Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: DEQM Summary MeasureReport Profile

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm Version: 4.0.0
Active as of 2018-06-19 Computable Name: DEQMSummaryMeasureReportProfile

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 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:

  1. A status
  2. A measure report type hardcoded to “summary”
  3. The reference to the Measure
  4. The date the report was generated
  5. The organization that reported the data
  6. The measurement period that the report covers
  7. The results of the measure calculation for each group
  8. The measure score calculated for each reported group

Each MeasureReport should have (Must Support):

  1. Reference to the reporting program using the DEQM Reporting Program Extension
  2. Reference to the supplemental data using the DEQM Supplemental Data Extension
  3. The scoring type defined by the referenced Measure using the DEQM Measure Scoring Extension
  4. Reference to a reporting vendor using the DEQM Reporting Vendor Extension
  5. A certification identifier using the DEQM Certification Identifier Extension
  6. Specify the software systems used by the reporting system using the CQFM Software System Extension
  7. Indicate whether improvement in the measure is noted by an increase or decrease in the measure score
  8. The scoring type for the reported group using the DEQM Measure Scoring Extension
  9. Indicate whether improvement in the reported group is noted by an increase or decrease in the measure score
  10. A code that defines the meaning of the reported group
  11. The populations in the reported group
  12. Measure results for each group with separate subgroup calculations (stratifiers)
  13. Ability to use other types for measure score using the DEQM Alternate Score Type 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.

  • There are some elements like scoring and improvementNotation that can be specified either at the measure level or at the group level. If it is reported at the measure level it should not be specified for any group and if it is specified for any group it should be specified for every group and not at the measure level.

Examples

Usage:

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 C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... software S0..*Reference(CQFM Device)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: summary
... measure S1..1canonical(CQFM Measure)What measure was calculated
... subject 0..0
... date S1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter S1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SC1..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
... improvementNotation SC0..1CodeableConceptincrease | decrease
... group SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... code S0..1CodeableConceptMeaning of the group
.... population SC0..*BackboneElementThe populations in the group
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... count S1..1integerSize of the population
..... subjectResults 0..0
.... measureScore SC0..1QuantityWhat score this group achieved
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
.... stratifier S0..*BackboneElementStratification results
..... code S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... value S0..1CodeableConceptThe stratum value, e.g. male
...... population S0..*BackboneElementPopulation results in this stratum
....... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
....... count S1..1integerSize of the population
....... subjectResults 0..0
...... measureScore S0..1QuantityWhat score this stratum achieved
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MeasureReport.statusrequiredMeasureReportStatus

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData"
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... software S0..*Reference(CQFM Device)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣC1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ1..1canonical(CQFM Measure)What measure was calculated
... date SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter SΣ1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start SΣC1..1dateTimeStarting time with inclusive boundary
.... end SΣC1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣC0..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 SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptMeaning of the group
.... population SC0..*BackboneElementThe populations in the group
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..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 S1..1integerSize of the population
.... measureScore SΣC0..1QuantityWhat score this group achieved
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

.... stratifier S0..*BackboneElementStratification results
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value S0..1CodeableConceptThe stratum value, e.g. male
...... population S0..*BackboneElementPopulation results in this stratum
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code S1..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 S1..1integerSize of the population
...... measureScore S0..1QuantityWhat score this stratum achieved
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: summary
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... 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
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData"
.... value[x] 0..1Reference(QICore Observation | Resource)For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource.
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... 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"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (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)
... software S0..*Reference(CQFM Device)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 SΣC1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ1..1canonical(CQFM Measure)What measure was calculated
... date SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter SΣ1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣC0..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 SΣC1..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
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeStarting time with inclusive boundary
.... end SΣC1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣC0..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 SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptMeaning of the group
.... population SC0..*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 SΣ1..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 S1..1integerSize of the population
.... measureScore SΣC0..1QuantityWhat score this group achieved
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣC0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... stratifier S0..*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 S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*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 S0..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 S0..*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 S1..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 S1..1integerSize of the population
...... measureScore S0..1QuantityWhat score this stratum achieved
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... value Σ0..1decimalNumerical value (with implicit precision)
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ0..1stringUnit representation
....... system ΣC0..1uriSystem that defines coded unit form
....... code Σ0..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: summary
MeasureReport.reporter.typeextensibleResourceType
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... software S0..*Reference(CQFM Device)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: summary
... measure S1..1canonical(CQFM Measure)What measure was calculated
... subject 0..0
... date S1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter S1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SC1..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
... improvementNotation SC0..1CodeableConceptincrease | decrease
... group SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... code S0..1CodeableConceptMeaning of the group
.... population SC0..*BackboneElementThe populations in the group
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... count S1..1integerSize of the population
..... subjectResults 0..0
.... measureScore SC0..1QuantityWhat score this group achieved
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
.... stratifier S0..*BackboneElementStratification results
..... code S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... value S0..1CodeableConceptThe stratum value, e.g. male
...... population S0..*BackboneElementPopulation results in this stratum
....... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
....... count S1..1integerSize of the population
....... subjectResults 0..0
...... measureScore S0..1QuantityWhat score this stratum achieved
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
... evaluatedResource 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MeasureReport.statusrequiredMeasureReportStatus

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData"
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
...... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
... software S0..*Reference(CQFM Device)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required)
... type SΣC1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ1..1canonical(CQFM Measure)What measure was calculated
... date SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter SΣ1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC1..1PeriodWhat period the report covers
deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start SΣC1..1dateTimeStarting time with inclusive boundary
.... end SΣC1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣC0..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 SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptMeaning of the group
.... population SC0..*BackboneElementThe populations in the group
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..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 S1..1integerSize of the population
.... measureScore SΣC0..1QuantityWhat score this group achieved
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

.... stratifier S0..*BackboneElementStratification results
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*BackboneElementStratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value S0..1CodeableConceptThe stratum value, e.g. male
...... population S0..*BackboneElementPopulation results in this stratum
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... code S1..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 S1..1integerSize of the population
...... measureScore S0..1QuantityWhat score this stratum achieved
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: summary
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C0..*MeasureReportResults of a measure evaluation
deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
deqm-3: ensures scoring is either specified only at the root, or on all groups
deqm-5: If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... 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
... reportingProgram S0..1CodeableConcept, canonical(CQFM Library)Reporting program
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
Binding: Quality Programs (extensible)
... supplementalData S0..1Reference(QICore Observation | Resource)Supplemental Data
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... criteriaReference S0..1stringCriteria reference
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference
.... url 1..1uri"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData"
.... value[x] 0..1Reference(QICore Observation | Resource)For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource.
... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
... vendor S0..1Reference(QICore Organization)Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
... location 0..*Reference(QICore Location)Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
... cehrt S0..1IdentifierCMS EHR Certifciation ID
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
.... id 0..1stringUnique id for inter-element referencing
.... 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"
.... Slices for value[x] 1..1IdentifierValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1IdentifierValue of extension
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... use0..1codeusual | official | temp | secondary | old (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)
... software S0..*Reference(CQFM Device)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 SΣC1..1codeindividual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ1..1canonical(CQFM Measure)What measure was calculated
... date SΣ1..1dateTimeWhen the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
... reporter SΣ1..1Reference(QICore Organization)Organization that generated the MeasureReport
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... group S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣC0..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 SΣC1..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
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeStarting time with inclusive boundary
.... end SΣC1..1dateTimeEnd time with inclusive boundary, if not ongoing
... improvementNotation ?!SΣC0..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 SC1..*BackboneElementMeasure results for each group
deqm-4: If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
.... id S0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... scoring SC0..1CodeableConceptproportion | ratio | continuous-variable | cohort | composite
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
Binding: MeasureScoring (extensible)
.... calculatedDate S0..1dateTimeThe date the score was calculated
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
.... groupImprovementNotation SC0..1CodeableConceptincrease | decrease
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation
Binding: MeasureImprovementNotation (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptMeaning of the group
.... population SC0..*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 SΣ1..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 S1..1integerSize of the population
.... measureScore SΣC0..1QuantityWhat score this group achieved
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... altscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣC0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... stratifier S0..*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 S1..1CodeableConceptWhat stratifier of the group
..... stratum S0..*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 S0..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 S0..*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 S1..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 S1..1integerSize of the population
...... measureScore S0..1QuantityWhat score this stratum achieved
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... strataltscoretype S0..1dateTime, CodeableConcept, Period, Range, DurationPossible additional measureScore value types
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
....... value Σ0..1decimalNumerical value (with implicit precision)
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ0..1stringUnit representation
....... system ΣC0..1uriSystem that defines coded unit form
....... code Σ0..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: summary
MeasureReport.reporter.typeextensibleResourceType
MeasureReport.improvementNotationrequiredMeasureImprovementNotation
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
deqm-1errorMeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.toString().length()>9 and end.toString().length()>9
deqm-2errorMeasureReportIf the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
deqm-3errorMeasureReportensures scoring is either specified only at the root, or on all groups
: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() xor (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count())
deqm-4errorMeasureReport.groupIf the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5errorMeasureReportIf the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6errorMeasureReportIf the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
: (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies group.all(measureScore.value >= 0.0 and measureScore.value <=1.0)

 

Other representations of profile: CSV, Excel, Schematron

Notes:

This profile is used in the following transactions:

Summary Measure Reporting Interactions