Data Exchange For Quality Measures STU2 for FHIR R4 Implementation Guide CI Build

Data Exchange For Quality Measures STU2 for FHIR R4, published by HL7 International - Clinical Quality Information Work Group. This is not an authorized publication; it is the continuous build for version 1.1.1). This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

StructureDefinition-summary-measurereport-deqm

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Summary MeasureReport Profile defined here is used when a measure is reported to an aggregator for a group of patients. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the DEQM Individual MeasureReport Profile, the report is typically transacted as a single MeasureReport report.

Mandatory Data Elements and Terminology

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

Each MeasureReport must have:

  1. A status
  2. A measure report type hardcoded to “summary”
  3. The reference to the Measure
  4. The date the report was generated
  5. The organization that reported the data
  6. The reporting period
  7. The results of the calculation (the Measure Scores)

Each MeasureReport should have (Must Support):

  1. Separate subgroup calculations (stratifiers)
  2. Reference to a reporting vendor using the DEQM Reporting Vendor Extension
  3. A certification identifier using the DEQM Certification Identifier Extension
  4. Ability to use other types for measure score using the DEQM Alternate Score Type Extension
  5. Reference to a reporting group using the DEQM Reporting Group Extension

Additional Profile specific implementation guidance:

None

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm

Published on Tue Jun 19 00:00:00 UTC 2018 as a active by Da Vinci Project.

This profile builds on MeasureReport


NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReport
... extension-reportingVendor S0..1Reference(DEQMOrganizationProfile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier 1..1IdentifierRequired Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... status S1..1codeBinding: MeasureReportStatus (required)
... type S1..1codeFixed Value: summary
... measure S1..1canonical(Measure)
... subject 0..0
... date S1..1dateTime
... reporter S1..1Reference(DEQMOrganizationProfile | Group)The organization or where the measure was completed
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1Perioddeqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTime
.... end S1..1dateTime
... group S1..*BackboneElement
.... code S0..1CodeableConcept
.... population S1..*BackboneElement
..... code S1..1CodeableConcept
..... count S1..1integer
..... subjectResults 0..0
.... measureScore S1..1Quantity
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
.... stratifier S0..*BackboneElement
..... code S1..1CodeableConcept
..... stratum S0..*BackboneElement
...... value S0..1CodeableConcept
...... population S0..*BackboneElement
....... code S1..1CodeableConcept
....... count S1..1integer
....... subjectResults 0..0
...... measureScore S0..1Quantity
....... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-reportingVendor SI0..1Reference(DEQMOrganizationProfile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier SI0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier I1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣI1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required)
Fixed Value: summary
... measure SΣI1..1canonical(Measure)What measure was calculated
... date SΣI1..1dateTimeWhen the report was generated
... reporter SΣI1..1Reference(DEQMOrganizationProfile | Group)The organization or where the measure was completed
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup SI0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... period SΣI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!ΣI0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required)
... group SI1..*BackboneElementMeasure results for each group
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣI0..1CodeableConceptMeaning of the group
.... population SI1..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... count SI1..1integerSize of the population
.... measureScore SΣI1..1QuantityWhat score this group achieved
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... extension-alternateScoreType SI0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value ΣI0..1decimalNumerical value (with implicit precision)
..... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit ΣI0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... stratifier SI0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SI1..1CodeableConceptWhat stratifier of the group
..... stratum SI0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value SI0..1CodeableConceptThe stratum value, e.g. male
...... component I0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code I1..1CodeableConceptWhat stratifier component of the group
....... value I1..1CodeableConceptThe stratum component value, e.g. male
...... population SI0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code SI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
....... count SI1..1integerSize of the population
...... measureScore SI0..1QuantityWhat score this stratum achieved
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... extension-alternateScoreType SI0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... value ΣI0..1decimalNumerical value (with implicit precision)
....... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
....... unit ΣI0..1stringUnit representation
....... system ΣI0..1uriSystem that defines coded unit form
....... code ΣI0..1codeCoded form of the unit

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReport
... extension-reportingVendor S0..1Reference(DEQMOrganizationProfile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier 1..1IdentifierRequired Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... status S1..1codeBinding: MeasureReportStatus (required)
... type S1..1codeFixed Value: summary
... measure S1..1canonical(Measure)
... subject 0..0
... date S1..1dateTime
... reporter S1..1Reference(DEQMOrganizationProfile | Group)The organization or where the measure was completed
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1Perioddeqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTime
.... end S1..1dateTime
... group S1..*BackboneElement
.... code S0..1CodeableConcept
.... population S1..*BackboneElement
..... code S1..1CodeableConcept
..... count S1..1integer
..... subjectResults 0..0
.... measureScore S1..1Quantity
..... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
.... stratifier S0..*BackboneElement
..... code S1..1CodeableConcept
..... stratum S0..*BackboneElement
...... value S0..1CodeableConcept
...... population S0..*BackboneElement
....... code S1..1CodeableConcept
....... count S1..1integer
....... subjectResults 0..0
...... measureScore S0..1Quantity
....... extension-alternateScoreType S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-reportingVendor SI0..1Reference(DEQMOrganizationProfile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier SI0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier I1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣI1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required)
Fixed Value: summary
... measure SΣI1..1canonical(Measure)What measure was calculated
... date SΣI1..1dateTimeWhen the report was generated
... reporter SΣI1..1Reference(DEQMOrganizationProfile | Group)The organization or where the measure was completed
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup SI0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... period SΣI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!ΣI0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required)
... group SI1..*BackboneElementMeasure results for each group
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣI0..1CodeableConceptMeaning of the group
.... population SI1..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... count SI1..1integerSize of the population
.... measureScore SΣI1..1QuantityWhat score this group achieved
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... extension-alternateScoreType SI0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value ΣI0..1decimalNumerical value (with implicit precision)
..... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit ΣI0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... stratifier SI0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SI1..1CodeableConceptWhat stratifier of the group
..... stratum SI0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value SI0..1CodeableConceptThe stratum value, e.g. male
...... component I0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code I1..1CodeableConceptWhat stratifier component of the group
....... value I1..1CodeableConceptThe stratum component value, e.g. male
...... population SI0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code SI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
....... count SI1..1integerSize of the population
...... measureScore SI0..1QuantityWhat score this stratum achieved
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... extension-alternateScoreType SI0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... value ΣI0..1decimalNumerical value (with implicit precision)
....... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
....... unit ΣI0..1stringUnit representation
....... system ΣI0..1uriSystem that defines coded unit form
....... code ΣI0..1codeCoded form of the unit

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron


Quick Start

Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.

Framework:

Summary Measure Reporting Interactions