Mandatory Data Elements and Terminology

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

Each MeasureReport 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.stratifier.stratum.component.code: What stratifier component of the group
12. group.stratifier.stratum.component.value: The stratum component value, e.g. male
13. group.stratifier.stratum.population.code: initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
14. group.stratifier.stratum.population.count: Size of the population

Each MeasureReport 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: Evaluation messages
9. group: Group of practitioners responsible for a report
10. improvementNotation: increase | decrease
11. group.id: Unique id for inter-element referencing
12. scoring: proportion | ratio | continuous-variable | cohort | composite
13. calculatedDate: The date the score was calculated
14. groupImprovementNotation: increase | decrease
15. description: Description of the group
16. numeratorMembership: Provides the number of subjects in the numerator population membership.
17. denominatorMembership: Provides the number of subjects in the denominator population membership.
18. measurePopulationMembership: Provides the number of subjects in the measure population membership.
19. group.code: Meaning of the group
20. group.population: The populations in the group
21. countQuantity: Count as a Quantity
22. description: Description of the population
23. group.population.count: Size of the population
24. group.measureScore: What score this group achieved
25. altscoretype: Possible additional measureScore value types
26. group.stratifier: Stratification results
27. description: Description of the stratifier
28. group.stratifier.code: What stratifier of the group
29. group.stratifier.stratum: Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
30. group.stratifier.stratum.value: The stratum value, e.g. male
31. group.stratifier.stratum.population: Population results in this stratum
32. group.stratifier.stratum.measureScore: What score this stratum achieved
33. strataltscoretype: Possible additional measureScore value types

Additional Profile specific implementation guidance:

• The MeasureReport.group.population.id is a must support element because it is used to link across the Measure and is equal to the Measure.population.group.id. This is needed because the MeasureReport.group.population.code is insufficient when the measure types have multiple populations with the same code.

• If the measure scoring type is 'proportion', 'ratio', or 'continuous-variable' then the improvementNotation element is required.

• If the measure scoring type is 'proportion' then the MeasureReport.group.measureScore.value SHALL be a numerical value between 0 and 1.

• The reporter should be consistent with the X-Provenance header data if present.

• the DEQM Reporting Vendor Extension is intended to represent the submitting entity when it is not the same as the reporting entity.

• There are some elements like scoring and improvementNotation that can be specified either at the measure level or at the group level. If it is reported at the measure level it should not be specified for any group and if it is specified for any group it should be specified for every group and not at the measure level.

Examples

• Measurereport Summ Measurereport01
• Measurereport Summ Measurereport02
• Measurereport Summ MeasureReportContainedSupplemental
• Measurereport Summ Attestation

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

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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)	Evaluation messages 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: summary
measure	S	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
subject		0..0
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	SC	1..*	BackboneElement	Measure results for each group deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
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)
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		0..0
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	S	0..*	BackboneElement	Population results in this stratum
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	S	1..1	integer	Size of the population
subjectResults		0..0
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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)	Evaluation messages 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: summary
measure	SΣ	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
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 deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
id	S	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)
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
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	S	0..*	BackboneElement	Population results in this stratum
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	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!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: summary
measure	SΣ	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
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 deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
id	S	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)
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
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	S	0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	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	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

Differential View

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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)	Evaluation messages 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: summary
measure	S	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
subject		0..0
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	SC	1..*	BackboneElement	Measure results for each group deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
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)
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		0..0
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	S	0..*	BackboneElement	Population results in this stratum
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	S	1..1	integer	Size of the population
subjectResults		0..0
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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)	Evaluation messages 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: summary
measure	SΣ	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
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 deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
id	S	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)
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
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	S	0..*	BackboneElement	Population results in this stratum
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	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then group.stratifier.code or the group.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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!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: summary
measure	SΣ	1..1	canonical(CRMI Shareable Measure)	What measure was calculated
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 deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
id	S	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)
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
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	S	0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	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	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3	error	MeasureReport	ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
deqm-7	error	MeasureReport	If group.stratifier exists, then group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : group.stratifier.exists() implies group.stratifier.code.exists() xor group.stratifier.stratum.component.code.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()

This structure is derived from MeasureReport

Summary

Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 47 elements
Fixed: 1 element
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CRMI Shareable Measure (http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure)
• QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
• http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
• http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData
• http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
• http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
• http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
• http://hl7.org/fhir/StructureDefinition/cqf-messages
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
• http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership
• http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership
• http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership
• http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType