Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example OperationDefinition/Measure-evaluate-measure (XML)

Clinical Quality Information Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Operation Definition

<?xml version="1.0" encoding="UTF-8"?>

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Measure-evaluate-measure"/> 
  <text> 
    <status value="extensions"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> URL: [base]/Measure/$evaluate-measure</p> 
      <p> URL: [base]/Measure/[id]/$evaluate-measure</p> 
      <p> Parameters</p> 
      <table class="grid">
        <tr> 
          <td> 
            <b> Use</b> 
          </td> 
          <td> 
            <b> Name</b> 
          </td> 
          <td> 
            <b> Cardinality</b> 
          </td> 
          <td> 
            <b> Type</b> 
          </td> 
          <td> 
            <b> Binding</b> 
          </td> 
          <td> 
            <b> Documentation</b> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> measure</td> 
          <td> 0..1</td> 
          <td> 
            <a href="measure.html">Measure</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The measure to evaluate. If the operation is invoked at the instance level, this parameter
                 is not allowed; if the operation is invoked at the type level, this parameter is required,
                 or a url (and optionally version) must be supplied.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> url</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The url of the plan measure to be applied. If the operation is invoked at the instance
                 level, this parameter is not allowed; if the operation is invoked at the type level, this
                 parameter (and optionally the version), or the measure parameter must be supplied</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> version</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The version of the measure to be applied. If the operation is invoked at the instance
                 level, this parameter is not allowed; if the operation is invoked at the type level, this
                 parameter may only be used if the url parameter is supplied.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> subject</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
            <br/>  (
            <a href="search.html#reference">reference</a> )
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Subject for which the measure will be calculated. The subject may be a Patient, Practitioner,
                 PractitionerRole, Organization, Location, Device, or Group. Subjects provided in this
                 parameter will be resolved as the subject of the measure based on the type of the subject.
                 If multiple subjects of the same type are provided, the behavior is implementation-defined</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> periodStart</td> 
          <td> 1..1</td> 
          <td> 
            <a href="datatypes.html#date">date</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The start of the measurement period. In keeping with the semantics of the date parameter
                 used in the FHIR search operation, the period will start at the beginning of the period
                 implied by the supplied timestamp. E.g. a value of 2014 would set the period start to
                 be 2014-01-01T00:00:00 inclusive</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> periodEnd</td> 
          <td> 1..1</td> 
          <td> 
            <a href="datatypes.html#date">date</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The end of the measurement period. The period will end at the end of the period implied
                 by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59
                 inclusive</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> reportType</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The type of measure report: subject, subject-list, or population. If not specified, a
                 default value of subject will be used if the subject parameter is supplied, otherwise,
                 population will be used</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> provider</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
            <br/>  (
            <a href="search.html#reference">reference</a> )
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The provider for which the report will be run. This may be a reference to a Practitioner,
                 PractitionerRole, or Organization. If specified, the measure will be calculated for subjects
                 that have a primary relationship to the identified provider. How this relationship is
                 determined is implementation-specific.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> location</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
            <br/>  (
            <a href="search.html#reference">reference</a> )
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The location for which the report will be run.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> lastReceivedOn</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The date the results of this measure were last received. This parameter is only valid
                 for patient-level reports and is used to indicate when the last time a result for this
                 patient was received. This information can be used to limit the set of resources returned
                 for a patient-level report</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> parameters</td> 
          <td> 0..1</td> 
          <td> 
            <a href="parameters.html">Parameters</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Any input parameters for the evaluation. Parameters defined in this input will be made
                 available by name to the CQL expression. Parameter types are mapped to CQL as specified
                 in the Using CQL topic of the Clinical Reasoning Module. If a parameter appears more than
                 once in the input Parameters resource, it is represented with a List in the input CQL.
                 If a parameter has parts, it is represented as a Tuple in the input CQL.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> OUT</td> 
          <td> return</td> 
          <td> 0..*</td> 
          <td> 
            <a href="bundle.html">Bundle</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The results of the measure calculation. The result of this operation will be a Bundle
                 for each input subject, where the first entry of the Bundle is a MeasureReport representing
                 the results of the calculation, and subsequent entries in the Bundle are resources created
                 and/or evaluated as part of the calculation. See the MeasureReport resource for a complete
                 description of the output of this operation. Note that implementations may choose to return
                 a MeasureReport with a status of pending to indicate that the report is still being generated.
                 In this case, the client can use a polling method to continually request the MeasureReport
                 until the status is updated to complete</p> 

            </div> 
          </td> 
        </tr> 
      </table> 
      <div> 
        <p> The effect of invoking this operation is to calculate the measure for the given subject(s),
           or all subjects if no subject is supplied. For individual and subject-list reports, the
           result is a set of Bundles, one for each evaluated subject, where the first entry in each
           bundle is a MeasureReport resource, and subsequent entries in the Bundle are resources
           evaluated or created as part of the measure evaluation. For the summary report, the result
           of this operation is a single bundle with a single MeasureReport of type summary. Note
           that whether or not this operation affects the state of the server depends on whether
           the server persists the generated MeasureReport. If the MeasureReport is not persisted,
           this operation can be invoked with GET</p> 

      </div> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"/> 
  <version value="5.0.0-ballot"/> 
  <name value="EvaluateMeasure"/> 
  <title value="Evaluate Measure"/> 
  <status value="draft"/> 
  <kind value="operation"/> 
  <experimental value="false"/> 
  <date value="2022-09-07T10:58:29+10:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The evaluate-measure operation is used to calculate an eMeasure and obtain the results"/> 
  <affectsState value="false"/> 
  <code value="evaluate-measure"/> 
  <comment value="The effect of invoking this operation is to calculate the measure for the given subject(s),
   or all subjects if no subject is supplied. For individual and subject-list reports, the
   result is a set of Bundles, one for each evaluated subject, where the first entry in each
   bundle is a MeasureReport resource, and subsequent entries in the Bundle are resources
   evaluated or created as part of the measure evaluation. For the summary report, the result
   of this operation is a single bundle with a single MeasureReport of type summary. Note
   that whether or not this operation affects the state of the server depends on whether
   the server persists the generated MeasureReport. If the MeasureReport is not persisted,
   this operation can be invoked with GET"/> 
  <resource value="Measure"/> 
  <system value="false"/> 
  <type value="true"/> 
  <instance value="true"/> 
  <parameter> 
    <name value="measure"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The measure to evaluate. If the operation is invoked at the instance level, this parameter
     is not allowed; if the operation is invoked at the type level, this parameter is required,
     or a url (and optionally version) must be supplied."/> 
    <type value="Measure"/> 
  </parameter> 
  <parameter> 
    <name value="url"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The url of the plan measure to be applied. If the operation is invoked at the instance
     level, this parameter is not allowed; if the operation is invoked at the type level, this
     parameter (and optionally the version), or the measure parameter must be supplied"/> 
    <type value="canonical"/> 
    <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> 
  </parameter> 
  <parameter> 
    <name value="version"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The version of the measure to be applied. If the operation is invoked at the instance
     level, this parameter is not allowed; if the operation is invoked at the type level, this
     parameter may only be used if the url parameter is supplied."/> 
    <type value="string"/> 
  </parameter> 
  <parameter> 
    <name value="subject"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Subject for which the measure will be calculated. The subject may be a Patient, Practitioner,
     PractitionerRole, Organization, Location, Device, or Group. Subjects provided in this
     parameter will be resolved as the subject of the measure based on the type of the subject.
     If multiple subjects of the same type are provided, the behavior is implementation-defined"/> 
    <type value="string"/> 
    <searchType value="reference"/> 
  </parameter> 
  <parameter> 
    <name value="periodStart"/> 
    <use value="in"/> 
    <min value="1"/> 
    <max value="1"/> 
    <documentation value="The start of the measurement period. In keeping with the semantics of the date parameter
     used in the FHIR search operation, the period will start at the beginning of the period
     implied by the supplied timestamp. E.g. a value of 2014 would set the period start to
     be 2014-01-01T00:00:00 inclusive"/> 
    <type value="date"/> 
  </parameter> 
  <parameter> 
    <name value="periodEnd"/> 
    <use value="in"/> 
    <min value="1"/> 
    <max value="1"/> 
    <documentation value="The end of the measurement period. The period will end at the end of the period implied
     by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59
     inclusive"/> 
    <type value="date"/> 
  </parameter> 
  <parameter> 
    <name value="reportType"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The type of measure report: subject, subject-list, or population. If not specified, a
     default value of subject will be used if the subject parameter is supplied, otherwise,
     population will be used"/> 
    <type value="code"/> 
  </parameter> 
  <parameter> 
    <name value="provider"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The provider for which the report will be run. This may be a reference to a Practitioner,
     PractitionerRole, or Organization. If specified, the measure will be calculated for subjects
     that have a primary relationship to the identified provider. How this relationship is
     determined is implementation-specific."/> 
    <type value="string"/> 
    <searchType value="reference"/> 
  </parameter> 
  <parameter> 
    <name value="location"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The location for which the report will be run."/> 
    <type value="string"/> 
    <searchType value="reference"/> 
  </parameter> 
  <parameter> 
    <name value="lastReceivedOn"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The date the results of this measure were last received. This parameter is only valid
     for patient-level reports and is used to indicate when the last time a result for this
     patient was received. This information can be used to limit the set of resources returned
     for a patient-level report"/> 
    <type value="dateTime"/> 
  </parameter> 
  <parameter> 
    <name value="parameters"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Any input parameters for the evaluation. Parameters defined in this input will be made
     available by name to the CQL expression. Parameter types are mapped to CQL as specified
     in the Using CQL topic of the Clinical Reasoning Module. If a parameter appears more than
     once in the input Parameters resource, it is represented with a List in the input CQL.
     If a parameter has parts, it is represented as a Tuple in the input CQL."/> 
    <type value="Parameters"/> 
  </parameter> 
  <parameter> 
    <name value="return"/> 
    <use value="out"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="The results of the measure calculation. The result of this operation will be a Bundle
     for each input subject, where the first entry of the Bundle is a MeasureReport representing
     the results of the calculation, and subsequent entries in the Bundle are resources created
     and/or evaluated as part of the calculation. See the MeasureReport resource for a complete
     description of the output of this operation. Note that implementations may choose to return
     a MeasureReport with a status of pending to indicate that the report is still being generated.
     In this case, the client can use a polling method to continually request the MeasureReport
     until the status is updated to complete"/> 
    <type value="Bundle"/> 
  </parameter> 
</OperationDefinition> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.