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14.19 Resource MeasureReport - Content

Clinical Quality Information icon

Work Group

Maturity Level: 4

Trial Use

Security Category: Business

Compartments: Patient

The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.

14.19.1 Scope and Usage

The MeasureReport resource represents the results of calculating a measure for a specific subject or group of subjects. The $evaluate-measure operation of the Measure resource is defined to return a MeasureReport. The resource is capable of representing three different levels of report: individual, subject-list, and summary.

The resource draws requirements from the HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture - Category 1 (QRDA I) DSTU Release 3 (US Realm) and the HL7 Implementation Guide for CDA Release 2: Quality Reporting Document Architecture - Category III (QRDA III), DSTU Release 1 implementation guides.

For a detailed discussion of how to use the Measure and MeasureReport resources, refer to the Quality Reporting topic.

Note that this resource is a special case of the more general notion of a query evaluation result. However, because the general case requires the ability to represent arbitrary content, this resource uses a simple indicator structure to describe population sizes for each population type defined in the measure. The intent is to be able to represent the more general case as well, either by generalizing this resource, or by making this structure a profile of a more general resource, and we are actively seeking comments about what approaches might be taken to achieve that aim.

14.19.2 Boundaries and Relationships

Although the MeasureReport is conceptually an Observation, there is enough specific information required to support the quality reporting use case to warrant a separate resource.

The resource is differentiated from a general purpose query result because it communicates specific information related to quality measurement evaluation that would be difficult to convey generally without imposing some other structure on top of the general results.

14.19.3 References to this Resource

Resource References: itself

Structure

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	TU		DomainResource	Results of a measure evaluation + Rule: Measure Reports used for data collection SHALL NOT communicate group and score information + Rule: Stratifiers SHALL be either a single criteria or a set of criteria components Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!Σ	1..1	code	complete \| pending \| error Binding: Measure Report Status (Required)
type	Σ C	1..1	code	individual \| subject-list \| summary \| data-exchange Binding: Measure Report Type (Required)
dataUpdateType	?!Σ	0..1	code	incremental \| snapshot Binding: Submit Data Update Type (Required)
measure	Σ	0..1	canonical(Measure)	What measure was calculated
subject	Σ	0..1	Reference(CareTeam \| Device \| Group \| HealthcareService \| Location \| Organization \| Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	What individual(s) the report is for
date	Σ	0..1	dateTime	When the measure was calculated
reporter	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Group)	Who is reporting the data
reportingVendor		0..1	Reference(Organization)	What vendor prepared the data
location		0..1	Reference(Location)	Where the reported data is from
period	Σ	1..1	Period	What period the report covers
inputParameters		0..1	Reference(Parameters)	What parameters were provided to the report
scoring	?!Σ	0..1	CodeableConcept	What scoring method (e.g. proportion, ratio, continuous-variable) Binding: MeasureScoring (Extensible)
improvementNotation	?!Σ	0..1	CodeableConcept	increase \| decrease Binding: Measure Improvement Notation (Required)
group	C	0..*	BackboneElement	Measure results for each group
linkId		0..1	string	Pointer to specific group from Measure
code	Σ	0..1	CodeableConcept	Meaning of the group Binding: Measure Group Example (Example)
subject	Σ	0..1	Reference(CareTeam \| Device \| Group \| HealthcareService \| Location \| Organization \| Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	What individual(s) the report is for
population		0..*	BackboneElement	The populations in the group
linkId		0..1	string	Pointer to specific population from Measure
code	Σ	0..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: Measure Population Type (Extensible)
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
subjectReport		0..*	Reference(MeasureReport)	For subject-list reports, a subject result in this population
subjects		0..1	Reference(Group)	What individual(s) in the population
measureScore[x]	Σ	0..1		What score this group achieved
measureScoreQuantity			Quantity
measureScoreDateTime			dateTime
measureScoreCodeableConcept			CodeableConcept
measureScorePeriod			Period
measureScoreRange			Range
measureScoreDuration			Duration
stratifier	C	0..*	BackboneElement	Stratification results
linkId		0..1	string	Pointer to specific stratifier from Measure
code		0..1	CodeableConcept	What stratifier of the group Binding: Measure Stratifier Example (Example)
stratum	C	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
value[x]	C	0..1		The stratum value, e.g. male Binding: Measure Report Stratifier Value Example (Example)
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference()
component	C	0..*	BackboneElement	Stratifier component values
linkId		0..1	string	Pointer to specific stratifier component from Measure
code		1..1	CodeableConcept	What stratifier component of the group Binding: Measure Stratifier Example (Example)
value[x]		1..1		The stratum component value, e.g. male Binding: Measure Report Stratifier Value Example (Example)
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference()
population		0..*	BackboneElement	Population results in this stratum
linkId		0..1	string	Pointer to specific population from Measure
code		0..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: Measure Population Type (Extensible)
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
subjectReport		0..*	Reference(MeasureReport)	For subject-list reports, a subject result in this population
subjects		0..1	Reference(Group)	What individual(s) in the population
measureScore[x]		0..1		What score this stratum achieved
measureScoreQuantity			Quantity
measureScoreDateTime			dateTime
measureScoreCodeableConcept			CodeableConcept
measureScorePeriod			Period
measureScoreRange			Range
measureScoreDuration			Duration
supplementalData		0..*	Reference(Any)	Additional information collected for the report
evaluatedResource		0..*	Reference(Any)	What data was used to calculate the measure score
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<MeasureReport xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Additional identifier for the MeasureReport --></identifier>
 <status value="[code]"/><!-- 1..1 complete | pending | error -->
 <type value="[code]"/><!-- I 1..1 individual | subject-list | summary | data-exchange -->
 <dataUpdateType value="[code]"/><!-- 0..1 incremental | snapshot -->
 <measure><!-- 0..1 canonical(Measure) What measure was calculated --></measure>
 <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
 <date value="[dateTime]"/><!-- 0..1 When the measure was calculated -->
 <reporter><!-- 0..1 Reference(Group|Organization|Practitioner|PractitionerRole) Who is reporting the data --></reporter>
 <reportingVendor><!-- 0..1 Reference(Organization) What vendor prepared the data --></reportingVendor>
 <location><!-- 0..1 Reference(Location) Where the reported data is from --></location>
 <period><!-- 1..1 Period What period the report covers --></period>
 <inputParameters><!-- 0..1 Reference(Parameters) What parameters were provided to the report --></inputParameters>
 <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable)  --></scoring>
 <improvementNotation><!-- 0..1 CodeableConcept increase | decrease --></improvementNotation>
 <group>  <!-- I 0..* Measure results for each group -->
  <linkId value="[string]"/><!-- 0..1 Pointer to specific group from Measure -->
  <code><!-- 0..1 CodeableConcept Meaning of the group --></code>
  <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
  <population>  <!-- 0..* The populations in the group -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
   <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code>
   <count value="[integer]"/><!-- 0..1 Size of the population -->
   <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
   <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
   <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
  </population>
  <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
    Duration What score this group achieved --></measureScore[x]>
  <stratifier>  <!-- I 0..* Stratification results -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier from Measure -->
   <code><!-- 0..1 CodeableConcept What stratifier of the group --></code>
   <stratum>  <!-- I 0..* Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components -->
    <value[x]><!-- I 0..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum value, e.g. male --></value[x]>
    <component>  <!-- I 0..* Stratifier component values -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier component from Measure -->
     <code><!-- 1..1 CodeableConcept What stratifier component of the group --></code>
     <value[x]><!-- 1..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum component value, e.g. male --></value[x]>
    </component>
    <population>  <!-- 0..* Population results in this stratum -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
     <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code>
     <count value="[integer]"/><!-- 0..1 Size of the population -->
     <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
     <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
     <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
    </population>
    <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
      Duration What score this stratum achieved --></measureScore[x]>
   </stratum>
  </stratifier>
 </group>
 <supplementalData><!-- 0..* Reference(Any) Additional information collected for the report --></supplementalData>
 <evaluatedResource><!-- 0..* Reference(Any) What data was used to calculate the measure score --></evaluatedResource>
</MeasureReport>

JSON Template

{
  "resourceType" : "MeasureReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Additional identifier for the MeasureReport
  "status" : "<code>", // R!  complete | pending | error
  "type" : "<code>", // I R!  individual | subject-list | summary | data-exchange
  "dataUpdateType" : "<code>", // incremental | snapshot
  "measure" : "<canonical(Measure)>", // What measure was calculated
  "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
  "date" : "<dateTime>", // When the measure was calculated
  "reporter" : { Reference(Group|Organization|Practitioner|PractitionerRole) }, // Who is reporting the data
  "reportingVendor" : { Reference(Organization) }, // What vendor prepared the data
  "location" : { Reference(Location) }, // Where the reported data is from
  "period" : { Period }, // R!  What period the report covers
  "inputParameters" : { Reference(Parameters) }, // What parameters were provided to the report
  "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) 
  "improvementNotation" : { CodeableConcept }, // increase | decrease
  "group" : [{ // I Measure results for each group
    "linkId" : "<string>", // Pointer to specific group from Measure
    "code" : { CodeableConcept }, // Meaning of the group
    "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
    "population" : [{ // The populations in the group
      "linkId" : "<string>", // Pointer to specific population from Measure
      "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      "count" : <integer>, // Size of the population
      "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
      "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
      "subjects" : { Reference(Group) } // What individual(s) in the population
    }],
    // measureScore[x]: What score this group achieved. One of these 6:
    "measureScoreQuantity" : { Quantity },
    "measureScoreDateTime" : "<dateTime>",
    "measureScoreCodeableConcept" : { CodeableConcept },
    "measureScorePeriod" : { Period },
    "measureScoreRange" : { Range },
    "measureScoreDuration" : { Duration },
    "stratifier" : [{ // I Stratification results
      "linkId" : "<string>", // Pointer to specific stratifier from Measure
      "code" : { CodeableConcept }, // What stratifier of the group
      "stratum" : [{ // I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        // value[x]: The stratum value, e.g. male. One of these 5:
        "valueCodeableConcept" : { CodeableConcept },
        "valueBoolean" : <boolean>,
        "valueQuantity" : { Quantity },
        "valueRange" : { Range },
        "valueReference" : { Reference },
        "component" : [{ // I Stratifier component values
          "linkId" : "<string>", // Pointer to specific stratifier component from Measure
          "code" : { CodeableConcept }, // R!  What stratifier component of the group
          // value[x]: The stratum component value, e.g. male. One of these 5:
          "valueCodeableConcept" : { CodeableConcept },
          "valueBoolean" : <boolean>,
          "valueQuantity" : { Quantity },
          "valueRange" : { Range },
          "valueReference" : { Reference }
        }],
        "population" : [{ // Population results in this stratum
          "linkId" : "<string>", // Pointer to specific population from Measure
          "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          "count" : <integer>, // Size of the population
          "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
          "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
          "subjects" : { Reference(Group) } // What individual(s) in the population
        }],
        // measureScore[x]: What score this stratum achieved. One of these 6:
        "measureScoreQuantity" : { Quantity },
        "measureScoreDateTime" : "<dateTime>",
        "measureScoreCodeableConcept" : { CodeableConcept },
        "measureScorePeriod" : { Period },
        "measureScoreRange" : { Range },
        "measureScoreDuration" : { Duration }
      }]
    }]
  }],
  "supplementalData" : [{ Reference(Any) }], // Additional information collected for the report
  "evaluatedResource" : [{ Reference(Any) }] // What data was used to calculate the measure score
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:MeasureReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the MeasureReport
  fhir:status [ code ] ; # 1..1 complete | pending | error
  fhir:type [ code ] ; # 1..1 I individual | subject-list | summary | data-exchange
  fhir:dataUpdateType [ code ] ; # 0..1 incremental | snapshot
  fhir:measure [ canonical(Measure) ] ; # 0..1 What measure was calculated
  fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
  fhir:date [ dateTime ] ; # 0..1 When the measure was calculated
  fhir:reporter [ Reference(Group|Organization|Practitioner|PractitionerRole) ] ; # 0..1 Who is reporting the data
  fhir:reportingVendor [ Reference(Organization) ] ; # 0..1 What vendor prepared the data
  fhir:location [ Reference(Location) ] ; # 0..1 Where the reported data is from
  fhir:period [ Period ] ; # 1..1 What period the report covers
  fhir:inputParameters [ Reference(Parameters) ] ; # 0..1 What parameters were provided to the report
  fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable)
  fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
  fhir:group ( [ # 0..* I Measure results for each group
    fhir:linkId [ string ] ; # 0..1 Pointer to specific group from Measure
    fhir:code [ CodeableConcept ] ; # 0..1 Meaning of the group
    fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
    fhir:population ( [ # 0..* The populations in the group
      fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:count [ integer ] ; # 0..1 Size of the population
      fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
      fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
      fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
    ] ... ) ;
    # measureScore[x] : 0..1 What score this group achieved. One of these 6
      fhir:measureScore [  a fhir:Quantity ; Quantity ]
      fhir:measureScore [  a fhir:dateTime ; dateTime ]
      fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:measureScore [  a fhir:Period ; Period ]
      fhir:measureScore [  a fhir:Range ; Range ]
      fhir:measureScore [  a fhir:Duration ; Duration ]
    fhir:stratifier ( [ # 0..* I Stratification results
      fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 What stratifier of the group
      fhir:stratum ( [ # 0..* I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        # value[x] : 0..1 I The stratum value, e.g. male. One of these 5
          fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:value [  a fhir:boolean ; boolean ]
          fhir:value [  a fhir:Quantity ; Quantity ]
          fhir:value [  a fhir:Range ; Range ]
          fhir:value [  a fhir:Reference ; Reference ]
        fhir:component ( [ # 0..* I Stratifier component values
          fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier component from Measure
          fhir:code [ CodeableConcept ] ; # 1..1 What stratifier component of the group
          # value[x] : 1..1 The stratum component value, e.g. male. One of these 5
            fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
            fhir:value [  a fhir:boolean ; boolean ]
            fhir:value [  a fhir:Quantity ; Quantity ]
            fhir:value [  a fhir:Range ; Range ]
            fhir:value [  a fhir:Reference ; Reference ]
        ] ... ) ;
        fhir:population ( [ # 0..* Population results in this stratum
          fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
          fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          fhir:count [ integer ] ; # 0..1 Size of the population
          fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
          fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
          fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
        ] ... ) ;
        # measureScore[x] : 0..1 What score this stratum achieved. One of these 6
          fhir:measureScore [  a fhir:Quantity ; Quantity ]
          fhir:measureScore [  a fhir:dateTime ; dateTime ]
          fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:measureScore [  a fhir:Period ; Period ]
          fhir:measureScore [  a fhir:Range ; Range ]
          fhir:measureScore [  a fhir:Duration ; Duration ]
      ] ... ) ;
    ] ... ) ;
  ] ... ) ;
  fhir:supplementalData  ( [ Reference(Any) ] ... ) ; # 0..* Additional information collected for the report
  fhir:evaluatedResource  ( [ Reference(Any) ] ... ) ; # 0..* What data was used to calculate the measure score
]

Changes from both R4 and R4B

MeasureReport

MeasureReport.type

Remove code data-collection
Add code data-exchange

MeasureReport.dataUpdateType

Added Element

MeasureReport.measure

Min Cardinality changed from 1 to 0

MeasureReport.subject

Type Reference: Added Target Types CareTeam, HealthcareService, Organization

MeasureReport.reporter

Type Reference: Added Target Type Group
Type Reference: Removed Target Type Location

MeasureReport.reportingVendor

Added Element

MeasureReport.location

Added Element

MeasureReport.inputParameters

Added Element

MeasureReport.scoring

Added Element

MeasureReport.group.linkId

Added Element

MeasureReport.group.subject

Added Element

MeasureReport.group.population.linkId

Added Element

MeasureReport.group.population.subjectReport

Added Element

MeasureReport.group.population.subjects

Added Element

MeasureReport.group.measureScore[x]

Renamed from measureScore to measureScore[x]
Add Types dateTime, CodeableConcept, Period, Range, Duration

MeasureReport.group.stratifier.linkId

Added Element

MeasureReport.group.stratifier.code

Max Cardinality changed from * to 1

MeasureReport.group.stratifier.stratum.value[x]

Renamed from value to value[x]
Add Types boolean, Quantity, Range, Reference

MeasureReport.group.stratifier.stratum.component.linkId

Added Element

MeasureReport.group.stratifier.stratum.component.value[x]

Renamed from value to value[x]
Add Types boolean, Quantity, Range, Reference

MeasureReport.group.stratifier.stratum.population.linkId

Added Element

MeasureReport.group.stratifier.stratum.population.subjectReport

Added Element

MeasureReport.group.stratifier.stratum.population.subjects

Added Element

MeasureReport.group.stratifier.stratum.measureScore[x]

Renamed from measureScore to measureScore[x]
Add Types dateTime, CodeableConcept, Period, Range, Duration

