This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR R3. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
StructureDefinition-summary-measurereport-deqm
source file: source/pages/_includes/summary-measurereport-deqm-intro.md
MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. 3 profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Summary MeasureReport Profile defined here is used when a measure is reported an aggregator for for a group of patients. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the DEQM Individual MeasureReport Profile, the report is typically transacted as a single MeasureReport report.
Mandatory Data Elements and Terminology
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport must have:
- A status
- A measure report type hardcoded to “individual”
- The reference to the Measure
- The date the report was generated
- The organization that reported the data
- The reporting period
- The results of the calculation (the Measure Scores)
Each MeasureReport should have (Must Support):
- Separate subgroup calculations (stratifiers)
- Reference to a reporting vendor using the DEQM Reporting Vendor (STU3) Extension
- A certification identifier using the DEQM Certification Identifier (STU3) Extension
Additional Profile specific implementation guidance:
None
Examples
Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/summary-measurereport-deqm
Published on Tue Jun 19 00:00:00 AEST 2018 as a active by Da Vinci Project.
This profile builds on MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport | I | 0..* | Results of a measure evaluation | |
  id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension-reportingVendor | S | 0..1 | Reference(DEQM Organization Profile) | Extension URL: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | S | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-certificationIdentifier |
  id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | identifies the meaning of the extension | |
 valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: {"system":"urn:oid:2.16.840.1.113883.3.2074.1"} | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Additional identifier for the Report |
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣ | 1..1 | code | individual | patient-list | summary Binding: MeasureReportType (required) Fixed Value: summary |
 measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| date | SΣ | 1..1 | dateTime | When the report was generated |
| reportingOrganization | SΣ | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| period | SΣI | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| start | SΣI | 1..1 | dateTime | Starting time with inclusive boundary |
 end | SΣI | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| group | SI | 1..* | BackboneElement | Measure results for each group |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | S | 1..1 | Identifier | What group of the measure |
| population | SI | 1..* | BackboneElement | The populations in the group |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 1..1 | decimal | What score this group achieved |
| stratifier | SI | 0..* | BackboneElement | Stratification results |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | S | 0..1 | Identifier | What stratifier of the group |
| stratum | SI | 0..* | BackboneElement | Stratum results, one for each unique value in the stratifier |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| value | S | 1..1 | string | The stratum value, e.g. male |
| population | SI | 0..* | BackboneElement | Population results in this stratum |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 0..1 | decimal | What score this stratum achieved |
| Documentation for this format | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | Results of a measure evaluation | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension-reportingVendor | S | 0..1 | Reference(DEQM Organization Profile) | Extension URL: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | S | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-certificationIdentifier |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | identifies the meaning of the extension | |
| valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: {"system":"urn:oid:2.16.840.1.113883.3.2074.1"} | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Additional identifier for the Report |
| status | ?!SΣ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣ | 1..1 | code | individual | patient-list | summary Binding: MeasureReportType (required) Fixed Value: summary |
| measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| date | SΣ | 1..1 | dateTime | When the report was generated |
| reportingOrganization | SΣ | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| period | SΣI | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| start | SΣI | 1..1 | dateTime | Starting time with inclusive boundary |
| end | SΣI | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| group | SI | 1..* | BackboneElement | Measure results for each group |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | S | 1..1 | Identifier | What group of the measure |
| population | SI | 1..* | BackboneElement | The populations in the group |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 1..1 | decimal | What score this group achieved |
| stratifier | SI | 0..* | BackboneElement | Stratification results |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | S | 0..1 | Identifier | What stratifier of the group |
| stratum | SI | 0..* | BackboneElement | Stratum results, one for each unique value in the stratifier |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| value | S | 1..1 | string | The stratum value, e.g. male |
| population | SI | 0..* | BackboneElement | Population results in this stratum |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 0..1 | decimal | What score this stratum achieved |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Quick Start
Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.
Framework:
[ISummary Measure Reporting Interactions]
