Da Vinci Risk Adjustment Implementation Guide (STU1 Ballot)
0.1.0 - STU 1 Ballot

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Risk Adjustment Coding Gap Report Profile

Defining URL:http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport
Version:0.1.0
Name:RiskAdjustmentCodingGapReport
Title:Risk Adjustment Coding Gap Report Profile
Status:Active as of 11/11/21
Definition:

This risk adjustment coding gap report profile is based on the MeasureReport to represent a risk adjustment coding gap report.

Publisher:HL7 Clinical Quality Information Work Group
Copyright:

Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

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

Mandatory Data Elements and Terminology

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

Each MeasureReport must have:

  1. A MeasureReport.status element
  2. A MeasureReport.type element hard coded to “individual”
  3. A MeasureReport.measure element references a Risk Adjustment model measure
  4. A MeasureReport.subject element references a US Core Patient profile
  5. A MeasureReport.period element for the clinical evaluation period for which the risk adjustment coding gap report was generated.

Each MeasureReport should have ([Must Support]):

  1. Zero to many MeasureReport.group element
  2. Each MeasureReport.group should have a MeasureReport.group.code element
  3. Each MeasureReport.group should have a MeasureReport.group.ra-suspectType element
  4. Each MeasureReport.group should have a MeasureReport.group.ra-evidenceStatus element
  5. Each MeasureReport.group should have a MeasureReport.group.ra-evidenceStatusDate element
  6. Each MeasureReport.group should have a MeasureReport.group.ra-hierarchicalStatus element
  7. Each MeasureReport.group should have zero to many MeasureReport.evalautedResource element

Additional Profile specific implementation guidance:

  1. evaluatedResource SHALL reference resources using USCore profiles where applicable
  2. All resources referenced by evaluatedResource SHALL be returned in the bundle by $report operation

The Clinical Data Collection Deadline element, ra-clinicalDataCollectionDeadline, was added as an extension to MeasureReport. We are seeking comment from implementers if they intend to use this element when communicating risk adjustment coding gap reports from payers to providers.

Formal Views of Profile Content

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

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReportThis is a Risk Adjustment Coding Gap Report.
... ra-clinicalDataCollectionDeadline S0..1dateThis is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline
... status S1..1codecomplete | pending | error
... type S1..1codeThe type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
Fixed Value: individual
... subject S1..1Reference(US Core Patient Profile)What individual(s) the report is for
... date S1..1dateTimeWhen the report was generated
... reporter S1..1Reference(US Core Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodClinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
ra-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 0..0
... group S0..*BackboneElementA group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
.... id S1..1stringUnique id for inter-element referencing
.... ra-suspectType S0..1CodeableConceptThis is the risk adjustment suspect type for an HCC gap
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
Binding: Risk Adjustment Suspect Type Value Set (extensible)
.... ra-evidenceStatus S0..1CodeableConceptThis is evidence status of a Condition Category coding gap: open-gap|closed-gap|pending.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus
Binding: Risk Adjustment Evidence Status Value Set (extensible)
.... ra-evidenceStatusDate S0..1dateWhen the evidence status was changed to either closed-gap, open-gap, or pending
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate
.... ra-hierarchicalStatus S0..1CodeableConceptThis is to indicate whether hierarchies were applied to a Condition Category, and if applied, whether the Condition Category is superseded: applied-superseded|applied-not-superseded|not-applied|not-applicable
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus
Binding: Risk Adjustment Hierarchical Status Value Set (extensible)
.... code S0..1CodeableConceptCondition Categories code such as Hierarchical Condition Categories (HCC) code 19.
.... population 0..0
.... measureScore 0..0
.... stratifier 0..0
... evaluatedResource S0..*Reference(Resource)Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
.... ra-groupReference S0..*stringThis references the MeasureReport.group.id.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportThis is a Risk Adjustment Coding Gap Report.
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... ra-clinicalDataCollectionDeadline S0..1dateThis is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣI1..1codeThe type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... measure SΣ1..1canonical(Risk Adjustment Model Measure)This references a measure that represents a Risk Adjustment model, such as CMS-HCC V24.
... subject SΣ1..1Reference(US Core Patient Profile)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reporter SΣ1..1Reference(US Core Organization Profile)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
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..1PeriodClinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... group SI0..*BackboneElementA group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
.... id S1..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ra-suspectType S0..1CodeableConceptThis is the risk adjustment suspect type for an HCC gap
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
Binding: Risk Adjustment Suspect Type Value Set (extensible)
.... ra-evidenceStatus S0..1CodeableConceptThis is evidence status of a Condition Category coding gap: open-gap|closed-gap|pending.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus
Binding: Risk Adjustment Evidence Status Value Set (extensible)
.... ra-evidenceStatusDate S0..1dateWhen the evidence status was changed to either closed-gap, open-gap, or pending
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate
.... ra-hierarchicalStatus S0..1CodeableConceptThis is to indicate whether hierarchies were applied to a Condition Category, and if applied, whether the Condition Category is superseded: applied-superseded|applied-not-superseded|not-applied|not-applicable
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus
Binding: Risk Adjustment Hierarchical Status Value Set (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptCondition Categories code such as Hierarchical Condition Categories (HCC) code 19.
... evaluatedResource S0..*Reference(Resource)Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... ra-groupReference S0..*stringThis references the MeasureReport.group.id.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportThis is a Risk Adjustment Coding Gap Report.
... ra-clinicalDataCollectionDeadline 0..1dateThis is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline
... status ?!Σ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type ΣI1..1codeThe type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... subject Σ1..1Reference(US Core Patient Profile)What individual(s) the report is for
... date Σ1..1dateTimeWhen the report was generated
... reporter Σ1..1Reference(US Core Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup 0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period ΣI1..1PeriodClinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... start ΣI1..1dateTimeStarting time with inclusive boundary
.... end ΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... group I0..*BackboneElementA group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
.... id 1..1stringUnique id for inter-element referencing
.... ra-suspectType 0..1CodeableConceptThis is the risk adjustment suspect type for an HCC gap
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
Binding: Risk Adjustment Suspect Type Value Set (extensible)
.... ra-evidenceStatus 0..1CodeableConceptThis is evidence status of a Condition Category coding gap: open-gap|closed-gap|pending.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus
Binding: Risk Adjustment Evidence Status Value Set (extensible)
.... ra-evidenceStatusDate 0..1dateWhen the evidence status was changed to either closed-gap, open-gap, or pending
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate
.... ra-hierarchicalStatus 0..1CodeableConceptThis is to indicate whether hierarchies were applied to a Condition Category, and if applied, whether the Condition Category is superseded: applied-superseded|applied-not-superseded|not-applied|not-applicable
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus
Binding: Risk Adjustment Hierarchical Status Value Set (extensible)
.... code Σ0..1CodeableConceptCondition Categories code such as Hierarchical Condition Categories (HCC) code 19.
... evaluatedResource 0..*Reference(Resource)Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
.... ra-groupReference 0..*stringThis references the MeasureReport.group.id.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference

