Mandatory Data Elements and Terminology

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

Each Must Have:

1. group.population.subjectResults: For subject-list reports, the subject results in this population
2. group.stratifier.stratum.component.code: What stratifier component of the group
3. group.stratifier.stratum.component.value: The stratum component value, e.g. male
4. measure: What measure and version was calculated
5. reporter: Organization that generated the MeasureReport
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.stratifier.stratum.population.subjectResults: For subject-list reports, the subject results in this population
8. period.start: Starting time with inclusive boundary
9. status: complete | pending | error
10. type: individual | subject-list | summary | data-collection
11. period.end: End time with inclusive boundary, if not ongoing
12. group.stratifier.stratum.population.count: Size of the population
13. date: When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
14. group: Measure results for each group
15. period: What period the report covers
16. group.population.code: initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation

Each Must Support:

1. group.id: Unique id for inter-element referencing
2. group.stratifier.code: What stratifier of the group
3. description: Description of the stratifier
4. description: Description of the population
5. group.stratifier.stratum: Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
6. countQuantity: Count as a Quantity
7. category: What category is this measure report
8. group.population: The populations in the group
9. improvementNotation: increase | decrease
10. group.measureScore: What score this group achieved
11. group.population.count: Size of the population
12. subject: What individual(s) the report is for
13. scoring: proportion | ratio | continuous-variable | cohort | composite
14. calculatedDate: The date the score was calculated
15. alternateScoreType: Possible additional measureScore value types
16. description: Description of the group
17. countQuantity: Size of the population as a quantity.
18. group.stratifier: Stratification results
19. supplementalData: Optional Extensions Element
20. group.stratifier.stratum.value: The stratum value, e.g. male
21. group.stratifier.stratum.population: Population results in this stratum
22. group.stratifier.stratum.measureScore: What score this stratum achieved
23. group.code: Meaning of the group

• 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.
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: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: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: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: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
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report 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
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) 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: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated ele-1: All FHIR elements must have a @value or children deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	0..1	Reference(Group)	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	What period the report covers 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	1..*	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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
value	S	0..1	CodeableConcept	The stratum value, e.g. male ele-1: All FHIR elements must have a @value or children
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	S	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard
MeasureReport.type	required	Fixed Value: subject-list 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-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.
Slices for extension				Content/Rules for all slices
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
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:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
status	S	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: subject-list
measure	SC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated deqm-0: Canonical URL SHALL contain a version.
subject	S	0..1	Reference(Group)	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	What period the report covers 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	1..*	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	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
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
value	S	0..1	CodeableConcept	The stratum 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.
Slices for extension				Content/Rules for all slices
extension:countQuantity	S	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status 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-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.
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:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
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:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	0..1	Reference(Group)	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	What period the report covers 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	1..*	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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	S	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	S	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	S	1..1	Reference(DEQM Individual MeasureReport 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
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 from the FHIR Standard
MeasureReport.type	required	Fixed Value: subject-list 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

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-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.
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: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: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: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: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
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report 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
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) 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: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated ele-1: All FHIR elements must have a @value or children deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	0..1	Reference(Group)	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	What period the report covers 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	1..*	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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
value	S	0..1	CodeableConcept	The stratum value, e.g. male ele-1: All FHIR elements must have a @value or children
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	S	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard
MeasureReport.type	required	Fixed Value: subject-list 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-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.
Slices for extension				Content/Rules for all slices
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
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:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
status	S	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: subject-list
measure	SC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated deqm-0: Canonical URL SHALL contain a version.
subject	S	0..1	Reference(Group)	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	What period the report covers 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	1..*	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	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
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
value	S	0..1	CodeableConcept	The stratum 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.
Slices for extension				Content/Rules for all slices
extension:countQuantity	S	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status 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-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.
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:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
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:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure and version was calculated deqm-0: Canonical URL SHALL contain a version.
subject	SΣ	0..1	Reference(Group)	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	What period the report covers 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	1..*	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
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this 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	S	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	S	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	S	1..1	Reference(DEQM Individual MeasureReport 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
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 from the FHIR Standard
MeasureReport.type	required	Fixed Value: subject-list 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

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-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(6 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 Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
• DEQM Individual MeasureReport List (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-list)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
• http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0
• 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-dataLocation
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
• http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
• http://hl7.org/fhir/StructureDefinition/cqf-messages|5.2.0
• 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