CMS FHIR Quality Measure Development IG, published by Centers for Medicare & Medicaid Services (CMS). This guide is not an authorized publication; it is the continuous build for version 0.8.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cms-qmd/ and changes regularly. See the Directory of published versions

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Resource Profile: CMSTestCase

Usages:

• This Profile is not used by any profiles in this Specification

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
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This structure is derived from CQMTestCase

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport		0..*	CQMTestCase	Results of a measure evaluation
MeasureReport.identifier		1..1	Identifier	CMS dQM test cases must have an identifier
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	CQMTestCase	Results of a measure evaluation Constraints: mrp-1, mrp-2
MeasureReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MeasureReport.Slices for extension				Content/Rules for all slices
MeasureReport.Slices for extension.extension:testCaseDescription	S This element must be supported.	0..1	markdown	What is being tested URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
MeasureReport.Slices for extension.extension:inputParameters	S This element must be supported.	0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
MeasureReport.Slices for extension.extension:operation	S This element must be supported.	0..1	Reference(OperationDefinition)	If an operation is not specificed, then the test case is assumed to be for $evaluate-measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-operation
MeasureReport.Slices for extension.extension:softwaresystem	S This element must be supported.	0..*	Reference(CRMI Software System Device(2.0.0))	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
MeasureReport.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for modifierExtension.modifierExtension:isTestCase	?! This element is a modifier element. S This element must be supported.	0..1	boolean	Test Case? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
MeasureReport.identifier	Σ This element is included in summaries.	1..1	Identifier	CMS dQM test cases must have an identifier
MeasureReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
MeasureReport.type	S This element must be supported. Σ This element is included in summaries. C	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
MeasureReport.measure	S This element must be supported. Σ This element is included in summaries.	1..1	canonical(Measure)	What measure was calculated
MeasureReport.period	Σ This element is included in summaries.	1..1	Period	What period the report covers
MeasureReport.improvementNotation	?! This element is a modifier element. Σ This element is included in summaries.	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.
MeasureReport.group	S This element must be supported. C	0..*	BackboneElement	Measure results for each group
MeasureReport.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population	S This element must be supported. C	0..*	BackboneElement	The populations in the group Constraints: cntq-1
MeasureReport.group.population.Slices for extension				Content/Rules for all slices
MeasureReport.group.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population.code	S This element must be supported. Σ This element is included in summaries.	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.).
MeasureReport.group.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.measureScore	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	What score this group achieved
MeasureReport.group.stratifier	S This element must be supported.	0..*	BackboneElement	Stratification results
MeasureReport.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.code	S This element must be supported.	0..*	CodeableConcept	What stratifier of the group
MeasureReport.group.stratifier.stratum	S This element must be supported.	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
MeasureReport.group.stratifier.stratum.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.value	S This element must be supported.	0..1	CodeableConcept	The stratum value, e.g. male
MeasureReport.group.stratifier.stratum.component	S This element must be supported.	0..*	BackboneElement	Stratifier component values
MeasureReport.group.stratifier.stratum.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.component.code	S This element must be supported.	1..1	CodeableConcept	What stratifier component of the group
MeasureReport.group.stratifier.stratum.component.value	S This element must be supported.	1..1	CodeableConcept	The stratum component value, e.g. male
MeasureReport.group.stratifier.stratum.population	S This element must be supported. C	0..*	BackboneElement	Population results in this stratum Constraints: cntq-1
MeasureReport.group.stratifier.stratum.population.Slices for extension				Content/Rules for all slices
MeasureReport.group.stratifier.stratum.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.stratifier.stratum.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.population.code	S This element must be supported.	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.).
MeasureReport.group.stratifier.stratum.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.stratifier.stratum.measureScore	S This element must be supported.	0..1	Quantity	What score this stratum achieved
MeasureReport.evaluatedResource	S This element must be supported.	0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cntq-1	error	MeasureReport.group.population, MeasureReport.group.stratifier.stratum.population	Either count or countQuantity must be provided, but not both.	(count.exists() xor extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').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: Bindings Constraints Obligations
MeasureReport	C	0..*	CQMTestCase	Results of a measure evaluation Constraints: mrp-1, mrp-2
MeasureReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MeasureReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MeasureReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MeasureReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.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
MeasureReport.contained		0..*	Resource	Contained, inline Resources
MeasureReport.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for extension.extension:testCaseDescription	S This element must be supported.	0..1	markdown	What is being tested URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
MeasureReport.Slices for extension.extension:inputParameters	S This element must be supported.	0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
MeasureReport.Slices for extension.extension:operation	S This element must be supported.	0..1	Reference(OperationDefinition)	If an operation is not specificed, then the test case is assumed to be for $evaluate-measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-operation
MeasureReport.Slices for extension.extension:softwaresystem	S This element must be supported.	0..*	Reference(CRMI Software System Device(2.0.0))	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
MeasureReport.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for modifierExtension.modifierExtension:isTestCase	?! This element is a modifier element. S This element must be supported.	0..1	boolean	Test Case? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
MeasureReport.identifier	Σ This element is included in summaries.	1..1	Identifier	CMS dQM test cases must have an identifier
MeasureReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
MeasureReport.type	S This element must be supported. Σ This element is included in summaries. C	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
MeasureReport.measure	S This element must be supported. Σ This element is included in summaries.	1..1	canonical(Measure)	What measure was calculated
MeasureReport.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	What individual(s) the report is for
MeasureReport.date	Σ This element is included in summaries.	0..1	dateTime	When the report was generated
MeasureReport.reporter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Location | Organization)	Who is reporting the data
MeasureReport.period	Σ This element is included in summaries.	1..1	Period	What period the report covers
MeasureReport.improvementNotation	?! This element is a modifier element. Σ This element is included in summaries.	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.
MeasureReport.group	S This element must be supported. C	0..*	BackboneElement	Measure results for each group
MeasureReport.group.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.code	Σ This element is included in summaries.	0..1	CodeableConcept	Meaning of the group
MeasureReport.group.population	S This element must be supported. C	0..*	BackboneElement	The populations in the group Constraints: cntq-1
MeasureReport.group.population.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.population.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.group.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population.code	S This element must be supported. Σ This element is included in summaries.	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.).
MeasureReport.group.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.population.subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
MeasureReport.group.measureScore	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	What score this group achieved
MeasureReport.group.stratifier	S This element must be supported.	0..*	BackboneElement	Stratification results
MeasureReport.group.stratifier.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.code	S This element must be supported.	0..*	CodeableConcept	What stratifier of the group
MeasureReport.group.stratifier.stratum	S This element must be supported.	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
MeasureReport.group.stratifier.stratum.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.stratum.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.value	S This element must be supported.	0..1	CodeableConcept	The stratum value, e.g. male
MeasureReport.group.stratifier.stratum.component	S This element must be supported.	0..*	BackboneElement	Stratifier component values
MeasureReport.group.stratifier.stratum.component.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.component.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.stratum.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.component.code	S This element must be supported.	1..1	CodeableConcept	What stratifier component of the group
MeasureReport.group.stratifier.stratum.component.value	S This element must be supported.	1..1	CodeableConcept	The stratum component value, e.g. male
MeasureReport.group.stratifier.stratum.population	S This element must be supported. C	0..*	BackboneElement	Population results in this stratum Constraints: cntq-1
MeasureReport.group.stratifier.stratum.population.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.population.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.group.stratifier.stratum.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.stratifier.stratum.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.population.code	S This element must be supported.	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.).
MeasureReport.group.stratifier.stratum.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.stratifier.stratum.population.subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
MeasureReport.group.stratifier.stratum.measureScore	S This element must be supported.	0..1	Quantity	What score this stratum achieved
MeasureReport.evaluatedResource	S This element must be supported.	0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cntq-1	error	MeasureReport.group.population, MeasureReport.group.stratifier.stratum.population	Either count or countQuantity must be provided, but not both.	(count.exists() xor extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').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 CQMTestCase

Summary

Mandatory: 1 element

Differential View

This structure is derived from CQMTestCase

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport		0..*	CQMTestCase	Results of a measure evaluation
MeasureReport.identifier		1..1	Identifier	CMS dQM test cases must have an identifier
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	CQMTestCase	Results of a measure evaluation Constraints: mrp-1, mrp-2
MeasureReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MeasureReport.Slices for extension				Content/Rules for all slices
MeasureReport.Slices for extension.extension:testCaseDescription	S This element must be supported.	0..1	markdown	What is being tested URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
MeasureReport.Slices for extension.extension:inputParameters	S This element must be supported.	0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
MeasureReport.Slices for extension.extension:operation	S This element must be supported.	0..1	Reference(OperationDefinition)	If an operation is not specificed, then the test case is assumed to be for $evaluate-measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-operation
MeasureReport.Slices for extension.extension:softwaresystem	S This element must be supported.	0..*	Reference(CRMI Software System Device(2.0.0))	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
MeasureReport.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for modifierExtension.modifierExtension:isTestCase	?! This element is a modifier element. S This element must be supported.	0..1	boolean	Test Case? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
MeasureReport.identifier	Σ This element is included in summaries.	1..1	Identifier	CMS dQM test cases must have an identifier
MeasureReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
MeasureReport.type	S This element must be supported. Σ This element is included in summaries. C	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
MeasureReport.measure	S This element must be supported. Σ This element is included in summaries.	1..1	canonical(Measure)	What measure was calculated
MeasureReport.period	Σ This element is included in summaries.	1..1	Period	What period the report covers
MeasureReport.improvementNotation	?! This element is a modifier element. Σ This element is included in summaries.	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.
MeasureReport.group	S This element must be supported. C	0..*	BackboneElement	Measure results for each group
MeasureReport.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population	S This element must be supported. C	0..*	BackboneElement	The populations in the group Constraints: cntq-1
MeasureReport.group.population.Slices for extension				Content/Rules for all slices
MeasureReport.group.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population.code	S This element must be supported. Σ This element is included in summaries.	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.).
MeasureReport.group.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.measureScore	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	What score this group achieved
MeasureReport.group.stratifier	S This element must be supported.	0..*	BackboneElement	Stratification results
MeasureReport.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.code	S This element must be supported.	0..*	CodeableConcept	What stratifier of the group
MeasureReport.group.stratifier.stratum	S This element must be supported.	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
MeasureReport.group.stratifier.stratum.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.value	S This element must be supported.	0..1	CodeableConcept	The stratum value, e.g. male
MeasureReport.group.stratifier.stratum.component	S This element must be supported.	0..*	BackboneElement	Stratifier component values
MeasureReport.group.stratifier.stratum.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.component.code	S This element must be supported.	1..1	CodeableConcept	What stratifier component of the group
MeasureReport.group.stratifier.stratum.component.value	S This element must be supported.	1..1	CodeableConcept	The stratum component value, e.g. male
MeasureReport.group.stratifier.stratum.population	S This element must be supported. C	0..*	BackboneElement	Population results in this stratum Constraints: cntq-1
MeasureReport.group.stratifier.stratum.population.Slices for extension				Content/Rules for all slices
MeasureReport.group.stratifier.stratum.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.stratifier.stratum.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.population.code	S This element must be supported.	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.).
MeasureReport.group.stratifier.stratum.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.stratifier.stratum.measureScore	S This element must be supported.	0..1	Quantity	What score this stratum achieved
MeasureReport.evaluatedResource	S This element must be supported.	0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cntq-1	error	MeasureReport.group.population, MeasureReport.group.stratifier.stratum.population	Either count or countQuantity must be provided, but not both.	(count.exists() xor extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').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: Bindings Constraints Obligations
MeasureReport	C	0..*	CQMTestCase	Results of a measure evaluation Constraints: mrp-1, mrp-2
MeasureReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MeasureReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MeasureReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MeasureReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.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
MeasureReport.contained		0..*	Resource	Contained, inline Resources
MeasureReport.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for extension.extension:testCaseDescription	S This element must be supported.	0..1	markdown	What is being tested URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
