Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot
Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three 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 to an aggregator 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.
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport must have:
Each MeasureReport should have (Must Support):
Additional Profile specific implementation guidance:
The MeasureReport.group.population.id is a must support element because it is used to link across the Measure and is equal to the Measure.population.group.id. This is needed because the MeasureReport.group.population.code is insufficient when the measure types have multiple populations with the same code.
If the measure scoring type is ‘proportion’, ‘ratio’, or ‘continuous-variable’ then the improvementNotation element is required.
The reporter should be consistent with the X-Provenance header data if present.
the DEQM Reporting Vendor Extension is intended to represent the submitting entity when it is not the same as the reporting entity.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MeasureReport
Summary
Mandatory: 10 elements (4 nested mandatory elements)
Must-Support: 31 elements
Fixed Value: 1 element
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport | I | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
  extension-measureScoring | SI | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
| extension-reportingVendor | S | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | S | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
   valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
   system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| cqfm-softwaresystem | S | 0..* | Reference(CQFMDevice) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
 status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
 type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary |
| measure | S | 1..1 | canonical(Measure) | What measure was calculated |
| subject | 0..0 | |||
| date | S | 1..1 | dateTime | When the report was generated |
 reporter | S | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| extension-reporterGroup | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SI | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | S | 1..* | BackboneElement | The populations in the group |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | S | 1..1 | Quantity | What score this group achieved |
| extension-alternateScoreType | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| code | S | 1..1 | 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 |
| value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
| population | S | 0..* | BackboneElement | Population results in this stratum |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| extension-alternateScoreType | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension-measureScoring | SI | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
| extension-reportingVendor | SI | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | SI | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
 value[x] | I | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this |
 value[x]:valueIdentifier | I | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |
| type | 0..1 | CodeableConcept | Description of identifier | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| value | 0..1 | string | The value that is unique | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| cqfm-softwaresystem | SI | 0..* | Reference(CQFMDevice) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | Additional identifier for the MeasureReport |
| status | ?!SΣI | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣI | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required) Fixed Value: summary |
| measure | SΣI | 1..1 | canonical(Measure) | What measure was calculated |
| date | SΣI | 1..1 | dateTime | When the report was generated |
| reporter | SΣI | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-reporterGroup | SI | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| 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 | Unique id for inter-element referencing | |
| extension | I | 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 |
| improvementNotation | ?!SΣI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group | SI | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣI | 0..1 | CodeableConcept | Meaning of the group |
| population | SI | 1..* | BackboneElement | The populations in the group |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | SI | 1..1 | integer | Size of the population |
| measureScore | SΣI | 1..1 | Quantity | What score this group achieved |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-alternateScoreType | SI | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| value | ΣI | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!ΣI | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | ΣI | 0..1 | string | Unit representation |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | ΣI | 0..1 | code | Coded form of the unit |
| stratifier | SI | 0..* | BackboneElement | Stratification results |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | What stratifier of the group |
| stratum | SI | 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 | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| value | SI | 0..1 | CodeableConcept | The stratum value, e.g. male |
| component | I | 0..* | BackboneElement | Stratifier component values |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | What stratifier component of the group |
| value | I | 1..1 | CodeableConcept | The stratum component value, e.g. male |
| population | SI | 0..* | BackboneElement | Population results in this stratum |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | SI | 1..1 | integer | Size of the population |
| measureScore | SI | 0..1 | Quantity | What score this stratum achieved |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-alternateScoreType | SI | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| value | ΣI | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!ΣI | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | ΣI | 0..1 | string | Unit representation |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | ΣI | 0..1 | code | Coded form of the unit |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| extension-measureScoring | I | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
| extension-reportingVendor | I | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | I | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| cqfm-softwaresystem | I | 0..* | Reference(CQFMDevice) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| status | ?!ΣI | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | ΣI | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required) Fixed Value: summary |
| measure | ΣI | 1..1 | canonical(Measure) | What measure was calculated |
| date | ΣI | 1..1 | dateTime | When the report was generated |
| reporter | ΣI | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| extension-reporterGroup | I | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | ΣI | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | ΣI | 1..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | ?!ΣI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group | I | 1..* | BackboneElement | Measure results for each group |
| id | 0..1 | string | Unique id for inter-element referencing | |
| code | ΣI | 0..1 | CodeableConcept | Meaning of the group |
| population | I | 1..* | BackboneElement | The populations in the group |
| code | ΣI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | I | 1..1 | integer | Size of the population |
| measureScore | ΣI | 1..1 | Quantity | What score this group achieved |
| extension-alternateScoreType | I | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier | I | 0..* | BackboneElement | Stratification results |
| code | I | 1..1 | CodeableConcept | What stratifier of the group |
| stratum | I | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
| value | I | 0..1 | CodeableConcept | The stratum value, e.g. male |
| population | I | 0..* | BackboneElement | Population results in this stratum |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | I | 1..1 | integer | Size of the population |
| measureScore | I | 0..1 | Quantity | What score this stratum achieved |
| extension-alternateScoreType | I | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| Documentation for this format | ||||
This structure is derived from MeasureReport
Summary
Mandatory: 10 elements (4 nested mandatory elements)
Must-Support: 31 elements
Fixed Value: 1 element
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| extension-measureScoring | SI | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
| extension-reportingVendor | S | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | S | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| cqfm-softwaresystem | S | 0..* | Reference(CQFMDevice) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary |
| measure | S | 1..1 | canonical(Measure) | What measure was calculated |
| subject | 0..0 | |||
| date | S | 1..1 | dateTime | When the report was generated |
| reporter | S | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| extension-reporterGroup | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| period | SI | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | S | 1..* | BackboneElement | The populations in the group |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | S | 1..1 | Quantity | What score this group achieved |
| extension-alternateScoreType | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| code | S | 1..1 | 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 |
| value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
| population | S | 0..* | BackboneElement | Population results in this stratum |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | S | 0..1 | Quantity | What score this stratum achieved |
| extension-alternateScoreType | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| extension-measureScoring | SI | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
| extension-reportingVendor | SI | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | SI | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
| value[x] | I | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this |
| value[x]:valueIdentifier | I | 1..1 | Identifier | Value of extension Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |
| type | 0..1 | CodeableConcept | Description of identifier | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| value | 0..1 | string | The value that is unique | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| cqfm-softwaresystem | SI | 0..* | Reference(CQFMDevice) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | Additional identifier for the MeasureReport |
| status | ?!SΣI | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | SΣI | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required) Fixed Value: summary |
| measure | SΣI | 1..1 | canonical(Measure) | What measure was calculated |
| date | SΣI | 1..1 | dateTime | When the report was generated |
| reporter | SΣI | 1..1 | Reference(DEQM Organization Profile) | The organization or where the measure was completed |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-reporterGroup | SI | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| 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 | Unique id for inter-element referencing | |
| extension | I | 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 |
| improvementNotation | ?!SΣI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group | SI | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣI | 0..1 | CodeableConcept | Meaning of the group |
| population | SI | 1..* | BackboneElement | The populations in the group |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | SI | 1..1 | integer | Size of the population |
| measureScore | SΣI | 1..1 | Quantity | What score this group achieved |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-alternateScoreType | SI | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| value | ΣI | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!ΣI | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | ΣI | 0..1 | string | Unit representation |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | ΣI | 0..1 | code | Coded form of the unit |
| stratifier | SI | 0..* | BackboneElement | Stratification results |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | What stratifier of the group |
| stratum | SI | 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 | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| value | SI | 0..1 | CodeableConcept | The stratum value, e.g. male |
| component | I | 0..* | BackboneElement | Stratifier component values |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | What stratifier component of the group |
| value | I | 1..1 | CodeableConcept | The stratum component value, e.g. male |
| population | SI | 0..* | BackboneElement | Population results in this stratum |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| count | SI | 1..1 | integer | Size of the population |
| measureScore | SI | 0..1 | Quantity | What score this stratum achieved |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension-alternateScoreType | SI | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType |
| value | ΣI | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!ΣI | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | ΣI | 0..1 | string | Unit representation |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | ΣI | 0..1 | code | Coded form of the unit |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet / Code |
| MeasureReport.language | preferred | CommonLanguages Max Binding: AllLanguages |
| MeasureReport.status | required | MeasureReportStatus |
| MeasureReport.type | required | Fixed Value: summary |
| MeasureReport.reporter.type | extensible | ResourceType |
| MeasureReport.improvementNotation | required | MeasureImprovementNotation |
| MeasureReport.group.population.code | extensible | MeasurePopulationType |
| MeasureReport.group.measureScore.comparator | required | QuantityComparator |
| MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationType |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator |
| Id | Path | Details | Requirements |
| deqm-2 | MeasureReport | If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-1 | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') |
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#2.1.0 based on FHIR 4.0.1. Generated 2020-08-15
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