## Profile Comparison between http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport vs http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport

Left: | Risk Adjustment Data Exchange MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport)
Right: | Risk Adjustment Data Exchange MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport)

### Messages

Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '2.1.0'
Information | StructureDefinition.date | Values for date differ: '2025-02-19T15:09:54+00:00' vs '2025-11-20T19:49:53+00:00'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License' vs 'Used by permission of HL7 International, all rights reserved Creative Commons License'
Information | MeasureReport.language | Example/preferred bindings differ at MeasureReport.language using binding from RiskAdjustmentDataExchangeMeasureReport

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MeasureReport |
copyright | Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License | Used by permission of HL7 International, all rights reserved Creative Commons License | Values Differ
date | 2025-02-19T15:09:54+00:00 | 2025-11-20T19:49:53+00:00 | Values Differ
description | This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html). It is used for Provider to submit data such as clinical evaluation evidence to Payer. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | RiskAdjustmentDataExchangeMeasureReport |
publisher | HL7 International / Clinical Quality Information |
purpose |  |
status | active |
title | Risk Adjustment Data Exchange MeasureReport |
type | MeasureReport |
url | http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport |
version | 2.0.0 | 2.1.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | This is a risk adjustment data exchange MeasureReport. | C | 0..* | MeasureReport | This is a risk adjustment data exchange MeasureReport. |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at MeasureReport.language using binding from RiskAdjustmentDataExchangeMeasureReport
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport | Σ | 0..* | Identifier | Additional identifier for the MeasureReport |
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. | ?!S Σ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. |
type | S Σ C | 1..1 | code | The type code is fixed to 'data-collection' for a risk adjustment data exchange measure report Binding: ?? (required): The type of the measure report. Fixed Value: data-collection | S Σ C | 1..1 | code | The type code is fixed to 'data-collection' for a risk adjustment data exchange measure report Binding: ?? (required): The type of the measure report. Fixed Value: data-collection |
measure | S Σ | 1..1 | canonical(Risk Adjustment Model Measure) | This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. | S Σ | 1..1 | canonical(Risk Adjustment Model Measure) | This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | What individual(s) the report is for | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | What individual(s) the report is for |
date | S Σ | 1..1 | dateTime | When the report was generated | S Σ | 1..1 | dateTime | When the report was generated |
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization that generated the MeasureReport | S Σ | 1..1 | Reference(US Core Organization Profile(7.0.0)) | Organization that generated the MeasureReport |
period | S Σ C | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. Constraints: ra-1 | S Σ C | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. Constraints: ra-1 |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary |
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
improvementNotation | ?!Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (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. | ?!Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (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 | S C | 0..* | BackboneElement | Condition Category | S C | 0..* | BackboneElement | Condition Category |
id | S | 1..1 | string | Unique id for inter-element referencing | S | 1..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S Σ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) | S Σ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) |
population |  | 0..* | BackboneElement | The populations in the group |  | 0..* | BackboneElement | The populations in the group |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!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: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
count |  | 0..1 | integer | Size of the population |  | 0..1 | integer | Size of the population |
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |
measureScore | Σ | 0..1 | Quantity | What score this group achieved | Σ | 0..1 | Quantity | What score this group achieved |
stratifier |  | 0..* | BackboneElement | Stratification results |  | 0..* | BackboneElement | Stratification results |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..* | CodeableConcept | What stratifier of the group |  | 0..* | CodeableConcept | What stratifier of the group |
stratum |  | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |  | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
value |  | 0..1 | CodeableConcept | The stratum value, e.g. male |  | 0..1 | CodeableConcept | The stratum value, e.g. male |
component |  | 0..* | BackboneElement | Stratifier component values |  | 0..* | BackboneElement | Stratifier component values |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 1..1 | CodeableConcept | What stratifier component of the group |  | 1..1 | CodeableConcept | What stratifier component of the group |
value |  | 1..1 | CodeableConcept | The stratum component value, e.g. male |  | 1..1 | CodeableConcept | The stratum component value, e.g. male |
population |  | 0..* | BackboneElement | Population results in this stratum |  | 0..* | BackboneElement | Population results in this stratum |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
count |  | 0..1 | integer | Size of the population |  | 0..1 | integer | Size of the population |
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |
measureScore |  | 0..1 | Quantity | What score this stratum achieved |  | 0..1 | Quantity | What score this stratum achieved |
evaluatedResource | S | 0..* | Reference(Resource) | An evaluated resource in a risk adjusstment data exchange MeasureReport is any data Provider submits to Payer as clinical evaluation evidence, such as a Consolidated Clinical Document Architecture (C-CDA) document, enounters, and diagnoses. | S | 0..* | Reference(Resource) | An evaluated resource in a risk adjusstment data exchange MeasureReport is any data Provider submits to Payer as clinical evaluation evidence, such as a Consolidated Clinical Document Architecture (C-CDA) document, enounters, and diagnoses. |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
Documentation for this format