MeasureReport.supplementalData

Added Element

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

Structure

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	TU		DomainResource	Results of a measure evaluation + Rule: Measure Reports used for data collection SHALL NOT communicate group and score information + Rule: Stratifiers SHALL be either a single criteria or a set of criteria components Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!Σ	1..1	code	complete \| pending \| error Binding: Measure Report Status (Required)
type	Σ C	1..1	code	individual \| subject-list \| summary \| data-exchange Binding: Measure Report Type (Required)
dataUpdateType	?!Σ	0..1	code	incremental \| snapshot Binding: Submit Data Update Type (Required)
measure	Σ	0..1	canonical(Measure)	What measure was calculated
subject	Σ	0..1	Reference(CareTeam \| Device \| Group \| HealthcareService \| Location \| Organization \| Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	What individual(s) the report is for
date	Σ	0..1	dateTime	When the measure was calculated
reporter	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Group)	Who is reporting the data
reportingVendor		0..1	Reference(Organization)	What vendor prepared the data
location		0..1	Reference(Location)	Where the reported data is from
period	Σ	1..1	Period	What period the report covers
inputParameters		0..1	Reference(Parameters)	What parameters were provided to the report
scoring	?!Σ	0..1	CodeableConcept	What scoring method (e.g. proportion, ratio, continuous-variable) Binding: MeasureScoring (Extensible)
improvementNotation	?!Σ	0..1	CodeableConcept	increase \| decrease Binding: Measure Improvement Notation (Required)
group	C	0..*	BackboneElement	Measure results for each group
linkId		0..1	string	Pointer to specific group from Measure
code	Σ	0..1	CodeableConcept	Meaning of the group Binding: Measure Group Example (Example)
subject	Σ	0..1	Reference(CareTeam \| Device \| Group \| HealthcareService \| Location \| Organization \| Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	What individual(s) the report is for
population		0..*	BackboneElement	The populations in the group
linkId		0..1	string	Pointer to specific population from Measure
code	Σ	0..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: Measure Population Type (Extensible)
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
subjectReport		0..*	Reference(MeasureReport)	For subject-list reports, a subject result in this population
subjects		0..1	Reference(Group)	What individual(s) in the population
measureScore[x]	Σ	0..1		What score this group achieved
measureScoreQuantity			Quantity
measureScoreDateTime			dateTime
measureScoreCodeableConcept			CodeableConcept
measureScorePeriod			Period
measureScoreRange			Range
measureScoreDuration			Duration
stratifier	C	0..*	BackboneElement	Stratification results
linkId		0..1	string	Pointer to specific stratifier from Measure
code		0..1	CodeableConcept	What stratifier of the group Binding: Measure Stratifier Example (Example)
stratum	C	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
value[x]	C	0..1		The stratum value, e.g. male Binding: Measure Report Stratifier Value Example (Example)
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference()
component	C	0..*	BackboneElement	Stratifier component values
linkId		0..1	string	Pointer to specific stratifier component from Measure
code		1..1	CodeableConcept	What stratifier component of the group Binding: Measure Stratifier Example (Example)
value[x]		1..1		The stratum component value, e.g. male Binding: Measure Report Stratifier Value Example (Example)
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference()
population		0..*	BackboneElement	Population results in this stratum
linkId		0..1	string	Pointer to specific population from Measure
code		0..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: Measure Population Type (Extensible)
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
subjectReport		0..*	Reference(MeasureReport)	For subject-list reports, a subject result in this population
subjects		0..1	Reference(Group)	What individual(s) in the population
measureScore[x]		0..1		What score this stratum achieved
measureScoreQuantity			Quantity
measureScoreDateTime			dateTime
measureScoreCodeableConcept			CodeableConcept
measureScorePeriod			Period
measureScoreRange			Range
measureScoreDuration			Duration
supplementalData		0..*	Reference(Any)	Additional information collected for the report
evaluatedResource		0..*	Reference(Any)	What data was used to calculate the measure score
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<MeasureReport xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Additional identifier for the MeasureReport --></identifier>
 <status value="[code]"/><!-- 1..1 complete | pending | error -->
 <type value="[code]"/><!-- I 1..1 individual | subject-list | summary | data-exchange -->
 <dataUpdateType value="[code]"/><!-- 0..1 incremental | snapshot -->
 <measure><!-- 0..1 canonical(Measure) What measure was calculated --></measure>
 <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
 <date value="[dateTime]"/><!-- 0..1 When the measure was calculated -->
 <reporter><!-- 0..1 Reference(Group|Organization|Practitioner|PractitionerRole) Who is reporting the data --></reporter>
 <reportingVendor><!-- 0..1 Reference(Organization) What vendor prepared the data --></reportingVendor>
 <location><!-- 0..1 Reference(Location) Where the reported data is from --></location>
 <period><!-- 1..1 Period What period the report covers --></period>
 <inputParameters><!-- 0..1 Reference(Parameters) What parameters were provided to the report --></inputParameters>
 <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable)  --></scoring>
 <improvementNotation><!-- 0..1 CodeableConcept increase | decrease --></improvementNotation>
 <group>  <!-- I 0..* Measure results for each group -->
  <linkId value="[string]"/><!-- 0..1 Pointer to specific group from Measure -->
  <code><!-- 0..1 CodeableConcept Meaning of the group --></code>
  <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
  <population>  <!-- 0..* The populations in the group -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
   <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code>
   <count value="[integer]"/><!-- 0..1 Size of the population -->
   <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
   <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
   <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
  </population>
  <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
    Duration What score this group achieved --></measureScore[x]>
  <stratifier>  <!-- I 0..* Stratification results -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier from Measure -->
   <code><!-- 0..1 CodeableConcept What stratifier of the group --></code>
   <stratum>  <!-- I 0..* Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components -->
    <value[x]><!-- I 0..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum value, e.g. male --></value[x]>
    <component>  <!-- I 0..* Stratifier component values -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier component from Measure -->
     <code><!-- 1..1 CodeableConcept What stratifier component of the group --></code>
     <value[x]><!-- 1..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum component value, e.g. male --></value[x]>
    </component>
    <population>  <!-- 0..* Population results in this stratum -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
     <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code>
     <count value="[integer]"/><!-- 0..1 Size of the population -->
     <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
     <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
     <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
    </population>
    <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
      Duration What score this stratum achieved --></measureScore[x]>
   </stratum>
  </stratifier>
 </group>
 <supplementalData><!-- 0..* Reference(Any) Additional information collected for the report --></supplementalData>
 <evaluatedResource><!-- 0..* Reference(Any) What data was used to calculate the measure score --></evaluatedResource>
</MeasureReport>

