Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport | Version: 1.1.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: VbpQualityMeasureReport | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.15 |
VBP quality measure report at the summary level for a population. This profile is derived from the Data Exchange for Quality Measure IG’s DEQM Summary MeasureReport.
The Value-Based Performance (VBP) Quality MeasureReport derives from the DEQM Susmmary MeasureReport.
The Formal Views below provides the formal summary, definitions, and terminology requirements.
Each Value-Based Performance Measure has the following mandatory elements:
measurereport-category
- with a fixed code vbp
url
- a canonical identifier for this measure (value-based contract)version
- version of the measure (value-based contract)name
- a computer friendly name for this measure (value-based contract)status
- status of this measure, which would often be active
experimental
element - set to true
if for testingpublisher
- name of the publisher for this measure (value-based contract)description
- description of the measure (value-based contract)Each Value-Based Performance Measure should have the following elements:
identifier
- business identifier of the measure (value-based contract)title
- a human friendly title for this measure (value-based contract)effectivePeriod
- effective period of the measure, which is the contract term period for a value-based contractlineOfBusiness
- line of business for the measure (value-based contract)paymentStream
- list of payment streams covered in the measure (value-based contract)programModel
- program model for the measure (value-based contract) based on the HPCLAN Frameworkgroup.code
- list of performance metrics that could be reported on the measure (value-based contract)relatedArtifact
- list of quality measures specified in the value-based contract that ties to the payment stream based on quality measuresrelatedArtifact.weight
for each relatedArtifact - the weight of a quality measure that contributes to the scoringUsages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DEQMSummaryMeasureReportProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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DEQMSummaryMeasureReportProfile | |||
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Content/Rules for all slices | |||
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold |
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1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | |
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0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) |
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male |
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1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | |
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Path | Conformance | ValueSet | URI |
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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Content/Rules for all slices | |||
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0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram | |
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S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
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0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | |
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S | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData" | |
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1..1 | Reference(Resource) | Value of extension | |
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Content/Rules for all slices | |||
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S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
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S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
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0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | |
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0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
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0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | |
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1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
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1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
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1..1 | Identifier | Value of extension Required Pattern: At least the following | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | code | usual | official | temp | secondary | old (If known) | |
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0..1 | CodeableConcept | Description of identifier | |
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
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0..1 | string | The value that is unique | |
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0..1 | Period | Time period when id is/was valid for use | |
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
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0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | |
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0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
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SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary |
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SΣC | 1..1 | canonical(CRMI Shareable Measure) | What measure and version was calculated Constraints: deqm-0 |
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SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
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SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
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Content/Rules for all slices | |||
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0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | |
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SΣC | 1..1 | Period | What period the report covers Constraints: deqm-1 |
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SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
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SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
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?!SΣC | 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. |
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SC | 1..* | BackboneElement | Measure results for each group Constraints: deqm-4, deqm-6 |
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S | 0..1 | string | Unique id for inter-element referencing |
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Content/Rules for all slices | |||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
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S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
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SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
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S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..1 | CodeableConcept | Meaning of the group |
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SC | 0..* | BackboneElement | The populations in the group Constraints: deqm-8 |
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Content/Rules for all slices | |||
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SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
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S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) |
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SC | 0..1 | integer | Size of the population |
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SΣC | 0..1 | Quantity | What score this group achieved |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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SC | 0..* | BackboneElement | Stratification results Constraints: deqm-7 |
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) |
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S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..1 | CodeableConcept | The stratum value, e.g. male |
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0..* | BackboneElement | Stratifier component values | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) |
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male |
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SC | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
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Content/Rules for all slices | |||
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SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) |
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SC | 1..1 | integer | Size of the population |
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S | 0..1 | Quantity | What score this stratum achieved |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Path | Conformance | ValueSet / Code | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status From the FHIR Standard | |
MeasureReport.type | required | Fixed Value: summaryhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard | |
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | |
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0 | |
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 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists())) | |
deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0) | |
deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : code.exists() xor stratum.component.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
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()) |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram | |||||
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S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) | ||||
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0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | |||||
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S | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData" | |||||
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1..1 | Reference(Resource) | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
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S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) | ||||
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0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | |||||
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0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
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0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
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1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
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1..1 | Identifier | Value of extension Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | |||||
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0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |||||
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score | ||||
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
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?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) | ||||
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SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary | ||||
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SΣC | 1..1 | canonical(CRMI Shareable Measure) | What measure and version was calculated Constraints: deqm-0 | ||||
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SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | ||||
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SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣC | 1..1 | Period | What period the report covers Constraints: deqm-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
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SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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?!SΣC | 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. | ||||
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SC | 1..* | BackboneElement | Measure results for each group Constraints: deqm-4, deqm-6 | ||||
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S | 0..1 | string | Unique id for inter-element referencing | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) | ||||
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S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
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SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) | ||||
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S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 0..1 | CodeableConcept | Meaning of the group | ||||
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SC | 0..* | BackboneElement | The populations in the group Constraints: deqm-8 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
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S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | ||||
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SC | 0..1 | integer | Size of the population | ||||
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SΣC | 0..1 | Quantity | What score this group achieved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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SC | 0..* | BackboneElement | Stratification results Constraints: deqm-7 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) | ||||
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S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 0..1 | CodeableConcept | The stratum value, e.g. male | ||||
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0..* | BackboneElement | Stratifier component values | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) | ||||
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male | ||||
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SC | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | ||||
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SC | 1..1 | integer | Size of the population | ||||
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S | 0..1 | Quantity | What score this stratum achieved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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Path | Conformance | ValueSet / Code | URI | |||
MeasureReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
MeasureReport.extension:supplementalData.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status From the FHIR Standard | ||||
MeasureReport.type | required | Fixed Value: summaryhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard | ||||
MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | ||||
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | ||||
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | ||||
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | ||||
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | ||||
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0 | |
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 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists())) | |
deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0) | |
deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : code.exists() xor stratum.component.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
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()) |
This structure is derived from DEQMSummaryMeasureReportProfile
Summary
Must-Support: 5 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Differential View
This structure is derived from DEQMSummaryMeasureReportProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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DEQMSummaryMeasureReportProfile | |||
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Content/Rules for all slices | |||
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold |
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1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | |
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0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) |
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male |
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1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | |
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Path | Conformance | ValueSet | URI |
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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Content/Rules for all slices | |||
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0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram | |
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S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
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0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | |
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S | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData" | |
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1..1 | Reference(Resource) | Value of extension | |
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Content/Rules for all slices | |||
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S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
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S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
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0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | |
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0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |
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0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | |
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1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
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1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |
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1..1 | Identifier | Value of extension Required Pattern: At least the following | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | code | usual | official | temp | secondary | old (If known) | |
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0..1 | CodeableConcept | Description of identifier | |
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
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0..1 | string | The value that is unique | |
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0..1 | Period | Time period when id is/was valid for use | |
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
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0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | |
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0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
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SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary |
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SΣC | 1..1 | canonical(CRMI Shareable Measure) | What measure and version was calculated Constraints: deqm-0 |
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SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. |
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SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport |
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Content/Rules for all slices | |||
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0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | |
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SΣC | 1..1 | Period | What period the report covers Constraints: deqm-1 |
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SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
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SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
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?!SΣC | 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. |
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SC | 1..* | BackboneElement | Measure results for each group Constraints: deqm-4, deqm-6 |
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S | 0..1 | string | Unique id for inter-element referencing |
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Content/Rules for all slices | |||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
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S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
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SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
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S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..1 | CodeableConcept | Meaning of the group |
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SC | 0..* | BackboneElement | The populations in the group Constraints: deqm-8 |
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Content/Rules for all slices | |||
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SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
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S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) |
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SC | 0..1 | integer | Size of the population |
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SΣC | 0..1 | Quantity | What score this group achieved |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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SC | 0..* | BackboneElement | Stratification results Constraints: deqm-7 |
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) |
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S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..1 | CodeableConcept | The stratum value, e.g. male |
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0..* | BackboneElement | Stratifier component values | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) |
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male |
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SC | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
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Content/Rules for all slices | |||
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SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) |
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SC | 1..1 | integer | Size of the population |
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S | 0..1 | Quantity | What score this stratum achieved |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Path | Conformance | ValueSet / Code | URI |
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status From the FHIR Standard | |
MeasureReport.type | required | Fixed Value: summaryhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard | |
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | |
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | |
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | |
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0 | |
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 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists())) | |
deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0) | |
deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : code.exists() xor stratum.component.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
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()) |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram | |||||
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S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) | ||||
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0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters | |||||
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S | 0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData" | |||||
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1..1 | Reference(Resource) | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
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S | 0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) | ||||
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0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor | |||||
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0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation | |||||
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0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
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1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this | |||||
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1..1 | Identifier | Value of extension Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | |||||
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0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |||||
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S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score | ||||
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S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
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?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) | ||||
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SΣC | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary | ||||
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SΣC | 1..1 | canonical(CRMI Shareable Measure) | What measure and version was calculated Constraints: deqm-0 | ||||
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SΣ | 1..1 | dateTime | When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent. | ||||
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SΣ | 1..1 | Reference(QICore Organization) | Organization that generated the MeasureReport | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣC | 1..1 | Period | What period the report covers Constraints: deqm-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
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SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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?!SΣC | 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. | ||||
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SC | 1..* | BackboneElement | Measure results for each group Constraints: deqm-4, deqm-6 | ||||
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S | 0..1 | string | Unique id for inter-element referencing | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) | ||||
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S | 0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate | ||||
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SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) | ||||
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S | 0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 0..1 | CodeableConcept | Meaning of the group | ||||
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SC | 0..* | BackboneElement | The populations in the group Constraints: deqm-8 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
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S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | ||||
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SC | 0..1 | integer | Size of the population | ||||
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SΣC | 0..1 | Quantity | What score this group achieved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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SC | 0..* | BackboneElement | Stratification results Constraints: deqm-7 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 0..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example) | ||||
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S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 0..1 | CodeableConcept | The stratum value, e.g. male | ||||
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0..* | BackboneElement | Stratifier component values | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example) | ||||
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S | 1..1 | CodeableConcept | The stratum component value, e.g. male | ||||
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SC | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible) | ||||
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SC | 1..1 | integer | Size of the population | ||||
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S | 0..1 | Quantity | What score this stratum achieved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType | ||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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Path | Conformance | ValueSet / Code | URI | |||
MeasureReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
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MeasureReport.extension:supplementalData.value[x].type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MeasureReport.status | required | MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status From the FHIR Standard | ||||
MeasureReport.type | required | Fixed Value: summaryhttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard | ||||
MeasureReport.reporter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
MeasureReport.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | ||||
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | ||||
MeasureReport.group.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | ||||
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS(a valid code from Measure Stratifier Example Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example From this IG | ||||
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVShttp://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population From this IG | ||||
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. : %resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0 | |
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 | |
deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists())) | |
deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 : (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1 | |
deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0) | |
deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both : code.exists() xor stratum.component.exists() | |
deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. : extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists() | |
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()) |
This structure is derived from DEQMSummaryMeasureReportProfile
Summary
Must-Support: 5 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron