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

Left:DEQM Summary MeasureReport Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm)
Right:DEQM Summary MeasureReport Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '5.0.0-ballot'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationMeasureReport.group.population.countElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationMeasureReport.group.stratifier.codeElement minimum cardinalities differ: '1' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/MeasureReport
      .copyright
        .date2018-06-19T00:00:00-07:00
          .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 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](StructureDefinition-indv-measurereport-deqm.html), the report is typically transacted as a single MeasureReport report.[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 Summary MeasureReport Profile** defined here is used when a measure is reported to an aggregator for a group of subjects. 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](StructureDefinition-indv-measurereport-deqm.html), the report is typically transacted as a single MeasureReport report.
          • Values Differ
          .experimentalfalse
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameDEQMSummaryMeasureReportProfile
                      .publisherHL7 International / Clinical Quality Information
                        .purpose
                          .statusactive
                            .titleDEQM Summary MeasureReport Profile
                              .typeMeasureReport
                                .urlhttp://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm
                                  .version4.0.05.0.0-ballot
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. MeasureReport C0..*MeasureReportResults 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
                                  C0..*MeasureReportResults 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 group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both
                                    ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                          ... language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                            ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                              ... contained 0..*ResourceContained, inline Resources
                                              0..*ResourceContained, inline Resources
                                                ... Slices for extension 0..*ExtensionExtension
                                                Slice: Unordered, Open by value:url
                                                0..*ExtensionExtension
                                                Slice: Unordered, Open by value:url
                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                    ... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
                                                    Σ0..*IdentifierAdditional identifier for the MeasureReport
                                                      ... status ?!SΣ1..1codecomplete | pending | error
                                                      Binding: ?? (required)
                                                      ?!SΣ1..1codecomplete | pending | error
                                                      Binding: ?? (required)
                                                        ... type SΣC1..1codeindividual | subject-list | summary | data-collection
                                                        Binding: ?? (required): The type of the measure report.


                                                        Fixed Value: summary
                                                        SΣC1..1codeindividual | subject-list | summary | data-collection
                                                        Binding: ?? (required): The type of the measure report.


                                                        Fixed Value: summary
                                                          ... measure SΣ1..1canonical(CQFM Measure)What measure was calculatedSΣ1..1canonical(CRMI Shareable Measure)What measure was calculated
                                                            ... subject Σ0..0Σ0..0
                                                              ... date SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
                                                                ... reporter SΣ1..1Reference(QICore Organization)Organization that generated the MeasureReportSΣ1..1Reference(QICore Organization)Organization that generated the MeasureReport
                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                    Slice: Unordered, Open by value:url
                                                                    0..*ExtensionAdditional content defined by implementations
                                                                    Slice: Unordered, Open by value:url
                                                                      .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URLΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                        .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                        Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                          .... identifier Σ0..1IdentifierLogical reference, when literal reference is not knownΣ0..1IdentifierLogical reference, when literal reference is not known
                                                                            .... display Σ0..1stringText alternative for the resourceΣ0..1stringText alternative for the resource
                                                                              ... period SΣC1..1PeriodWhat period the report covers
                                                                              deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
                                                                              SΣC1..1PeriodWhat period the report covers
                                                                              deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                    .... start SΣC1..1dateTimeStarting time with inclusive boundarySΣC1..1dateTimeStarting time with inclusive boundary
                                                                                      .... end SΣC1..1dateTimeEnd time with inclusive boundary, if not ongoingSΣC1..1dateTimeEnd time with inclusive boundary, if not ongoing
                                                                                        ... improvementNotation ?!SΣC0..1CodeableConceptincrease | 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.

                                                                                        ?!SΣC0..1CodeableConceptincrease | 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.

                                                                                          ... group SC1..*BackboneElementMeasure 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.
                                                                                          SC1..*BackboneElementMeasure 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.
                                                                                            .... id S0..1stringUnique id for inter-element referencingS0..1stringUnique id for inter-element referencing
                                                                                              .... Slices for extension 0..*ExtensionExtension
                                                                                              Slice: Unordered, Open by value:url
                                                                                              0..*ExtensionExtension
                                                                                              Slice: Unordered, Open by value:url
                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  .... code SΣ0..1CodeableConceptMeaning of the groupSΣ0..1CodeableConceptMeaning of the group
                                                                                                    .... population SC0..*BackboneElementThe populations in the group
                                                                                                    SC0..*BackboneElementThe populations in the group
                                                                                                    deqm-8: The population must either have a count (integer) or a countQuantity (quantity), but not both.
                                                                                                      ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                        ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                        0..*ExtensionExtension
                                                                                                        Slice: Unordered, Open by value:url
                                                                                                          ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                            ..... code SΣ1..1CodeableConceptinitial-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.).

                                                                                                            SΣ1..1CodeableConceptinitial-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 S1..1integerSize of the populationSC0..1integerSize of the population
                                                                                                              • Element minimum cardinalities differ: '1' vs '0'
                                                                                                              ..... subjectResults 0..00..0
                                                                                                                .... measureScore SΣC0..1QuantityWhat score this group achievedSΣC0..1QuantityWhat score this group achieved
                                                                                                                  ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                    ..... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                    Slice: Unordered, Open by value:url
                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                    Slice: Unordered, Open by value:url
                                                                                                                      ..... value Σ0..1decimalNumerical value (with implicit precision)Σ0..1decimalNumerical value (with implicit precision)
                                                                                                                        ..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
                                                                                                                        Binding: ?? (required): How the Quantity should be understood and represented.

                                                                                                                        ?!Σ0..1code< | <= | >= | > - how to understand the value
                                                                                                                        Binding: ?? (required): How the Quantity should be understood and represented.

                                                                                                                          ..... unit Σ0..1stringUnit representationΣ0..1stringUnit representation
                                                                                                                            ..... system ΣC0..1uriSystem that defines coded unit formΣC0..1uriSystem that defines coded unit form
                                                                                                                              ..... code Σ0..1codeCoded form of the unitΣ0..1codeCoded form of the unit
                                                                                                                                .... stratifier S0..*BackboneElementStratification results
                                                                                                                                S0..*BackboneElementStratification results
                                                                                                                                  ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                    ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                    0..*ExtensionExtension
                                                                                                                                    Slice: Unordered, Open by value:url
                                                                                                                                      ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                        ..... code S1..1CodeableConceptWhat stratifier of the group
                                                                                                                                        S0..1CodeableConceptWhat stratifier of the group
                                                                                                                                        • Element minimum cardinalities differ: '1' vs '0'
                                                                                                                                        ..... stratum S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
                                                                                                                                        S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
                                                                                                                                          ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                            ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                              ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                ...... value S0..1CodeableConceptThe stratum value, e.g. maleS0..1CodeableConceptThe stratum value, e.g. male
                                                                                                                                                  ...... component 0..*BackboneElementStratifier component values
                                                                                                                                                  0..*BackboneElementStratifier component values
                                                                                                                                                    ....... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                      ....... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                        ....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                          ....... code 1..1CodeableConceptWhat stratifier component of the group1..1CodeableConceptWhat stratifier component of the group
                                                                                                                                                            ....... value 1..1CodeableConceptThe stratum component value, e.g. male1..1CodeableConceptThe stratum component value, e.g. male
                                                                                                                                                              ...... population S0..*BackboneElementPopulation results in this stratum
                                                                                                                                                              S0..*BackboneElementPopulation results in this stratum
                                                                                                                                                                ....... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                  ....... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                    ....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                      ....... code S1..1CodeableConceptinitial-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.).

                                                                                                                                                                      S1..1CodeableConceptinitial-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 S1..1integerSize of the populationS1..1integerSize of the population
                                                                                                                                                                          ....... subjectResults 0..00..0
                                                                                                                                                                            ...... measureScore S0..1QuantityWhat score this stratum achievedS0..1QuantityWhat score this stratum achieved
                                                                                                                                                                              ....... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                ....... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                Slice: Unordered, Open by value:url
                                                                                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                Slice: Unordered, Open by value:url
                                                                                                                                                                                  ....... value Σ0..1decimalNumerical value (with implicit precision)Σ0..1decimalNumerical value (with implicit precision)
                                                                                                                                                                                    ....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
                                                                                                                                                                                    Binding: ?? (required): How the Quantity should be understood and represented.

                                                                                                                                                                                    ?!Σ0..1code< | <= | >= | > - how to understand the value
                                                                                                                                                                                    Binding: ?? (required): How the Quantity should be understood and represented.

                                                                                                                                                                                      ....... unit Σ0..1stringUnit representationΣ0..1stringUnit representation
                                                                                                                                                                                        ....... system ΣC0..1uriSystem that defines coded unit formΣC0..1uriSystem that defines coded unit form
                                                                                                                                                                                          ....... code Σ0..1codeCoded form of the unitΣ0..1codeCoded form of the unit
                                                                                                                                                                                            ... evaluatedResource 0..00..0

                                                                                                                                                                                              doco Documentation for this format