Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot International flag

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 1.0.0-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/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport Version: 1.0.0-ballot
Standards status: Trial-use Active as of 2018-06-19 Maturity Level: 4 Computable Name: DEQMDataExchangeMeasureReportProfile

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

Each MeasureReport Must Support:

  1. evaluatedResource: What data was used to calculate the measure score
  2. measurereport-category: What category is this measure report
  3. description: Description of the population

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
Constraints: mrp-1, mrp-2
... 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
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject SΣ 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... 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
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
..... 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

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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
dom-2 error MeasureReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MeasureReport 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 MeasureReport 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 MeasureReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MeasureReport 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()
mrp-1 error MeasureReport Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
mrp-2 error MeasureReport Stratifiers SHALL be either a single criteria or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* MeasureReport Results of a measure evaluation
... Slices for extension Content/Rules for all slices
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject S 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SC 1..1 Period What period the report covers
Constraints: deqm-1
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 1..1 dateTime End time with inclusive boundary, if not ongoing
... group
.... Slices for extension Content/Rules for all slices
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... population
..... Slices for extension Content/Rules for all slices
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
.... measureScore 0..0 What score this group achieved
.... stratifier 0..0 Stratification results
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
Constraints: mrp-1, mrp-2
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject SΣ 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... 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
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
..... 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

Path Status Usage ValueSet Version Source
MeasureReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
MeasureReport.group.​population.code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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
dom-2 error MeasureReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MeasureReport 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 MeasureReport 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 MeasureReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MeasureReport 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()
mrp-1 error MeasureReport Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
mrp-2 error MeasureReport Stratifiers SHALL be either a single criteria or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
Constraints: mrp-1, mrp-2
... 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
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject SΣ 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... 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
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
..... 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

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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
dom-2 error MeasureReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MeasureReport 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 MeasureReport 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 MeasureReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MeasureReport 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()
mrp-1 error MeasureReport Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
mrp-2 error MeasureReport Stratifiers SHALL be either a single criteria or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* MeasureReport Results of a measure evaluation
... Slices for extension Content/Rules for all slices
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject S 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SC 1..1 Period What period the report covers
Constraints: deqm-1
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 1..1 dateTime End time with inclusive boundary, if not ongoing
... group
.... Slices for extension Content/Rules for all slices
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... population
..... Slices for extension Content/Rules for all slices
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
.... measureScore 0..0 What score this group achieved
.... stratifier 0..0 Stratification results
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* MeasureReport Results of a measure evaluation
Constraints: mrp-1, mrp-2
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor 0..1 Reference(Organization) Vendor information
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
.... extension:location 0..* Reference(Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 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 and version was calculated
... subject SΣ 1..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(Organization | Practitioner | PractitionerRole) Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... 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
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:linkId S 1..1 string Unique id of the group from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
.... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:linkId S 1..1 string Unique id for group.population from the measure.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
...... extension:supportingEvidence S 0..* (Complex) Specifies the result of a supporting evidence expression in the measure population.
URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
..... 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

Path Status Usage ValueSet Version Source
MeasureReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
MeasureReport.group.​population.code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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
dom-2 error MeasureReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MeasureReport 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 MeasureReport 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 MeasureReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MeasureReport 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()
mrp-1 error MeasureReport Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
mrp-2 error MeasureReport Stratifiers SHALL be either a single criteria or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())

 

Other representations of profile: CSV, Excel, Schematron

Notes:

This profile is used in the following transactions:

Data Exchange