Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm | Version: 4.0.0 | |||
| Draft as of 2024-01-30 | Computable Name: DEQMSubjectListMeasureReport | |||
Subject List MeasureReport is for data exchange and reporting on a list of patients, which also allows individual MeasureReports be provided for each of the patients in the population.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
  reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
  criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| 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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
 status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
 type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: subject-list |
| measure | S | 1..1 | canonical(CQFM Measure) | What measure was calculated |
 subject | S | 0..1 | Reference(Group) | What individual(s) the report is for |
| date | S | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
| reporter | S | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group |
| 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 | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | SC | 1..1 | Quantity | What score this group achieved |
| altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| code | S | 1..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 | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
| 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 for summary reporting |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
 criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
| measure | SΣ | 1..1 | canonical(CQFM Measure) | What measure was calculated |
| subject | SΣ | 0..1 | Reference(Group) | What individual(s) the report is for |
| date | SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
| reporter | SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
| end | SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | ?!SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
| group | SC | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
| 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 |
| 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 | S | 1..1 | integer | Size of the population |
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved |
| altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | 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 |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..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 |
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard | |
| MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | |
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | |
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
| 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 for summary reporting | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) | ||||
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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/us/davinci-deqm/StructureDefinition/extension-criteriaReference | ||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |||||
| value[x] | 0..1 | Reference(QICore Observation | 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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) | ||||
| type | SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list | ||||
| measure | SΣ | 1..1 | canonical(CQFM Measure) | What measure was calculated | ||||
| subject | SΣ | 0..1 | Reference(Group) | What individual(s) the report is for | ||||
| date | SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | ||||
| reporter | SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | ||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
| end | SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| improvementNotation | ?!SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
| group | SC | 1..* | BackboneElement | Measure results for each group | ||||
| id | S | 0..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. | ||||
| 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 | ||||
| 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 | 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 | S | 1..1 | integer | Size of the population | ||||
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population | ||||
| measureScore | SΣC | 1..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 | 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 | |||||
| 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 | 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 | ||||
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population | ||||
| measureScore | S | 0..1 | Quantity | What score this stratum achieved | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code | Σ | 0..1 | code | Coded form of the unit | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard | ||||
| MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | ||||
| MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
This structure is derived from MeasureReport
Summary
Mandatory: 7 elements (8 nested mandatory elements)
Must-Support: 40 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
| reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| 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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: subject-list |
| measure | S | 1..1 | canonical(CQFM Measure) | What measure was calculated |
| subject | S | 0..1 | Reference(Group) | What individual(s) the report is for |
| date | S | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
| reporter | S | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group |
| 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 | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | SC | 1..1 | Quantity | What score this group achieved |
| altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| code | S | 1..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 | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
Key Elements View
| 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 for summary reporting |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
| measure | SΣ | 1..1 | canonical(CQFM Measure) | What measure was calculated |
| subject | SΣ | 0..1 | Reference(Group) | What individual(s) the report is for |
| date | SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
| reporter | SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
| end | SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | ?!SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
| group | SC | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) |
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
| 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 |
| 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 | S | 1..1 | integer | Size of the population |
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved |
| altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | 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 |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..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 |
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population |
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard | |
| MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | |
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | |
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
Snapshot View
| 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 for summary reporting | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| reportingProgram | S | 0..1 | CodeableConcept, canonical(CQFM Quality Program) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram Binding: Quality Programs (example) | ||||
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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/us/davinci-deqm/StructureDefinition/extension-criteriaReference | ||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |||||
| value[x] | 0..1 | Reference(QICore Observation | 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 | Identifier | 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(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) | ||||
| type | SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list | ||||
| measure | SΣ | 1..1 | canonical(CQFM Measure) | What measure was calculated | ||||
| subject | SΣ | 0..1 | Reference(Group) | What individual(s) the report is for | ||||
| date | SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | ||||
| reporter | SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | ||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| period | SΣC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
| end | SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| improvementNotation | ?!SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
| group | SC | 1..* | BackboneElement | Measure results for each group | ||||
| id | S | 0..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) | ||||
| calculatedDate | S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
| groupImprovementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. | ||||
| 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 | ||||
| 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 | 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 | S | 1..1 | integer | Size of the population | ||||
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population | ||||
| measureScore | SΣC | 1..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 | 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 | |||||
| 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 | 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 | ||||
| subjectResults | S | 1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this population | ||||
| measureScore | S | 0..1 | Quantity | What score this stratum achieved | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code | Σ | 0..1 | code | Coded form of the unit | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MeasureReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-statusfrom the FHIR Standard | ||||
| MeasureReport.type | required | Fixed Value: subject-listhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1from the FHIR Standard | ||||
| MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.toString().length()>9 and end.toString().length()>9 | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport | ensures scoring is either specified only at the root, or on all groups : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
| deqm-6 | error | MeasureReport | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : (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) |
This structure is derived from MeasureReport
Summary
Mandatory: 7 elements (8 nested mandatory elements)
Must-Support: 40 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2024-01-30
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change