This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.0.0: STU 1) 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-datax-measurereport-deqm
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. When a data producer needs to send data to a data consumer, they use the DEQM Data Exchange MeasureReport Profile defined here. Notice that the type element in this profile is set to “data-collection” using the DEQM Data Collection Type Extension. Along with the MeasureReport profile, the data producer sends the Organization, Patient and any relevant resources for the measure they have produced data on. When a data producer sends a MeasureReport and the associated data, they may not have all the data that is required to calculate the measure report. Additional data may need to be collected later or there may additional data used in the measure that the aggregator owns such as a continuous coverage period requirement.
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport must have:
- A status
- A DEQM Data Collection Type Extension flag set to
true - The reference to the Measure
- A link to patient the report is about
- The date the report was generated
- The organization that reported the data
- The reporting period
Each MeasureReport should have (Must Support):
- References to other resources involved in producing the report
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/StructureDefinition/datax-measurereport-deqm
Published on Tue Jun 19 00:00:00 UTC 2018 as active by Da Vinci Project.
This profile builds on MeasureReport
Summary
Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 13 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
- http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
- http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm
Extensions
This structure refers to these extensions:
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport | 0..* | MeasureReport | ||
  status | S | 1..1 | code | Binding: MeasureReportStatus (required) |
 type | S | 1..1 | code | |
   extension-dataCollectionType | S | 1..1 | boolean | Data collection report type flag URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType |
  valueBoolean | S | 1..1 | boolean | Fixed Value: true |
| measure | S | 1..1 | Reference(Measure) | |
 patient | S | 1..1 | Reference(QICore-Patient) | |
| date | S | 1..1 | dateTime | |
| reportingOrganization | S | 1..1 | Reference(DEQM Organization Profile) | The organization where the measure was completed |
 period | SI | 1..1 | Period | deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | |
| end | S | 1..1 | dateTime | |
| evaluatedResources | S | 0..1 | Reference(Bundle) | |
| extension-referenceAny | S | 1..* | Reference(Resource) | A reference to any of resources used in the evaluation of a MeasureReport. URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-referenceAny |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | 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 | Additional Content defined by implementations | |
 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) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension-dataCollectionType | SI | 1..1 | boolean | Data collection report type flag URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType |
 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 | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType" | |
 value[x] | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this | |
 value[x]:valueBoolean | S | 1..1 | boolean | Value of extension Fixed Value: true |
| value | 0..1 | code | Primitive value for code | |
| measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| patient | SΣ | 1..1 | Reference(QICore-Patient) | What patient the report is for |
| date | SΣ | 1..1 | dateTime | When the report was generated |
| reportingOrganization | SΣ | 1..1 | Reference(DEQM Organization Profile) | The organization 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 | I | 0..* | 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 | 1..1 | Identifier | What group of the measure | |
| population | I | 0..* | 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 | Σ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | 0..1 | integer | Size of the population | |
| patients | 0..1 | Reference(List) | For patient-list reports, the patients in this population | |
| measureScore | Σ | 0..1 | decimal | What score this group achieved |
| stratifier | I | 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 | 0..1 | Identifier | What stratifier of the group | |
| stratum | I | 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 | 1..1 | string | The stratum value, e.g. male | |
| population | I | 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 | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | 0..1 | integer | Size of the population | |
| patients | 0..1 | Reference(List) | For patient-list reports, the patients in this population | |
| measureScore | Σ | 0..1 | decimal | What score this stratum achieved |
| evaluatedResources | S | 0..1 | Reference(Bundle) | What data was evaluated to produce the measure score |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| extension-referenceAny | S | 1..* | Reference(Resource) | A reference to any of resources used in the evaluation of a MeasureReport. URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-referenceAny |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| Documentation for this format | ||||
Summary
Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 13 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
- http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
- http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm
Extensions
This structure refers to these extensions:
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | 0..* | MeasureReport | ||
| status | S | 1..1 | code | Binding: MeasureReportStatus (required) |
| type | S | 1..1 | code | |
| extension-dataCollectionType | S | 1..1 | boolean | Data collection report type flag URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType |
| valueBoolean | S | 1..1 | boolean | Fixed Value: true |
| measure | S | 1..1 | Reference(Measure) | |
| patient | S | 1..1 | Reference(QICore-Patient) | |
| date | S | 1..1 | dateTime | |
| reportingOrganization | S | 1..1 | Reference(DEQM Organization Profile) | The organization where the measure was completed |
| period | SI | 1..1 | Period | deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | |
| end | S | 1..1 | dateTime | |
| evaluatedResources | S | 0..1 | Reference(Bundle) | |
| extension-referenceAny | S | 1..* | Reference(Resource) | A reference to any of resources used in the evaluation of a MeasureReport. URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-referenceAny |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | I | 0..* | MeasureReport | 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 | Additional Content defined by implementations | |
| 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) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension-dataCollectionType | SI | 1..1 | boolean | Data collection report type flag URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType |
| 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 | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataCollectionType" | |
| value[x] | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueBoolean | S | 1..1 | boolean | Value of extension Fixed Value: true |
| value | 0..1 | code | Primitive value for code | |
| measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| patient | SΣ | 1..1 | Reference(QICore-Patient) | What patient the report is for |
| date | SΣ | 1..1 | dateTime | When the report was generated |
| reportingOrganization | SΣ | 1..1 | Reference(DEQM Organization Profile) | The organization 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 | I | 0..* | 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 | 1..1 | Identifier | What group of the measure | |
| population | I | 0..* | 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 | Σ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | 0..1 | integer | Size of the population | |
| patients | 0..1 | Reference(List) | For patient-list reports, the patients in this population | |
| measureScore | Σ | 0..1 | decimal | What score this group achieved |
| stratifier | I | 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 | 0..1 | Identifier | What stratifier of the group | |
| stratum | I | 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 | 1..1 | string | The stratum value, e.g. male | |
| population | I | 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 | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | 0..1 | integer | Size of the population | |
| patients | 0..1 | Reference(List) | For patient-list reports, the patients in this population | |
| measureScore | Σ | 0..1 | decimal | What score this stratum achieved |
| evaluatedResources | S | 0..1 | Reference(Bundle) | What data was evaluated to produce the measure score |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| extension-referenceAny | S | 1..* | Reference(Resource) | A reference to any of resources used in the evaluation of a MeasureReport. URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-referenceAny |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 0..1 | string | Text alternative for the resource |
| 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:
