CMS FHIR Quality Measure Development IG
1.0.0-cibuild - CI Build International flag

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 1.0.0-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

Resource Profile: CMSTestCase

Official URL: http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-test-case Version: 1.0.0-cibuild
Active as of 2026-06-04 Computable Name: 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.

This structure is derived from CQMTestCase

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* CQMTestCase Results of a measure evaluation
... identifier 1..1 Identifier CMS dQM test cases must have an identifier

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* CQMTestCase Results of a measure evaluation
Constraints: mrp-1, mrp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:testCaseDescription S 0..1 markdown What is being tested
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
.... extension:inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:operation S 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
.... extension:softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:isTestCase ?!S 0..1 boolean Test Case?
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... period Σ 1..1 Period What period the report covers
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group SC 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population SC 0..* BackboneElement The populations in the group
Constraints: cntq-1
..... Slices for extension Content/Rules for all slices
...... extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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 S 0..1 integer Size of the population
.... measureScore SΣ 0..1 Quantity What score this group achieved
.... stratifier S 0..* BackboneElement Stratification results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component S 0..* BackboneElement Stratifier component values
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population SC 0..* BackboneElement Population results in this stratum
Constraints: cntq-1
....... Slices for extension Content/Rules for all slices
........ extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 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 S 0..1 integer Size of the population
...... measureScore S 0..1 Quantity What score this stratum achieved
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📍4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
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())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* CQMTestCase 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:testCaseDescription S 0..1 markdown What is being tested
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
.... extension:inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:operation S 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
.... extension:softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:isTestCase ?!S 0..1 boolean Test Case?
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
... identifier Σ 1..1 Identifier CMS dQM test cases must have an identifier
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... 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 ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group SC 0..* 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 0..1 CodeableConcept Meaning of the group
.... population SC 0..* BackboneElement The populations in the group
Constraints: cntq-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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 S 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
.... measureScore SΣ 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 S 0..* CodeableConcept What stratifier of the group
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component S 0..* 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 S 1..1 CodeableConcept What stratifier component of the group
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population SC 0..* BackboneElement Population results in this stratum
Constraints: cntq-1
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 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 S 0..1 integer Size of the population
....... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
...... measureScore S 0..1 Quantity What score this stratum achieved
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* CQMTestCase Results of a measure evaluation
... identifier 1..1 Identifier CMS dQM test cases must have an identifier

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* CQMTestCase Results of a measure evaluation
Constraints: mrp-1, mrp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:testCaseDescription S 0..1 markdown What is being tested
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
.... extension:inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:operation S 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
.... extension:softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:isTestCase ?!S 0..1 boolean Test Case?
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... period Σ 1..1 Period What period the report covers
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group SC 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population SC 0..* BackboneElement The populations in the group
Constraints: cntq-1
..... Slices for extension Content/Rules for all slices
...... extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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 S 0..1 integer Size of the population
.... measureScore SΣ 0..1 Quantity What score this group achieved
.... stratifier S 0..* BackboneElement Stratification results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component S 0..* BackboneElement Stratifier component values
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population SC 0..* BackboneElement Population results in this stratum
Constraints: cntq-1
....... Slices for extension Content/Rules for all slices
........ extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 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 S 0..1 integer Size of the population
...... measureScore S 0..1 Quantity What score this stratum achieved
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* CQMTestCase 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:testCaseDescription S 0..1 markdown What is being tested
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription
.... extension:inputParameters S 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:operation S 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
.... extension:softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:isTestCase ?!S 0..1 boolean Test Case?
URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase
... identifier Σ 1..1 Identifier CMS dQM test cases must have an identifier
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
... measure SΣ 1..1 canonical(Measure) What measure was calculated
... subject Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) What individual(s) the report is for
... 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 ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group SC 0..* 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 0..1 CodeableConcept Meaning of the group
.... population SC 0..* BackboneElement The populations in the group
Constraints: cntq-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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 S 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
.... measureScore SΣ 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 S 0..* CodeableConcept What stratifier of the group
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component S 0..* 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 S 1..1 CodeableConcept What stratifier component of the group
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population SC 0..* BackboneElement Population results in this stratum
Constraints: cntq-1
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ extension:countQuantity S 0..1 Quantity Size of the population as a quantity.
URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 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 S 0..1 integer Size of the population
....... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
...... measureScore S 0..1 Quantity What score this stratum achieved
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
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

 

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