Mobile Aggregate Data Exchange, published by IHE QRPH Technical Committee. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.mADX/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
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• XML
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• TTL

Resource Profile: IHE mADX MeasureReport profile

IHE mADX profile based on HL7 FHIR MeasureReport R4

Usages:

• Examples for this Profile: MeasureReport/mADX-MeasureReport-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport		0..*	MeasureReport	Results of a measure evaluation
subject		1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
improvementNotation	S	0..1	CodeableConcept	increase | decrease
group		1..*	BackboneElement	Measure results for each group
code		1..1	CodeableConcept	A required reference for a valid indicator
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
population		1..*	BackboneElement	The populations in the group
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count		1..1	integer	Size of the population
stratifier	S	0..*	BackboneElement	Stratification results
stratum		1..*	BackboneElement	Indicates the stratum results
component		1..*	BackboneElement	Stratifier component values
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
measureScore		1..1	Quantity	The value that is reported
value		1..1	decimal	The numeric value reported in the aggregate report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	ΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
measure	Σ	1..1	canonical(Measure)	What measure was calculated
subject	Σ	1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
period	Σ	1..1	Period	What period the report covers
improvementNotation	?!SΣ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	C	1..*	BackboneElement	Measure results for each group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	A required reference for a valid indicator
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
population		1..*	BackboneElement	The populations in the group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		1..1	integer	Size of the population
stratifier	S	0..*	BackboneElement	Stratification results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stratum		1..*	BackboneElement	Indicates the stratum results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component		1..*	BackboneElement	Stratifier component values
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
measureScore		1..1	Quantity	The value that is reported
value	Σ	1..1	decimal	The numeric value reported in the aggregate report
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 From the FHIR Standard
MeasureReport.type	required	MeasureReportType http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: Bindings Constraints Obligations
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!Σ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	ΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
measure	Σ	1..1	canonical(Measure)	What measure was calculated
subject	Σ	1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
date	Σ	0..1	dateTime	When the report was generated
reporter	Σ	0..1	Reference(Practitioner | PractitionerRole | Location | Organization)	Who is reporting the data
period	Σ	1..1	Period	What period the report covers
improvementNotation	?!SΣ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	C	1..*	BackboneElement	Measure results for each group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	A required reference for a valid indicator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
population		1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	Σ	0..1	Quantity	What score this group achieved
stratifier	S	0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum		1..*	BackboneElement	Indicates the stratum results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		1..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		1..1	Quantity	The value that is reported
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	The numeric value reported in the aggregate report
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
evaluatedResource		0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MeasureReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 From the FHIR Standard
MeasureReport.type	required	MeasureReportType http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 MeasureReport

Summary

Mandatory: 8 elements(4 nested mandatory elements)
Must-Support: 2 elements

Differential View

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport		0..*	MeasureReport	Results of a measure evaluation
subject		1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
improvementNotation	S	0..1	CodeableConcept	increase | decrease
group		1..*	BackboneElement	Measure results for each group
code		1..1	CodeableConcept	A required reference for a valid indicator
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
population		1..*	BackboneElement	The populations in the group
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count		1..1	integer	Size of the population
stratifier	S	0..*	BackboneElement	Stratification results
stratum		1..*	BackboneElement	Indicates the stratum results
component		1..*	BackboneElement	Stratifier component values
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
measureScore		1..1	Quantity	The value that is reported
value		1..1	decimal	The numeric value reported in the aggregate report
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	ΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
measure	Σ	1..1	canonical(Measure)	What measure was calculated
subject	Σ	1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
period	Σ	1..1	Period	What period the report covers
improvementNotation	?!SΣ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	C	1..*	BackboneElement	Measure results for each group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	A required reference for a valid indicator
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
population		1..*	BackboneElement	The populations in the group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		1..1	integer	Size of the population
stratifier	S	0..*	BackboneElement	Stratification results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stratum		1..*	BackboneElement	Indicates the stratum results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component		1..*	BackboneElement	Stratifier component values
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
measureScore		1..1	Quantity	The value that is reported
value	Σ	1..1	decimal	The numeric value reported in the aggregate report
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 From the FHIR Standard
MeasureReport.type	required	MeasureReportType http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: Bindings Constraints Obligations
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!Σ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	ΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
measure	Σ	1..1	canonical(Measure)	What measure was calculated
subject	Σ	1..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	A required subject reference
date	Σ	0..1	dateTime	When the report was generated
reporter	Σ	0..1	Reference(Practitioner | PractitionerRole | Location | Organization)	Who is reporting the data
period	Σ	1..1	Period	What period the report covers
improvementNotation	?!SΣ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	C	1..*	BackboneElement	Measure results for each group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	A required reference for a valid indicator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
population		1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	Σ	0..1	Quantity	What score this group achieved
stratifier	S	0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum		1..*	BackboneElement	Indicates the stratum results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		1..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Represents a disaggregation dimension for the disaggregation criterion reported
value		1..1	CodeableConcept	Represents a disaggregation value for the disaggregation dimension reported
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		1..1	Quantity	The value that is reported
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	The numeric value reported in the aggregate report
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
evaluatedResource		0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MeasureReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.status	required	MeasureReportStatus http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 From the FHIR Standard
MeasureReport.type	required	MeasureReportType http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 From the FHIR Standard
MeasureReport.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
MeasureReport.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 MeasureReport

Summary

Mandatory: 8 elements(4 nested mandatory elements)
Must-Support: 2 elements

Other representations of profile: CSV, Excel, Schematron