<?xml version="1.0" encoding="UTF-8"?>

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Measure-evaluate-measure"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b>Generated Narrative: OperationDefinition Measure-evaluate-measure</b>
      </p>
      <a name="Measure-evaluate-measure"> </a>
      <a name="hcMeasure-evaluate-measure"> </a>
      <p>URL: [base]/Measure/$evaluate-measure</p>
      <p>URL: [base]/Measure/[id]/$evaluate-measure</p>
      <h3>Parameters</h3>
      <table class="grid">
        <tr>
          <td>
            <b>Use</b>
          </td>
          <td>
            <b>Name</b>
          </td>
          <td>
            <b>Scope</b>
          </td>
          <td>
            <b>Cardinality</b>
          </td>
          <td>
            <b>Type</b>
          </td>
          <td>
            <b>Binding</b>
          </td>
          <td>
            <b>Documentation</b>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>measure</td>
          <td>type</td>
          <td>0..1</td>
          <td>
            <a href="measure.html">Measure</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The measure to evaluate. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter is required, or a url (and optionally version) must be supplied.</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>url</td>
          <td>type</td>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#canonical">canonical</a> (
            <a href="measure.html" title="http://hl7.org/fhir/StructureDefinition/Measure">Measure</a>)
          </td>
          <td/>
          <td>
            <div>
              <p>The url of the measure to be applied. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter (and optionally the version), or the measure parameter must be supplied</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>version</td>
          <td>type</td>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#string">string</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The version of the measure to be applied. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter may only be used if the url parameter is supplied, and the version is not supplied with it.</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>subject</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#string">string</a>
            <br/>(
            <a href="search.html#reference">reference</a>)
          </td>
          <td/>
          <td>
            <div>
              <p>Subject for which the measure will be calculated. The subject must be an instance of a type that is consistent with the subjectType of the Measure being evaluated (e.g. Patient, Practitioner, Location...). The subject may be a Patient, Practitioner, PractitionerRole, Organization, Location, Device, or Group. If the subject is a Group, it must be an actual Group, not a definitional one. Subjects provided in this parameter SHALL match the subjectType of the measure being evaluated (i.e. if the Measure.subjectType is Patient, the subject SHALL be a reference to a Patient or a Group of Patients). If no subject is provided, the evaluation will be performed for all subjects appropriate to the Measure.subjectType (possibly constrained further by the provider parameter).</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>periodStart</td>
          <td/>
          <td>1..1</td>
          <td>
            <a href="datatypes.html#date">date</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The start of the measurement period. In keeping with the semantics of the date parameter used in the FHIR search operation, the period will start at the beginning of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period start to be 2014-01-01T00:00:00 inclusive</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>periodEnd</td>
          <td/>
          <td>1..1</td>
          <td>
            <a href="datatypes.html#date">date</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The end of the measurement period. The period will end at the end of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59 inclusive</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>reportType</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#code">code</a>
          </td>
          <td>
            <a href="valueset-measure-report-evaluation-type.html">Measure Report Evaluation Type</a> (Required)
          </td>
          <td>
            <div>
              <p>The type of measure report: individual, subject-list, or summary. If not specified, a default value of subject will be used if the subject parameter is supplied and is not a Group, otherwise, summary will be used. NOTE: Implementations should support the use of 
                <code>subject</code> for individual and 
                <code>population</code> for summary for backwards compatibility with existing implementations.
              </p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>provider</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#string">string</a>
            <br/>(
            <a href="search.html#reference">reference</a>)
          </td>
          <td/>
          <td>
            <div>
              <p>The provider for which the report will be run. This may be a reference to a Practitioner, PractitionerRole, or Organization. If specified, the measure will be calculated for subjects that have a primary relationship to the identified provider. How this relationship is determined is implementation-specific.</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>location</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#string">string</a>
            <br/>(
            <a href="search.html#reference">reference</a>)
          </td>
          <td/>
          <td>
            <div>
              <p>The location for which the report will be run.</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>lastReceivedOn</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The date the results of this measure were last received. This parameter is only valid for patient-level reports and is used to indicate when the last time a result for this patient was received. This information can be used to limit the set of resources returned for a patient-level report</p>

            </div>
          </td>
        </tr>
        <tr>
          <td>IN</td>
          <td>parameters</td>
          <td/>
          <td>0..1</td>
          <td>
            <a href="parameters.html">Parameters</a>
          </td>
          <td/>
          <td>
            <div>
              <p>Any input parameters for the evaluation. Parameters defined in this input will be made available by name to the CQL expression. Parameter types are mapped to CQL as specified in the 
                <a href="https://hl7.org/fhir/uv/cql/">Using CQL with FHIR</a> implementation guide. If a parameter appears more than once in the input Parameters resource, it is represented with a List in the input CQL. If a parameter has parts, it is represented as a Tuple in the input CQL.
              </p>

            </div>
          </td>
        </tr>
        <tr>
          <td>OUT</td>
          <td>return</td>
          <td/>
          <td>0..*</td>
          <td>
            <a href="bundle.html">Bundle</a>
          </td>
          <td/>
          <td>
            <div>
              <p>The results of the measure calculation. The result of this operation will be a Bundle for each input subject, where the first entry of the Bundle is a MeasureReport representing the results of the calculation, and subsequent entries in the Bundle are resources created and/or evaluated as part of the calculation. See the MeasureReport resource for a complete description of the output of this operation. Note that implementations may choose to return a MeasureReport with a status of pending to indicate that the report is still being generated. In this case, the client can use a polling method to continually request the MeasureReport until the status is updated to complete</p>

            </div>
          </td>
        </tr>
      </table>
      <div>
        <p>The effect of invoking this operation is to calculate the measure for the given subject(s), or all subjects if no subject is supplied. For individual and subject-list reports, the result is a set of Bundles, one for each evaluated subject, where the first entry in each bundle is a MeasureReport resource, and subsequent entries in the Bundle are resources evaluated or created as part of the measure evaluation. For the summary report, the result of this operation is a single bundle with a single MeasureReport of type summary. Note that whether or not this operation affects the state of the server depends on whether the server persists the generated MeasureReport. If the MeasureReport is not persisted, this operation can be invoked with GET</p>

