Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5 United States of America flag

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

Resource Profile: DEQM Subject List MeasureReport

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.

Mandatory Data Elements and Terminology

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

Each Must Have:

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

Each Must Support:

  1. reportingProgram: Reporting program
  2. inputParameters: What parameters
  3. supplementalData: Supplemental Data
  4. scoring: proportion | ratio | continuous-variable | cohort | composite
  5. vendor: Vendor information
  6. cehrt: CMS EHR Certifciation ID
  7. software: Extension
  8. message: Messages encountered while creating the report
  9. subject: What individual(s) the report is for
  10. group: Group of practitioners responsible for a report
  11. improvementNotation: increase | decrease
  12. group.id: Unique id for inter-element referencing
  13. scoring: proportion | ratio | continuous-variable | cohort | composite
  14. calculatedDate: The date the score was calculated
  15. groupImprovementNotation: increase | decrease
  16. description: Description of the group
  17. numeratorMembership: Provides the number of subjects in the numerator population membership.
  18. denominatorMembership: Provides the number of subjects in the denominator population membership.
  19. measurePopulationMembership: Provides the number of subjects in the measure population membership.
  20. group.code: Meaning of the group
  21. group.population: The populations in the group
  22. countQuantity: Count as a Quantity
  23. description: Description of the population
  24. group.population.count: Size of the population
  25. group.measureScore: What score this group achieved
  26. altscoretype: Possible additional measureScore value types
  27. group.stratifier: Stratification results
  28. description: Description of the stratifier
  29. group.stratifier.code: What stratifier of the group
  30. group.stratifier.stratum: Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
  31. group.stratifier.stratum.value: The stratum value, e.g. male
  32. group.stratifier.stratum.population: Population results in this stratum
  33. group.stratifier.stratum.measureScore: What score this stratum achieved
  34. strataltscoretype: Possible additional measureScore value types

Usage:

Formal Views of Profile Content

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

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: subject-list
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: subject-list
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.reporter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: subject-list
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: subject-list
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.reporter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf 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-3errorMeasureReportensures 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-4errorMeasureReport.group.extension:groupImprovementNotationIf 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-5errorMeasureReportIf 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-6errorMeasureReportIf 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-7errorMeasureReportIf 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-8errorMeasureReport.group.populationThe 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