Profile Comparison between http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm vs http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MeasureReport
copyright
date	2021-04-23
description	[MeasureReport](http://hl7.org/fhir/R4/measurereport.html) 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 Individual MeasureReport Profile** defined here is used when a measure is reported to an aggregator for one specific patient. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 1 report. In addition to the MeasureReport, the report would be collected in a Bundle with the Organization, Patient and any other resources that were used to calculate this measure.	[MeasureReport](http://hl7.org/fhir/R4/measurereport.html) 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 Individual MeasureReport Profile** defined here is used when a measure is reported to an aggregator for one specific subject. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 1 report. In addition to the MeasureReport, the report would be collected in a Bundle with the reporter, subject, and any other resources that were used to calculate this measure.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	DEQMIndividualMeasureReportProfile
publisher	HL7 International / Clinical Quality Information
purpose
status	active
title	DEQM Individual MeasureReport Profile
type	MeasureReport
url	http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm
version	4.0.0	5.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MeasureReport	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting	C	0..*	MeasureReport	Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required deqm-3: ensures scoring is either specified only at the root, or on all groups deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 deqm-7: If group.stratifier exists, then stratifier.code or the stratifier.stratum.component.code is present, but not both
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: ?? (required): The status of the measure report.	?!Σ	1..1	code	complete | pending | error Binding: ?? (required): The status of the measure report.	Elements differ in definition for mustSupport: 'true' vs 'false'
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: ?? (required): The type of the measure report. Fixed Value: individual	ΣC	1..1	code	individual | subject-list | summary | data-collection Binding: ?? (required): The type of the measure report.	Elements differ in definition for mustSupport: 'true' vs 'false'
measure	SΣ	1..1	canonical(CQFM Measure)	What measure was calculated	Σ	1..1	canonical(Measure)	What measure was calculated	Elements differ in definition for mustSupport: 'true' vs 'false'
subject	SΣ	1..1	Reference(QICore Patient)	What individual(s) the report is for	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)	What individual(s) the report is for	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
date	SΣ	1..1	dateTime	When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.	Σ	0..1	dateTime	When the report was generated	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
reporter	SΣ	1..1	Reference(QICore Organization)	Organization that generated the MeasureReport	Σ	0..1	Reference(Practitioner | PractitionerRole | Location | Organization)	Who is reporting the data	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Location], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]])
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
period	SΣC	1..1	Period	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )	Σ	1..1	Period	What period the report covers	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
start	SΣC	1..1	dateTime	Starting time with inclusive boundary					Removed this element
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing					Removed this element
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: ?? (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.	?!Σ	0..1	CodeableConcept	increase | decrease Binding: ?? (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.	Elements differ in definition for mustSupport: 'true' vs 'false'
group	SC	0..*	BackboneElement	Measure results for each group deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required.	C	0..*	BackboneElement	Measure results for each group	Elements differ in definition for mustSupport: 'true' vs 'false'
id	S	0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing	Elements differ in definition for mustSupport: 'true' vs 'false'
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group	Σ	0..1	CodeableConcept	Meaning of the group	Elements differ in definition for mustSupport: 'true' vs 'false'
population	SC	0..*	BackboneElement	The populations in the group		0..*	BackboneElement	The populations in the group	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).	Σ	0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
count	S	1..1	integer	Size of the population		0..1	integer	Size of the population	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
subjectResults		0..0				0..1	Reference(List)	For subject-list reports, the subject results in this population	Element maximum cardinalities differ: '0' vs '1'
measureScore	SΣC	0..1	Quantity	What score this group achieved	Σ	0..1	Quantity	What score this group achieved	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
value	Σ	0..1	decimal	Numerical value (with implicit precision)					Removed this element
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: ?? (required): How the Quantity should be understood and represented.					Removed this element
unit	Σ	0..1	string	Unit representation					Removed this element
system	ΣC	0..1	uri	System that defines coded unit form					Removed this element
code	Σ	0..1	code	Coded form of the unit					Removed this element
stratifier		0..*	BackboneElement	Stratification results		0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group		0..*	CodeableConcept	What stratifier of the group	Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '2147483647'
stratum		0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components		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		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		0..1	Quantity	What score this stratum achieved		0..1	Quantity	What score this stratum achieved
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score		0..*	Reference(Resource)	What data was used to calculate the measure score	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
Documentation for this format