules for all slices
extension: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	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
population	SC	0..*	BackboneElement	Population results in this stratum deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	SC	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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()

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: Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. 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
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. Additional Bindings Purpose AllLanguages Max Binding
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
extension:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
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
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification 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		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)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	1..1	Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson)	What individual(s) the report is for
date	SΣ	1..1	dateTime	When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	Organization that generated the MeasureReport
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
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
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
period	SΣC	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 )
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	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	SC	0..*	BackboneElement	Measure results for each group 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. deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	0..*	BackboneElement	The populations in the group deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..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	SC	0..1	integer	Size of the population
measureScore	SΣC	0..1	Quantity	What score this group achieved
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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	SC	0..*	BackboneElement	Stratification results deqm-7: If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	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	SC	0..*	BackboneElement	Population results in this stratum deqm-9: The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..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	SC	1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
evaluatedResource	S	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
extension:criteriaReference	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.extension:supplementalData.value[x].type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 from the FHIR Standard
MeasureReport.type	required	Fixed Value: individual http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard
MeasureReport.reporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MeasureReport.evaluatedResource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
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 in ('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.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : (code.exists() and stratum.component.empty()) xor (code.empty() and stratum.component.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()

This structure is derived from MeasureReport

Summary

Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 42 elements
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• CRMI Shareable Measure (http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure)
• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
• QICore Practitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
• QICore PractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)
• QICore Location (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location)
• QICore Device (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device)
• QICore RelatedPerson (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson)
• QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark
• http://hl7.org/fhir/StructureDefinition/cqf-messages|5.2.0
• http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
• http://hl7.org/fhir/StructureDefinition/cqf-inputParameters|5.2.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
• http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0
• http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
• http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
• http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType