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-summary-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 Summary MeasureReport Profile defined here is used when a measure is reported to an aggregator for for a group of patients. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the DEQM Individual MeasureReport Profile, the report is typically transacted as a single MeasureReport report.
Mandatory Data Elements and Terminology
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport must have:
- A status
- A measure report type hardcoded to “summary”
- The reference to the Measure
- The date the report was generated
- The organization that reported the data
- The reporting period
- The results of the calculation (the Measure Scores)
Each MeasureReport should have (Must Support):
- Separate subgroup calculations (stratifiers)
- Reference to a reporting vendor using the DEQM Reporting Vendor Extension
- A certification identifier using the DEQM Certification Identifier Extension
- Ability to use other types for measure score using the DEQM Alternate Score Type Extension
- Reference to a reporting group using the DEQM Reporting Group 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/summary-measurereport-deqm
Published on Tue Jun 19 00:00:00 UTC 2018 as active by Da Vinci Project.
This profile builds on MeasureReport
| 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 | Extension Slice: Unordered, Open by value:url | |
 extension-reportingVendor | SI | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | SI | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
  id | 0..1 | string | 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-certificationIdentifier" | |
  value[x] | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| use | 0..1 | code | usual | official | temp | secondary (If known) | |
| type | 0..1 | CodeableConcept | Description of identifier | |
 system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| value | 0..1 | string | The value that is unique | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
 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) Fixed Value: summary |
 measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| 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 |
| 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-reportingOrganizationGroup | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingOrganizationGroup |
| 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 |
| 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 | SI | 1..* | 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 | S | 1..1 | Identifier | What group of the measure |
| population | SI | 1..* | 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 | SΣ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 1..1 | decimal | What score this group achieved |
| stratifier | SI | 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 | S | 1..1 | Identifier | What stratifier of the group |
| stratum | SI | 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 | S | 1..1 | string | The stratum value, e.g. male |
| population | SI | 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 | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 0..1 | decimal | What score this stratum achieved |
| Documentation for this format | ||||
Differential View
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 | Extension Slice: Unordered, Open by value:url | |
| extension-reportingVendor | SI | 0..1 | Reference(DEQM Organization Profile) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
| extension-certificationIdentifier | SI | 0..1 | Identifier | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
| id | 0..1 | string | 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-certificationIdentifier" | |
| value[x] | 1..1 | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueIdentifier | 1..1 | Identifier | Value of extension Required Pattern: At least the following | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| use | 0..1 | code | usual | official | temp | secondary (If known) | |
| type | 0..1 | CodeableConcept | Description of identifier | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1 | |
| value | 0..1 | string | The value that is unique | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| 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) Fixed Value: summary |
| measure | SΣ | 1..1 | Reference(Measure) | What measure was evaluated |
| 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 |
| 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-reportingOrganizationGroup | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingOrganizationGroup |
| 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 |
| 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 | SI | 1..* | 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 | S | 1..1 | Identifier | What group of the measure |
| population | SI | 1..* | 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 | SΣ | 0..1 | Identifier | Population identifier as defined in the measure |
| code | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 1..1 | decimal | What score this group achieved |
| stratifier | SI | 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 | S | 1..1 | Identifier | What stratifier of the group |
| stratum | SI | 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 | S | 1..1 | string | The stratum value, e.g. male |
| population | SI | 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 | SΣ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score Binding: MeasurePopulationType (extensible) |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣ | 0..1 | decimal | What score this stratum achieved |
| 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:
Summary Measure Reporting Interactions