MeasureReport.Slices for extension.extension:inputParameters	S This element must be supported.	0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
MeasureReport.Slices for extension.extension:operation	S This element must be supported.	0..1	Reference(OperationDefinition)	If an operation is not specificed, then the test case is assumed to be for $evaluate-measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-operation
MeasureReport.Slices for extension.extension:softwaresystem	S This element must be supported.	0..*	Reference(CRMI Software System Device(2.0.0))	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
MeasureReport.Slices for modifierExtension	?! This element is a modifier element.	0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.Slices for modifierExtension.modifierExtension:isTestCase	?! This element is a modifier element. S This element must be supported.	0..1	boolean	Test Case? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
MeasureReport.identifier	Σ This element is included in summaries.	1..1	Identifier	CMS dQM test cases must have an identifier
MeasureReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
MeasureReport.type	S This element must be supported. Σ This element is included in summaries. C	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report.
MeasureReport.measure	S This element must be supported. Σ This element is included in summaries.	1..1	canonical(Measure)	What measure was calculated
MeasureReport.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	What individual(s) the report is for
MeasureReport.date	Σ This element is included in summaries.	0..1	dateTime	When the report was generated
MeasureReport.reporter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Location | Organization)	Who is reporting the data
MeasureReport.period	Σ This element is included in summaries.	1..1	Period	What period the report covers
MeasureReport.improvementNotation	?! This element is a modifier element. Σ This element is included in summaries.	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.
MeasureReport.group	S This element must be supported. C	0..*	BackboneElement	Measure results for each group
MeasureReport.group.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.code	Σ This element is included in summaries.	0..1	CodeableConcept	Meaning of the group
MeasureReport.group.population	S This element must be supported. C	0..*	BackboneElement	The populations in the group Constraints: cntq-1
MeasureReport.group.population.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.population.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.group.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.population.code	S This element must be supported. Σ This element is included in summaries.	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.).
MeasureReport.group.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.population.subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
MeasureReport.group.measureScore	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	What score this group achieved
MeasureReport.group.stratifier	S This element must be supported.	0..*	BackboneElement	Stratification results
MeasureReport.group.stratifier.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.code	S This element must be supported.	0..*	CodeableConcept	What stratifier of the group
MeasureReport.group.stratifier.stratum	S This element must be supported.	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
MeasureReport.group.stratifier.stratum.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.stratum.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.value	S This element must be supported.	0..1	CodeableConcept	The stratum value, e.g. male
MeasureReport.group.stratifier.stratum.component	S This element must be supported.	0..*	BackboneElement	Stratifier component values
MeasureReport.group.stratifier.stratum.component.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.component.extension		0..*	Extension	Additional content defined by implementations
MeasureReport.group.stratifier.stratum.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.component.code	S This element must be supported.	1..1	CodeableConcept	What stratifier component of the group
MeasureReport.group.stratifier.stratum.component.value	S This element must be supported.	1..1	CodeableConcept	The stratum component value, e.g. male
MeasureReport.group.stratifier.stratum.population	S This element must be supported. C	0..*	BackboneElement	Population results in this stratum Constraints: cntq-1
MeasureReport.group.stratifier.stratum.population.id		0..1	string	Unique id for inter-element referencing
MeasureReport.group.stratifier.stratum.population.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MeasureReport.group.stratifier.stratum.population.Slices for extension.extension:countQuantity	S This element must be supported.	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
MeasureReport.group.stratifier.stratum.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MeasureReport.group.stratifier.stratum.population.code	S This element must be supported.	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.).
MeasureReport.group.stratifier.stratum.population.count	S This element must be supported.	0..1	integer	Size of the population
MeasureReport.group.stratifier.stratum.population.subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
MeasureReport.group.stratifier.stratum.measureScore	S This element must be supported.	0..1	Quantity	What score this stratum achieved
MeasureReport.evaluatedResource	S This element must be supported.	0..*	Reference(Resource)	What data was used to calculate the measure score
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
cntq-1	error	MeasureReport.group.population, MeasureReport.group.stratifier.stratum.population	Either count or countQuantity must be provided, but not both.	(count.exists() xor extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').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 CQMTestCase

Summary

Mandatory: 1 element

Other representations of profile: CSV, Excel, Schematron