Data Exchange For Quality Measures STU1 for FHIR STU3 Implementation Guide (Release 1.0.0)

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-indv-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. 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.

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each MeasureReport must have:

  1. A status
  2. A measure report type hardcoded to “individual”
  3. The reference to the Measure
  4. A patient the report is for
  5. The date the report was generated
  6. The organization that reported the data
  7. The reporting period
  8. The results of the calculation (the Measure Score)

Each MeasureReport should have (Must Support):

  1. Reference to a reporting vendor using the DEQM Reporting Vendor Extension
  2. A certification identifier using the DEQM Certification Identifier Extension
  3. Ability to use other types for measure score using the DEQM Alternate Score Type Extension
  4. Reference to all the resources involved in producing the report using the DEQM Reference Any Extension

Additional Profile specific implementation guidance:

None

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm

Published on Tue Jun 19 00:00:00 UTC 2018 as active by Da Vinci Project.

This profile builds on MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReport
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier S1..1IdentifierRequired Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... status S1..1code
... type S1..1codeFixed Value: individual
... measure S1..1Reference(Measure)
... patient S1..1Reference(QICore-Patient)
... date S1..1dateTime
... reportingOrganization S1..1Reference(DEQM Organization Profile)The organization where the measure was completed
... period SI1..1Perioddeqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTime
.... end S1..1dateTime
... group S0..*BackboneElement
.... population S1..*BackboneElement
..... identifier S0..1Identifier
..... code S1..1CodeableConcept
..... patients 0..0
.... measureScore S1..1decimal
..... extension-alternateScoreType S0..1Quantity, dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResources S0..1Reference(Bundle)
.... extension-referenceAny S1..*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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-reportingVendor SI0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier SI0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... value[x] 1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringxml:id (or equivalent in JSON)
...... extension0..*ExtensionAdditional Content defined by implementations
...... use0..1codeusual | official | temp | secondary (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierAdditional identifier for the Report
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣ1..1codeindividual | patient-list | summary
Binding: MeasureReportType (required)
Fixed Value: individual
... measure SΣ1..1Reference(Measure)What measure was evaluated
... patient SΣ1..1Reference(QICore-Patient)What patient the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reportingOrganization SΣ1..1Reference(DEQM Organization Profile)The organization where the measure was completed
... period SΣI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... group SI0..*BackboneElementMeasure results for each group
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 1..1IdentifierWhat group of the measure
.... population SI1..*BackboneElementThe populations in the group
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier SΣ0..1IdentifierPopulation identifier as defined in the measure
..... code SΣ1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score
Binding: MeasurePopulationType (extensible)
..... count 0..1integerSize of the population
.... measureScore SΣ1..1decimalWhat score this group achieved
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension-alternateScoreType SI0..1Quantity, dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value 0..1decimalPrimitive value for decimal
.... stratifier I0..*BackboneElementStratification results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierWhat stratifier of the group
..... stratum I0..*BackboneElementStratum results, one for each unique value in the stratifier
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
...... value 1..1stringThe stratum value, e.g. male
...... population I0..*BackboneElementPopulation results in this stratum
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
....... identifier Σ0..1IdentifierPopulation identifier as defined in the measure
....... code Σ0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score
Binding: MeasurePopulationType (extensible)
....... count 0..1integerSize of the population
....... patients 0..1Reference(List)For patient-list reports, the patients in this population
...... measureScore Σ0..1decimalWhat score this stratum achieved
... evaluatedResources S0..1Reference(Bundle)What data was evaluated to produce the measure score
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... extension-referenceAny S1..*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 ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReport
... extension-reportingVendor S0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier S1..1IdentifierRequired Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... status S1..1code
... type S1..1codeFixed Value: individual
... measure S1..1Reference(Measure)
... patient S1..1Reference(QICore-Patient)
... date S1..1dateTime
... reportingOrganization S1..1Reference(DEQM Organization Profile)The organization where the measure was completed
... period SI1..1Perioddeqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTime
.... end S1..1dateTime
... group S0..*BackboneElement
.... population S1..*BackboneElement
..... identifier S0..1Identifier
..... code S1..1CodeableConcept
..... patients 0..0
.... measureScore S1..1decimal
..... extension-alternateScoreType S0..1Quantity, dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResources S0..1Reference(Bundle)
.... extension-referenceAny S1..*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

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-reportingVendor SI0..1Reference(DEQM Organization Profile)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... extension-certificationIdentifier SI0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... value[x] 1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier S1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringxml:id (or equivalent in JSON)
...... extension0..*ExtensionAdditional Content defined by implementations
...... use0..1codeusual | official | temp | secondary (If known)
...... type0..1CodeableConceptDescription of identifier
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
...... value0..1stringThe value that is unique
...... period0..1PeriodTime period when id is/was valid for use
...... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierAdditional identifier for the Report
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣ1..1codeindividual | patient-list | summary
Binding: MeasureReportType (required)
Fixed Value: individual
... measure SΣ1..1Reference(Measure)What measure was evaluated
... patient SΣ1..1Reference(QICore-Patient)What patient the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reportingOrganization SΣ1..1Reference(DEQM Organization Profile)The organization where the measure was completed
... period SΣI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... group SI0..*BackboneElementMeasure results for each group
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 1..1IdentifierWhat group of the measure
.... population SI1..*BackboneElementThe populations in the group
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier SΣ0..1IdentifierPopulation identifier as defined in the measure
..... code SΣ1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score
Binding: MeasurePopulationType (extensible)
..... count 0..1integerSize of the population
.... measureScore SΣ1..1decimalWhat score this group achieved
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension-alternateScoreType SI0..1Quantity, dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value 0..1decimalPrimitive value for decimal
.... stratifier I0..*BackboneElementStratification results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierWhat stratifier of the group
..... stratum I0..*BackboneElementStratum results, one for each unique value in the stratifier
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
...... value 1..1stringThe stratum value, e.g. male
...... population I0..*BackboneElementPopulation results in this stratum
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
....... identifier Σ0..1IdentifierPopulation identifier as defined in the measure
....... code Σ0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score
Binding: MeasurePopulationType (extensible)
....... count 0..1integerSize of the population
....... patients 0..1Reference(List)For patient-list reports, the patients in this population
...... measureScore Σ0..1decimalWhat score this stratum achieved
... evaluatedResources S0..1Reference(Bundle)What data was evaluated to produce the measure score
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... extension-referenceAny S1..*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 ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco 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:

Individual Measure Reporting Interactions