JSON Template

{
  "resourceType" : "MeasureReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Additional identifier for the MeasureReport
  "status" : "<code>", // R!  complete | pending | error
  "type" : "<code>", // I R!  individual | subject-list | summary | data-exchange
  "dataUpdateType" : "<code>", // incremental | snapshot
  "measure" : "<canonical(Measure)>", // What measure was calculated
  "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
  "date" : "<dateTime>", // When the measure was calculated
  "reporter" : { Reference(Group|Organization|Practitioner|PractitionerRole) }, // Who is reporting the data
  "reportingVendor" : { Reference(Organization) }, // What vendor prepared the data
  "location" : { Reference(Location) }, // Where the reported data is from
  "period" : { Period }, // R!  What period the report covers
  "inputParameters" : { Reference(Parameters) }, // What parameters were provided to the report
  "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) 
  "improvementNotation" : { CodeableConcept }, // increase | decrease
  "group" : [{ // I Measure results for each group
    "linkId" : "<string>", // Pointer to specific group from Measure
    "code" : { CodeableConcept }, // Meaning of the group
    "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
    "population" : [{ // The populations in the group
      "linkId" : "<string>", // Pointer to specific population from Measure
      "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      "count" : <integer>, // Size of the population
      "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
      "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
      "subjects" : { Reference(Group) } // What individual(s) in the population
    }],
    // measureScore[x]: What score this group achieved. One of these 6:
    "measureScoreQuantity" : { Quantity },
    "measureScoreDateTime" : "<dateTime>",
    "measureScoreCodeableConcept" : { CodeableConcept },
    "measureScorePeriod" : { Period },
    "measureScoreRange" : { Range },
    "measureScoreDuration" : { Duration },
    "stratifier" : [{ // I Stratification results
      "linkId" : "<string>", // Pointer to specific stratifier from Measure
      "code" : { CodeableConcept }, // What stratifier of the group
      "stratum" : [{ // I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        // value[x]: The stratum value, e.g. male. One of these 5:
        "valueCodeableConcept" : { CodeableConcept },
        "valueBoolean" : <boolean>,
        "valueQuantity" : { Quantity },
        "valueRange" : { Range },
        "valueReference" : { Reference },
        "component" : [{ // I Stratifier component values
          "linkId" : "<string>", // Pointer to specific stratifier component from Measure
          "code" : { CodeableConcept }, // R!  What stratifier component of the group
          // value[x]: The stratum component value, e.g. male. One of these 5:
          "valueCodeableConcept" : { CodeableConcept },
          "valueBoolean" : <boolean>,
          "valueQuantity" : { Quantity },
          "valueRange" : { Range },
          "valueReference" : { Reference }
        }],
        "population" : [{ // Population results in this stratum
          "linkId" : "<string>", // Pointer to specific population from Measure
          "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          "count" : <integer>, // Size of the population
          "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
          "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
          "subjects" : { Reference(Group) } // What individual(s) in the population
        }],
        // measureScore[x]: What score this stratum achieved. One of these 6:
        "measureScoreQuantity" : { Quantity },
        "measureScoreDateTime" : "<dateTime>",
        "measureScoreCodeableConcept" : { CodeableConcept },
        "measureScorePeriod" : { Period },
        "measureScoreRange" : { Range },
        "measureScoreDuration" : { Duration }
      }]
    }]
  }],
  "supplementalData" : [{ Reference(Any) }], // Additional information collected for the report
  "evaluatedResource" : [{ Reference(Any) }] // What data was used to calculate the measure score
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:MeasureReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the MeasureReport
  fhir:status [ code ] ; # 1..1 complete | pending | error
  fhir:type [ code ] ; # 1..1 I individual | subject-list | summary | data-exchange
  fhir:dataUpdateType [ code ] ; # 0..1 incremental | snapshot
  fhir:measure [ canonical(Measure) ] ; # 0..1 What measure was calculated
  fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
  fhir:date [ dateTime ] ; # 0..1 When the measure was calculated
  fhir:reporter [ Reference(Group|Organization|Practitioner|PractitionerRole) ] ; # 0..1 Who is reporting the data
  fhir:reportingVendor [ Reference(Organization) ] ; # 0..1 What vendor prepared the data
  fhir:location [ Reference(Location) ] ; # 0..1 Where the reported data is from
  fhir:period [ Period ] ; # 1..1 What period the report covers
  fhir:inputParameters [ Reference(Parameters) ] ; # 0..1 What parameters were provided to the report
  fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable)
  fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
  fhir:group ( [ # 0..* I Measure results for each group
    fhir:linkId [ string ] ; # 0..1 Pointer to specific group from Measure
    fhir:code [ CodeableConcept ] ; # 0..1 Meaning of the group
    fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
    fhir:population ( [ # 0..* The populations in the group
      fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:count [ integer ] ; # 0..1 Size of the population
      fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
      fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
      fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
    ] ... ) ;
    # measureScore[x] : 0..1 What score this group achieved. One of these 6
      fhir:measureScore [  a fhir:Quantity ; Quantity ]
      fhir:measureScore [  a fhir:dateTime ; dateTime ]
      fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:measureScore [  a fhir:Period ; Period ]
      fhir:measureScore [  a fhir:Range ; Range ]
      fhir:measureScore [  a fhir:Duration ; Duration ]
    fhir:stratifier ( [ # 0..* I Stratification results
      fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 What stratifier of the group
      fhir:stratum ( [ # 0..* I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        # value[x] : 0..1 I The stratum value, e.g. male. One of these 5
          fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:value [  a fhir:boolean ; boolean ]
          fhir:value [  a fhir:Quantity ; Quantity ]
          fhir:value [  a fhir:Range ; Range ]
          fhir:value [  a fhir:Reference ; Reference ]
        fhir:component ( [ # 0..* I Stratifier component values
          fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier component from Measure
          fhir:code [ CodeableConcept ] ; # 1..1 What stratifier component of the group
          # value[x] : 1..1 The stratum component value, e.g. male. One of these 5
            fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
            fhir:value [  a fhir:boolean ; boolean ]
            fhir:value [  a fhir:Quantity ; Quantity ]
            fhir:value [  a fhir:Range ; Range ]
            fhir:value [  a fhir:Reference ; Reference ]
        ] ... ) ;
        fhir:population ( [ # 0..* Population results in this stratum
          fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
          fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          fhir:count [ integer ] ; # 0..1 Size of the population
          fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
          fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
          fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
        ] ... ) ;
        # measureScore[x] : 0..1 What score this stratum achieved. One of these 6
          fhir:measureScore [  a fhir:Quantity ; Quantity ]
          fhir:measureScore [  a fhir:dateTime ; dateTime ]
          fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:measureScore [  a fhir:Period ; Period ]
          fhir:measureScore [  a fhir:Range ; Range ]
          fhir:measureScore [  a fhir:Duration ; Duration ]
      ] ... ) ;
    ] ... ) ;
  ] ... ) ;
  fhir:supplementalData  ( [ Reference(Any) ] ... ) ; # 0..* Additional information collected for the report
  fhir:evaluatedResource  ( [ Reference(Any) ] ... ) ; # 0..* What data was used to calculate the measure score
]

Changes from both R4 and R4B

MeasureReport

MeasureReport.type

Remove code data-collection
Add code data-exchange

MeasureReport.dataUpdateType

Added Element

MeasureReport.measure

Min Cardinality changed from 1 to 0

MeasureReport.subject

Type Reference: Added Target Types CareTeam, HealthcareService, Organization

MeasureReport.reporter

Type Reference: Added Target Type Group
Type Reference: Removed Target Type Location

MeasureReport.reportingVendor

Added Element

MeasureReport.location

Added Element

MeasureReport.inputParameters

Added Element

MeasureReport.scoring

Added Element

MeasureReport.group.linkId

Added Element

MeasureReport.group.subject

Added Element

MeasureReport.group.population.linkId

Added Element

MeasureReport.group.population.subjectReport

Added Element

MeasureReport.group.population.subjects

Added Element

MeasureReport.group.measureScore[x]

Renamed from measureScore to measureScore[x]
Add Types dateTime, CodeableConcept, Period, Range, Duration

MeasureReport.group.stratifier.linkId

Added Element

MeasureReport.group.stratifier.code

Max Cardinality changed from * to 1

MeasureReport.group.stratifier.stratum.value[x]

Renamed from value to value[x]
Add Types boolean, Quantity, Range, Reference

MeasureReport.group.stratifier.stratum.component.linkId

Added Element

MeasureReport.group.stratifier.stratum.component.value[x]

Renamed from value to value[x]
Add Types boolean, Quantity, Range, Reference

MeasureReport.group.stratifier.stratum.population.linkId

Added Element

MeasureReport.group.stratifier.stratum.population.subjectReport

Added Element

MeasureReport.group.stratifier.stratum.population.subjects

Added Element

MeasureReport.group.stratifier.stratum.measureScore[x]

Renamed from measureScore to measureScore[x]
Add Types dateTime, CodeableConcept, Period, Range, Duration

