Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.0.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: DEQM Data Exchange MeasureReport Profile

Defining URL:http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm
Version:3.0.0
Name:DEQMDataExchangeMeasureReportProfile
Title:DEQM Data Exchange MeasureReport Profile
Status:Active as of 2018-06-19T00:00:00-07:00
Definition:

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. The type element in this profile is set to "data-collection". 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 be additional data used in the measure that the aggregator owns such as a continuous coverage period requirement.

Publisher:HL7 International - Clinical Quality Information Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm

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

Each MeasureReport must have:

  1. Whether is a snapshot or incremental update*
  2. A status
  3. measure report type hardcoded to “data-collection”
  4. The reference to the Measure
  5. A link to patient the report is about
  6. The date the report was generated
  7. The organization that reported the data
  8. The measurement period

Each MeasureReport should have (Must Support):

  1. References to other resources involved in producing the report
  2. Specify the software systems used by the reporting system using the CQFM Software System Extension

Additional Profile specific implementation guidance:

  • *For a detailed discussion of incremental and snapshot updates see these sections on Submit Data and Collect Data

  • The Producer may not have all the data that is required to calculate the measure report at that time it is transmitted. It that case the MeasureReport may not have any evaluatedResources (in other words, no measure data). The missing data may be transmitted in a subsequent update or the additional data used in the measure is owned by an aggregator (such as a continuous coverage period requirement).

  • The reporter should be consistent with the X-Provenance header data if present.

A data producer

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReportResults of a measure evaluation
... extension-submitDataUpdateType S1..1codeExtension
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status S1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type S1..1codeindividual | subject-list | summary | data-collection
Fixed Value: data-collection
... measure S1..1canonical(Measure)What measure was calculated
... subject S1..1Reference(QICorePatient)What individual(s) the report is for
... date S1..1dateTimeWhen the report was generated
... reporter S1..1Reference(DEQM Organization Profile)The organization where the measure was completed
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTimeStarting time with inclusive boundary
.... end S1..1dateTimeEnd time with inclusive boundary, if not ongoing
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1stringLogical 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: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-submitDataUpdateType S1..1codeOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: data-collection
... measure SΣ1..1canonical(Measure)What measure was calculated
... subject SΣ1..1Reference(QICorePatient)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reporter SΣ1..1Reference(DEQM Organization Profile)The organization where the measure was completed
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..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 referencing
.... Slices for 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
... improvementNotation ?!Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (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 I0..*BackboneElementMeasure results for each group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..1CodeableConceptMeaning of the group
.... population 0..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count 0..1integerSize of the population
..... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
.... measureScore Σ0..1QuantityWhat score this group achieved
.... stratifier 0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..*CodeableConceptWhat stratifier of the group
..... stratum 0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value 0..1CodeableConceptThe stratum value, e.g. male
...... component 0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 1..1CodeableConceptWhat stratifier component of the group
....... value 1..1CodeableConceptThe stratum component value, e.g. male
...... population 0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1integerSize of the population
....... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
...... measureScore 0..1QuantityWhat score this stratum achieved
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... extension-submitDataUpdateType 1..1codeOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
... cqfm-softwaresystem 0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status ?!Σ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type ΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: data-collection
... measure Σ1..1canonical(Measure)What measure was calculated
... subject Σ1..1Reference(QICorePatient)What individual(s) the report is for
... date Σ1..1dateTimeWhen the report was generated
... reporter Σ1..1Reference(DEQM Organization Profile)The organization where the measure was completed
.... extension-reporterGroup 0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period ΣI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start ΣI1..1dateTimeStarting time with inclusive boundary
.... end ΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... evaluatedResource 0..*Reference(Resource)What data was used to calculate the measure score

doco Documentation for this format

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReportResults of a measure evaluation
... extension-submitDataUpdateType S1..1codeExtension
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... status S1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type S1..1codeindividual | subject-list | summary | data-collection
Fixed Value: data-collection
... measure S1..1canonical(Measure)What measure was calculated
... subject S1..1Reference(QICorePatient)What individual(s) the report is for
... date S1..1dateTimeWhen the report was generated
... reporter S1..1Reference(DEQM Organization Profile)The organization where the measure was completed
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start S1..1dateTimeStarting time with inclusive boundary
.... end S1..1dateTimeEnd time with inclusive boundary, if not ongoing
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportResults of a measure evaluation
... id Σ0..1stringLogical 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: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-submitDataUpdateType S1..1codeOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣI1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: data-collection
... measure SΣ1..1canonical(Measure)What measure was calculated
... subject SΣ1..1Reference(QICorePatient)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reporter SΣ1..1Reference(DEQM Organization Profile)The organization where the measure was completed
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..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 referencing
.... Slices for 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
... improvementNotation ?!Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (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 I0..*BackboneElementMeasure results for each group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..1CodeableConceptMeaning of the group
.... population 0..*BackboneElementThe populations in the group
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count 0..1integerSize of the population
..... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
.... measureScore Σ0..1QuantityWhat score this group achieved
.... stratifier 0..*BackboneElementStratification results
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..*CodeableConceptWhat stratifier of the group
..... stratum 0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value 0..1CodeableConceptThe stratum value, e.g. male
...... component 0..*BackboneElementStratifier component values
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 1..1CodeableConceptWhat stratifier component of the group
....... value 1..1CodeableConceptThe stratum component value, e.g. male
...... population 0..*BackboneElementPopulation results in this stratum
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1integerSize of the population
....... subjectResults 0..1Reference(List)For subject-list reports, the subject results in this population
...... measureScore 0..1QuantityWhat score this stratum achieved
... evaluatedResource S0..*Reference(Resource)What data was used to calculate the measure score

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.languagepreferredCommonLanguages
Max Binding: AllLanguages
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: data-collection
MeasureReport.reporter.typeextensibleResourceType
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType

Constraints

IdPathDetailsRequirements
deqm-1MeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*')

Notes:

This profile is used in the following transactions:

Data Exchange