      </div>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="deprecated"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/>
  </extension>
  <url value="http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"/>
  <version value="6.0.0-ballot4"/>
  <name value="EvaluateMeasure"/>
  <title value="Evaluate Measure"/>
  <status value="draft"/>
  <kind value="operation"/>
  <experimental value="false"/>
  <date value="2026-04-02T19:26:05+00:00"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fhir@lists.hl7.org"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="The evaluate-measure operation is used to calculate an eMeasure and obtain the results"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <affectsState value="false"/>
  <code value="evaluate-measure"/>
  <comment value="The effect of invoking this operation is to calculate the measure for the given subject(s), or all subjects if no subject is supplied. For individual and subject-list reports, the result is a set of Bundles, one for each evaluated subject, where the first entry in each bundle is a MeasureReport resource, and subsequent entries in the Bundle are resources evaluated or created as part of the measure evaluation. For the summary report, the result of this operation is a single bundle with a single MeasureReport of type summary. Note that whether or not this operation affects the state of the server depends on whether the server persists the generated MeasureReport. If the MeasureReport is not persisted, this operation can be invoked with GET"/>
  <resource value="Measure"/>
  <system value="false"/>
  <type value="true"/>
  <instance value="true"/>
  <parameter>
    <name value="measure"/>
    <use value="in"/>
    <scope value="type"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The measure to evaluate. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter is required, or a url (and optionally version) must be supplied."/>
    <type value="Measure"/>
  </parameter>
  <parameter>
    <name value="url"/>
    <use value="in"/>
    <scope value="type"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The url of the measure to be applied. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter (and optionally the version), or the measure parameter must be supplied"/>
    <type value="canonical"/>
    <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/>
  </parameter>
  <parameter>
    <name value="version"/>
    <use value="in"/>
    <scope value="type"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The version of the measure to be applied. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter may only be used if the url parameter is supplied, and the version is not supplied with it."/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name value="subject"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="Subject for which the measure will be calculated. The subject must be an instance of a type that is consistent with the subjectType of the Measure being evaluated (e.g. Patient, Practitioner, Location...). The subject may be a Patient, Practitioner, PractitionerRole, Organization, Location, Device, or Group. If the subject is a Group, it must be an actual Group, not a definitional one. Subjects provided in this parameter SHALL match the subjectType of the measure being evaluated (i.e. if the Measure.subjectType is Patient, the subject SHALL be a reference to a Patient or a Group of Patients). If no subject is provided, the evaluation will be performed for all subjects appropriate to the Measure.subjectType (possibly constrained further by the provider parameter)."/>
    <type value="string"/>
    <searchType value="reference"/>
  </parameter>
  <parameter>
    <name value="periodStart"/>
    <use value="in"/>
    <min value="1"/>
    <max value="1"/>
    <documentation value="The start of the measurement period. In keeping with the semantics of the date parameter used in the FHIR search operation, the period will start at the beginning of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period start to be 2014-01-01T00:00:00 inclusive"/>
    <type value="date"/>
  </parameter>
  <parameter>
    <name value="periodEnd"/>
    <use value="in"/>
    <min value="1"/>
    <max value="1"/>
    <documentation value="The end of the measurement period. The period will end at the end of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59 inclusive"/>
    <type value="date"/>
  </parameter>
  <parameter>
    <name value="reportType"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The type of measure report: individual, subject-list, or summary. If not specified, a default value of subject will be used if the subject parameter is supplied and is not a Group, otherwise, summary will be used. NOTE: Implementations should support the use of `subject` for individual and `population` for summary for backwards compatibility with existing implementations."/>
    <type value="code"/>
    <binding>
      <strength value="required"/>
      <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-evaluation-type|6.0.0-ballot4"/>
    </binding>
  </parameter>
  <parameter>
    <name value="provider"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The provider for which the report will be run. This may be a reference to a Practitioner, PractitionerRole, or Organization. If specified, the measure will be calculated for subjects that have a primary relationship to the identified provider. How this relationship is determined is implementation-specific."/>
    <type value="string"/>
    <searchType value="reference"/>
  </parameter>
  <parameter>
    <name value="location"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The location for which the report will be run."/>
    <type value="string"/>
    <searchType value="reference"/>
  </parameter>
  <parameter>
    <name value="lastReceivedOn"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The date the results of this measure were last received. This parameter is only valid for patient-level reports and is used to indicate when the last time a result for this patient was received. This information can be used to limit the set of resources returned for a patient-level report"/>
    <type value="dateTime"/>
  </parameter>
  <parameter>
    <name value="parameters"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="Any input parameters for the evaluation. Parameters defined in this input will be made available by name to the CQL expression. Parameter types are mapped to CQL as specified in the [Using CQL with FHIR](https://hl7.org/fhir/uv/cql/) implementation guide. If a parameter appears more than once in the input Parameters resource, it is represented with a List in the input CQL. If a parameter has parts, it is represented as a Tuple in the input CQL."/>
    <type value="Parameters"/>
  </parameter>
  <parameter>
    <name value="return"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <documentation value="The results of the measure calculation. The result of this operation will be a Bundle for each input subject, where the first entry of the Bundle is a MeasureReport representing the results of the calculation, and subsequent entries in the Bundle are resources created and/or evaluated as part of the calculation. See the MeasureReport resource for a complete description of the output of this operation. Note that implementations may choose to return a MeasureReport with a status of pending to indicate that the report is still being generated. In this case, the client can use a polling method to continually request the MeasureReport until the status is updated to complete"/>
    <type value="Bundle"/>
  </parameter>
</OperationDefinition>