MeasureReport.supplementalData

Added Element

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

14.19.4.1 Terminology Bindings

Path	ValueSet	Type	Documentation
MeasureReport.status	MeasureReportStatus	Required	The status of the measure report.
MeasureReport.type	MeasureReportType	Required	The type of the measure report.
MeasureReport.dataUpdateType	SubmitDataUpdateType	Required	Concepts for how a measure report consumer and receiver coordinate data exchange updates. The choices are snapshot or incremental updates
MeasureReport.scoring	MeasureScoring	Extensible	The scoring type of the measure.
MeasureReport.improvementNotation	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.code	MeasureGroupExample	Example	Example Measure Groups for the Measure Resource.
MeasureReport.group.population.code	MeasurePopulationType	Extensible	The type of population.
MeasureReport.group.stratifier.code	MeasureStratifierExample	Example	Identifier subgroups in a population for measuring purposes.
MeasureReport.group.stratifier.stratum.value[x]	MeasureReportStratifierValueExample	Example	Example Measure Stratification Value for MeasureReports Resource.
MeasureReport.group.stratifier.stratum.component.code	MeasureStratifierExample	Example	Identifier subgroups in a population for measuring purposes.
MeasureReport.group.stratifier.stratum.component.value[x]	MeasureReportStratifierValueExample	Example	Example Measure Stratification Value for MeasureReports Resource.
MeasureReport.group.stratifier.stratum.population.code	MeasurePopulationType	Extensible	The type of population.

Path

ValueSet

Type

Documentation

MeasureReport.status

MeasureReportStatus

Required

The status of the measure report.

MeasureReport.type

MeasureReportType

Required

The type of the measure report.

MeasureReport.dataUpdateType

SubmitDataUpdateType

Required

Concepts for how a measure report consumer and receiver coordinate data exchange updates. The choices are snapshot or incremental updates

MeasureReport.scoring

MeasureScoring icon

Extensible

The scoring type of the measure.

MeasureReport.improvementNotation

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.code

MeasureGroupExample

Example

Example Measure Groups for the Measure Resource.

MeasureReport.group.population.code

MeasurePopulationType

Extensible

The type of population.

MeasureReport.group.stratifier.code

MeasureStratifierExample

Example

Identifier subgroups in a population for measuring purposes.

MeasureReport.group.stratifier.stratum.value[x]

MeasureReportStratifierValueExample

Example

Example Measure Stratification Value for MeasureReports Resource.

MeasureReport.group.stratifier.stratum.component.code

MeasureStratifierExample

Example

Identifier subgroups in a population for measuring purposes.

MeasureReport.group.stratifier.stratum.component.value[x]

MeasureReportStratifierValueExample

Example

Example Measure Stratification Value for MeasureReports Resource.

MeasureReport.group.stratifier.stratum.population.code

MeasurePopulationType

Extensible

The type of population.

14.19.4.2 Constraints

UniqueKey

Level

Location

Description

Expression

mrp-1

Rule

(base)

Measure Reports used for data collection SHALL NOT communicate group and score information

(type != 'data-exchange') or group.exists().not()

mrp-2

Rule

(base)

Stratifiers SHALL be either a single criteria or a set of criteria components

group.stratifier.stratum.all(value.exists() xor component.exists())

14.19.5 MeasureReport Search

Although the MeasureReport resource does define search parameters, it is up to the individual measure evaluation service whether or not historical records of measure evaluation requests are preserved. A service might not support searching on MeasureReports at all, or it may support searching only for a pre-defined expiration period. The search parameters are defined to provide consumers with a consistent interface to searching if it is available for a specific service implementation. In any case, services should detail the support they do provide using a CapabilityStatement.

14.19.6 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
date	date	The date of the measure report	MeasureReport.date	27 Resources
evaluated-resource	reference	An evaluated resource referenced by the measure report	MeasureReport.evaluatedResource (Any)
identifier	token	External identifier of the measure report to be returned	MeasureReport.identifier	65 Resources
location	reference	The location to return measure report results for	MeasureReport.location (Location)
measure	reference	The measure to return measure report results for	MeasureReport.measure (Measure)
patient	reference	The identity of a patient to search for individual measure report results for	MeasureReport.subject.where(resolve() is Patient) (Patient)	66 Resources
period	date	The period of the measure report	MeasureReport.period
reporter	reference	The reporter to return measure report results for	MeasureReport.reporter (Practitioner, Group, Organization, PractitionerRole)
status	token	The status of the measure report	MeasureReport.status
subject	reference	The identity of a subject to search for individual measure report results for	MeasureReport.subject (Practitioner, Group, Organization, CareTeam, Device, Patient, HealthcareService, PractitionerRole, RelatedPerson, Location)