Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm | Version: 5.0.0 | |||
Draft as of 2024-11-13 | Computable Name: DEQMSubjectListMeasureReport | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.29 |
Subject List MeasureReport is for data exchange and reporting on a list of subjects, which also allows individual MeasureReports be provided for each of the subjects in the population.
The following data-elements are mandatory (i.e data MUST be present).
Each Must Have:
Each Must Support:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MeasureReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
Slices for extension | Content/Rules for all slices | |||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation 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 | |
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
message | S | 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 | S | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated |
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 | |||
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
period | SC | 1..1 | Period | 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 | S | 1..* | BackboneElement | Measure results for each group |
id | S | 0..1 | string | Unique id for inter-element referencing |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. |
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
code | S | 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 | |||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
code | S | 1..1 | 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 | |||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
stratifier | S | 0..* | BackboneElement | Stratification results |
Slices for extension | Content/Rules for all slices | |||
description | S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
code | S | 0..1 | CodeableConcept | What stratifier of the group |
stratum | S | 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 |
measurereport-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 | |||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
evaluatedResource | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
Slices for value[x] | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
message | S | 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 |
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 | SΣ | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated |
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 |
Slices for extension | Content/Rules for all slices | |||
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
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 |
id | S | 0..1 | string | Unique id for inter-element referencing |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. |
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
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. |
Slices for extension | Content/Rules for all slices | |||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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 |
Slices for extension | Content/Rules for all slices | |||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
stratifier | S | 0..* | BackboneElement | Stratification results |
Slices for extension | Content/Rules for all slices | |||
description | S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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 |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
population | SC | 0..* | BackboneElement | Population results in this stratum |
measurereport-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 |
Slices for extension | Content/Rules for all slices | |||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard | |
MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard | |
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard | |
MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) | ||||
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | ||||
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |||||
value[x] | 0..1 | Reference(Resource) | For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource. | |||||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | ||||
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
Slices for value[x] | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
message | S | 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 | SΣ | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated | ||||
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 | |||||
group | S | 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 | ||||
id | S | 0..1 | string | Unique id for inter-element referencing | ||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. | ||||
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership | ||||
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership | ||||
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership | ||||
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 | |||||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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 | |||||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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 | S | 0..* | BackboneElement | Stratification results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
measurereport-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 | |||||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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 |
Path | Conformance | ValueSet / Code | URI | |||
MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard | ||||
MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard | ||||
MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard | ||||
MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
This structure is derived from MeasureReport
Summary
Mandatory: 6 elements(6 nested mandatory elements)
Must-Support: 51 elements
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MeasureReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
Slices for extension | Content/Rules for all slices | |||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation 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 | |
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
message | S | 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 | S | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated |
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 | |||
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
period | SC | 1..1 | Period | 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 | S | 1..* | BackboneElement | Measure results for each group |
id | S | 0..1 | string | Unique id for inter-element referencing |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. |
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
code | S | 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 | |||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
code | S | 1..1 | 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 | |||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
stratifier | S | 0..* | BackboneElement | Stratification results |
Slices for extension | Content/Rules for all slices | |||
description | S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
code | S | 0..1 | CodeableConcept | What stratifier of the group |
stratum | S | 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 |
measurereport-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 | |||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
evaluatedResource | 0..0 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) |
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
Slices for value[x] | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
message | S | 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 |
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 | SΣ | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated |
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 |
Slices for extension | Content/Rules for all slices | |||
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
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 |
id | S | 0..1 | string | Unique id for inter-element referencing |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. |
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership |
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership |
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership |
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. |
Slices for extension | Content/Rules for all slices | |||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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 |
Slices for extension | Content/Rules for all slices | |||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
stratifier | S | 0..* | BackboneElement | Stratification results |
Slices for extension | Content/Rules for all slices | |||
description | S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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 |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
population | SC | 0..* | BackboneElement | Population results in this stratum |
measurereport-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 |
Slices for extension | Content/Rules for all slices | |||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard | |
MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard | |
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard | |
MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Publishable Manifest) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs Example (example) | ||||
inputParameters | S | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | ||||
supplementalData | S | 0..* | (Complex) | Supplemental Data URL: http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
description | S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData" | |||||
value[x] | 0..1 | Reference(Resource) | For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource. | |||||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
vendor | S | 0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | ||||
location | 0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
Slices for value[x] | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
software | S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
message | S | 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 | SΣ | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated | ||||
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 | |||||
group | S | 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 | ||||
id | S | 0..1 | string | Unique id for inter-element referencing | ||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) 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. | ||||
description | S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
numeratorMembership | S | 0..1 | Quantity | Provides the number of subjects in the numerator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership | ||||
denominatorMembership | S | 0..1 | Quantity | Provides the number of subjects in the denominator population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership | ||||
measurePopulationMembership | S | 0..1 | Quantity | Provides the number of subjects in the measure population membership. URL: http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership | ||||
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 | |||||
countQuantity | SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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 | |||||
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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 | S | 0..* | BackboneElement | Stratification results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
measurereport-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 | |||||
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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 |
Path | Conformance | ValueSet / Code | URI | |||
MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard | ||||
MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 from the FHIR Standard | ||||
MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 from the FHIR Standard | ||||
MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0) | |
deqm-7 | error | MeasureReport | If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() |
This structure is derived from MeasureReport
Summary
Mandatory: 6 elements(6 nested mandatory elements)
Must-Support: 51 elements
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron