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 period for which the report was generated. For the Gaps in Care use case, this is referred to as the gaps through period.
8. The results of the calculation (the Measure Score)

Each MeasureReport should have (Must Support):

1. Measure results for each group
2. The number of members for each population in a group
3. Indicate whether improvement in the measure is noted by an increase or decrease in the measure score.
4. References to other resources involved in producing the report
5. The scoring type defined by the referenced Measure using the DEQM Measure Scoring Extension
6. Reference to a reporting vendor using the DEQM Reporting Vendor Extension
7. A certification identifier using the DEQM Certification Identifier Extension
8. Ability to use other types for measure score using the DEQM Alternate Score Type Extension
9. Specify the software systems used by the reporting system using the CQFM Software System Extension

Additional Profile specific implementation guidance:

• The MeasureReport.group.population.id is a must support element because it is used to link across the Measure and is equal to the Measure.population.group.id. This is needed because the MeasureReport.group.population.code is insufficient when the measure types have multiple populations with the same code.

• If the measure scoring type is ‘proportion’, ‘ratio’, or ‘continuous-variable’ then the improvementNotation element is required.

• If the measure scoring type is ‘proportion’ then the MeasureReport.group.measureScore.value SHALL be a numerical value between 0 and 1.

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

• the DEQM Reporting Vendor Extension is intended to represent the submitting entity when it is not the same as the reporting entity.

Examples

• Measurereport Indv Measurereport01
• Measurereport Indv Measurereport02
• Measurereport Indv Measurereport03

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	I	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
extension-measureScoring	SI	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
extension-reportingVendor	S	0..1	Reference(DEQM Organization Profile)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension-certificationIdentifier	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
valueIdentifier	S	1..1	Identifier	Value of extension Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: individual
measure	S	1..1	canonical(Measure)	What measure was calculated
subject	S	1..1	Reference(QICorePatient)	What individual(s) the report is for
date	S	1..1	dateTime	When the report was calculated
reporter	S	1..1	Reference(DEQM Organization Profile)	Organization that generated the MeasureReport
extension-reporterGroup	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SI	1..1	Period	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	SI	0..1	CodeableConcept	increase | decrease
group	S	0..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
population	S	1..*	BackboneElement	The populations in the group
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	S	0..1	integer	Size of the population
subjectResults		0..0
measureScore	SI	1..1	Quantity	What score this group achieved deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
extension-alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
extension-populationReference	S	0..*	string	Population reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	I	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-measureScoring	SI	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
extension-reportingVendor	S	0..1	Reference(DEQM Organization Profile)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension-certificationIdentifier	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
Slices for 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"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier	S	1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (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)
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣI	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣ	1..1	canonical(Measure)	What measure was calculated
subject	SΣ	1..1	Reference(QICorePatient)	What individual(s) the report is for
date	SΣ	1..1	dateTime	When the report was calculated
reporter	SΣ	1..1	Reference(DEQM Organization Profile)	Organization that generated the MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-reporterGroup	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
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	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
id		0..1	string	Unique id for inter-element referencing
Slices for 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
improvementNotation	?!SΣI	0..1	CodeableConcept	increase | 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	SI	0..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-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	S	0..1	integer	Size of the population
measureScore	SΣI	1..1	Quantity	What score this group achieved deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣI	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier		0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum		0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-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..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		0..1	Quantity	What score this stratum achieved
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-populationReference	S	0..*	string	Population reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
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

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	I	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
extension-measureScoring	I	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
extension-reportingVendor		0..1	Reference(DEQM Organization Profile)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension-certificationIdentifier		0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
cqfm-softwaresystem		0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
status	?!Σ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	ΣI	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	Σ	1..1	canonical(Measure)	What measure was calculated
subject	Σ	1..1	Reference(QICorePatient)	What individual(s) the report is for
date	Σ	1..1	dateTime	When the report was calculated
reporter	Σ	1..1	Reference(DEQM Organization Profile)	Organization that generated the MeasureReport
extension-reporterGroup		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	ΣI	1..1	Period	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start	ΣI	1..1	dateTime	Starting time with inclusive boundary
end	ΣI	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!ΣI	0..1	CodeableConcept	increase | 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	I	0..*	BackboneElement	Measure results for each group
id		0..1	string	Unique id for inter-element referencing
population		1..*	BackboneElement	The populations in the group
code	Σ	1..1	CodeableConcept	initial-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..1	integer	Size of the population
measureScore	ΣI	1..1	Quantity	What score this group achieved deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
extension-alternateScoreType		0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource		0..*	Reference(Resource)	What data was used to calculate the measure score
extension-populationReference		0..*	string	Population reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
Documentation for this format

This structure is derived from MeasureReport

Summary

Mandatory: 6 elements (4 nested mandatory elements)
Must-Support: 25 elements
Fixed Value: 1 element
Prohibited: 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:

• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
• http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
• http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference

Differential View

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	I	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
extension-measureScoring	SI	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
extension-reportingVendor	S	0..1	Reference(DEQM Organization Profile)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension-certificationIdentifier	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
valueIdentifier	S	1..1	Identifier	Value of extension Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: individual
measure	S	1..1	canonical(Measure)	What measure was calculated
subject	S	1..1	Reference(QICorePatient)	What individual(s) the report is for
date	S	1..1	dateTime	When the report was calculated
reporter	S	1..1	Reference(DEQM Organization Profile)	Organization that generated the MeasureReport
extension-reporterGroup	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SI	1..1	Period	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	SI	0..1	CodeableConcept	increase | decrease
group	S	0..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
population	S	1..*	BackboneElement	The populations in the group
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
count	S	0..1	integer	Size of the population
subjectResults		0..0
measureScore	SI	1..1	Quantity	What score this group achieved deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
extension-alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
extension-populationReference	S	0..*	string	Population reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	I	0..*	MeasureReport	Results of a measure evaluation deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension-measureScoring	SI	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
extension-reportingVendor	S	0..1	Reference(DEQM Organization Profile)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension-certificationIdentifier	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
Slices for 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"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier	S	1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (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)
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣI	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣ	1..1	canonical(Measure)	What measure was calculated
subject	SΣ	1..1	Reference(QICorePatient)	What individual(s) the report is for
date	SΣ	1..1	dateTime	When the report was calculated
reporter	SΣ	1..1	Reference(DEQM Organization Profile)	Organization that generated the MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-reporterGroup	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
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	The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
id		0..1	string	Unique id for inter-element referencing
Slices for 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
improvementNotation	?!SΣI	0..1	CodeableConcept	increase | 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	SI	0..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-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	S	0..1	integer	Size of the population
measureScore	SΣI	1..1	Quantity	What score this group achieved deqm-5: If the measure scoring type is 'proportion' then the measureScore value SHALL be 0 or 1 for individual reporting
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣI	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier		0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum		0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-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..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		0..1	Quantity	What score this stratum achieved
evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the measure score
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension-populationReference	S	0..*	string	Population reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
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

This profile is used in the following transactions:

Individual Measure Reporting Interactions