Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
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 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/indv-measurereport-list | Version: 5.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: DEQMIndividualMeasureReportList | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.27 | ||||
A list that contains entries of referencing DEQM Individual MeasureReport resources for the same measure, one for each subject in the overall population.
The following data-elements are mandatory (i.e data MUST be present).
Each Must Have:
Each Must Support:
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  List |
C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. |
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. |
  entry |
SC | 0..* | BackboneElement | Entries in the list |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted |
 item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1From the FHIR Standard | |
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() | |
| lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |
This structure is derived from List
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| List |
0..* | List | A list is a curated collection of resources | |
 entry |
S | 0..* | BackboneElement | Entries in the list |
| item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3 | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. | ||||
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. | ||||
| title |
Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients | ||||
| code |
Σ | 0..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. | ||||
| subject |
Σ | 0..1 | Reference(Patient | Group | Device | Location) | If all resources have the same subject | ||||
| encounter |
0..1 | Reference(Encounter) | Context in which list created | |||||
| date |
Σ | 0..1 | dateTime | When the list was prepared | ||||
| source |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author) | ||||
| orderedBy |
0..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. | |||||
| note |
0..* | Annotation | Comments about the list | |||||
| entry |
SC | 0..* | BackboneElement | Entries in the list | ||||
 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 | ||||
| flag |
0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list. | |||||
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted | ||||
| date |
0..1 | dateTime | When item added to list | |||||
| item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| List.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1From the FHIR Standard | ||||
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| List.code | example | ExampleUseCodesForListhttp://hl7.org/fhir/ValueSet/list-example-codesFrom the FHIR Standard | ||||
| List.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| List.entry.flag | example | PatientMedicineChangeTypeshttp://hl7.org/fhir/ValueSet/list-item-flagFrom the FHIR Standard | ||||
| List.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() | |
| lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. |
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. |
| entry |
SC | 0..* | BackboneElement | Entries in the list |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted |
| item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1From the FHIR Standard | |
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() | |
| lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |
Differential View
This structure is derived from List
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| List |
0..* | List | A list is a curated collection of resources | |
| entry |
S | 0..* | BackboneElement | Entries in the list |
| item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3 | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. | ||||
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. | ||||
| title |
Σ | 0..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients | ||||
| code |
Σ | 0..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. | ||||
| subject |
Σ | 0..1 | Reference(Patient | Group | Device | Location) | If all resources have the same subject | ||||
| encounter |
0..1 | Reference(Encounter) | Context in which list created | |||||
| date |
Σ | 0..1 | dateTime | When the list was prepared | ||||
| source |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author) | ||||
| orderedBy |
0..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. | |||||
| note |
0..* | Annotation | Comments about the list | |||||
| entry |
SC | 0..* | BackboneElement | Entries in the list | ||||
| 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 | ||||
| flag |
0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list. | |||||
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted | ||||
| date |
0..1 | dateTime | When item added to list | |||||
| item |
S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | DEQM Individual MeasureReport | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| List.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1From the FHIR Standard | ||||
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| List.code | example | ExampleUseCodesForListhttp://hl7.org/fhir/ValueSet/list-example-codesFrom the FHIR Standard | ||||
| List.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| List.entry.flag | example | PatientMedicineChangeTypeshttp://hl7.org/fhir/ValueSet/list-item-flagFrom the FHIR Standard | ||||
| List.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | List | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | List | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | List | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | List | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | List | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lst-1 | error | List | A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| lst-2 | error | List | The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty() | |
| lst-3 | error | List | An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty() |
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2025-07-02
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