Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Resource Profile: DEQM Data Exchange MeasureReport Profile

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm Version: 5.0.0-ballot
Active as of 2018-06-19 Computable Name: DEQMDataExchangeMeasureReportProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.4

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. When a data producer needs to send data to a data consumer, they use the DEQM Data-Exchange MeasureReport Profile defined here. The type element in this profile is set to "data-collection". Along with the MeasureReport profile, the data producer sends the reporter, subject, and any relevant resources for the measure they have produced data on. When a data producer sends a MeasureReport and the associated data, they may not have all the data that is required to calculate the measure report. Additional data may need to be collected later or there may be additional data used in the measure that the aggregator owns such as a continuous coverage period requirement.

Mandatory Data Elements and Terminology

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

Each MeasureReport Must Have:

  1. updatetype: Optional Extensions Element
  2. status: complete | pending | error
  3. type: individual | subject-list | summary | data-collection
  4. measure: What measure was calculated
  5. subject: What individual(s) the report is for
  6. date: When the report was generated
  7. reporter: The organization where the measure was completed
  8. period: What period the report covers
  9. period.start: Starting time with inclusive boundary
  10. period.end: End time with inclusive boundary, if not ongoing
  11. group.stratifier.stratum.component.code: What stratifier component of the group
  12. group.stratifier.stratum.component.value: The stratum component value, e.g. male

Each MeasureReport Must Support:

  1. software: Extension
  2. vendor: Vendor information
  3. message: Messages encountered while creating the report
  4. inputParameters: What parameters
  5. group: Group of practitioners responsible for a report
  6. description: Description of the population
  7. evaluatedResource: What data was used to calculate the measure score

Additional Profile specific implementation guidance:

  • *For a detailed discussion of incremental and snapshot updates see these sections on Submit Data and Collect Data

  • The Producer may not have all the data that is required to calculate the measure report at that time it is transmitted. It that case the MeasureReport may not have any evaluatedResources (in other words, no measure data). The missing data may be transmitted in a subsequent update or the additional data used in the measure is owned by an aggregator (such as a continuous coverage period requirement).

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

A data producer

Examples

Usage:

Formal Views of Profile Content

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

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..* MeasureReport Results of a measure evaluation
... Slices for extension Content/Rules for all slices
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... status S 1..1 code complete | pending | error
Binding: MeasureReportStatus (required)
... type S 1..1 code individual | subject-list | summary | data-collection
Fixed Value: data-collection
... measure S 1..1 canonical(Measure) What measure was calculated
... subject S 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(QICore Organization) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... group S 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SC 1..1 Period What period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 1..1 dateTime End time with inclusive boundary, if not ongoing
... group
.... population
..... Slices for extension Content/Rules for all slices
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
.... measureScore 0..0
.... stratifier 0..0
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... 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: data-collection
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(QICore Organization) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... group S 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC 1..1 Period What period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 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 C 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension Content/Rules for all slices
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: data-collection
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... 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: data-collection
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(QICore Organization) The organization where the measure was completed
.... 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 ?!Σ 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 C 0..* BackboneElement Measure results for each 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 Σ 0..1 CodeableConcept Meaning of the group
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..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 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..* MeasureReport Results of a measure evaluation
... Slices for extension Content/Rules for all slices
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... status S 1..1 code complete | pending | error
Binding: MeasureReportStatus (required)
... type S 1..1 code individual | subject-list | summary | data-collection
Fixed Value: data-collection
... measure S 1..1 canonical(Measure) What measure was calculated
... subject S 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(QICore Organization) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... group S 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SC 1..1 Period What period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 1..1 dateTime End time with inclusive boundary, if not ongoing
... group
.... population
..... Slices for extension Content/Rules for all slices
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
.... measureScore 0..0
.... stratifier 0..0
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... 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: data-collection
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(QICore Organization) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... group S 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC 1..1 Period What period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 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 C 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension Content/Rules for all slices
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status
from the FHIR Standard
MeasureReport.typerequiredFixed Value: data-collection
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... software S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... 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
.... message S 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
... 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: data-collection
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Location | QICore Device | QICore RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(QICore Organization) The organization where the measure was completed
.... 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 ?!Σ 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 C 0..* BackboneElement Measure results for each 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 Σ 0..1 CodeableConcept Meaning of the group
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..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 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9

 

Other representations of profile: CSV, Excel, Schematron

Notes:

This profile is used in the following transactions:

Data Exchange