doco Documentation for this format

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*MeasureReportThis is a Risk Adjustment Coding Gap Report.
... ra-clinicalDataCollectionDeadline S0..1dateThis is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline
... status S1..1codecomplete | pending | error
... type S1..1codeThe type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
Fixed Value: individual
... subject S1..1Reference(US Core Patient Profile)What individual(s) the report is for
... date S1..1dateTimeWhen the report was generated
... reporter S1..1Reference(US Core Organization Profile)Organization that generated the MeasureReport
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SI1..1PeriodClinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
ra-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 0..0
... group S0..*BackboneElementA group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
.... id S1..1stringUnique id for inter-element referencing
.... ra-suspectType S0..1CodeableConceptThis is the risk adjustment suspect type for an HCC gap
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
Binding: Risk Adjustment Suspect Type Value Set (extensible)
.... ra-evidenceStatus S0..1CodeableConceptThis is evidence status of a Condition Category coding gap: open-gap|closed-gap|pending.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus
Binding: Risk Adjustment Evidence Status Value Set (extensible)
.... ra-evidenceStatusDate S0..1dateWhen the evidence status was changed to either closed-gap, open-gap, or pending
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate
.... ra-hierarchicalStatus S0..1CodeableConceptThis is to indicate whether hierarchies were applied to a Condition Category, and if applied, whether the Condition Category is superseded: applied-superseded|applied-not-superseded|not-applied|not-applicable
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus
Binding: Risk Adjustment Hierarchical Status Value Set (extensible)
.... code S0..1CodeableConceptCondition Categories code such as Hierarchical Condition Categories (HCC) code 19.
.... population 0..0
.... measureScore 0..0
.... stratifier 0..0
... evaluatedResource S0..*Reference(Resource)Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
.... ra-groupReference S0..*stringThis references the MeasureReport.group.id.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport I0..*MeasureReportThis is a Risk Adjustment Coding Gap Report.
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... ra-clinicalDataCollectionDeadline S0..1dateThis is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the MeasureReport
... status ?!SΣ1..1codecomplete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣI1..1codeThe type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: individual
... measure SΣ1..1canonical(Risk Adjustment Model Measure)This references a measure that represents a Risk Adjustment model, such as CMS-HCC V24.
... subject SΣ1..1Reference(US Core Patient Profile)What individual(s) the report is for
... date SΣ1..1dateTimeWhen the report was generated
... reporter SΣ1..1Reference(US Core Organization Profile)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
.... extension-reporterGroup S0..1Reference(Group)Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... period SΣI1..1PeriodClinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI1..1dateTimeStarting time with inclusive boundary
.... end SΣI1..1dateTimeEnd time with inclusive boundary, if not ongoing
... group SI0..*BackboneElementA group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
.... id S1..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ra-suspectType S0..1CodeableConceptThis is the risk adjustment suspect type for an HCC gap
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
Binding: Risk Adjustment Suspect Type Value Set (extensible)
.... ra-evidenceStatus S0..1CodeableConceptThis is evidence status of a Condition Category coding gap: open-gap|closed-gap|pending.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus
Binding: Risk Adjustment Evidence Status Value Set (extensible)
.... ra-evidenceStatusDate S0..1dateWhen the evidence status was changed to either closed-gap, open-gap, or pending
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate
.... ra-hierarchicalStatus S0..1CodeableConceptThis is to indicate whether hierarchies were applied to a Condition Category, and if applied, whether the Condition Category is superseded: applied-superseded|applied-not-superseded|not-applied|not-applicable
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus
Binding: Risk Adjustment Hierarchical Status Value Set (extensible)
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ0..1CodeableConceptCondition Categories code such as Hierarchical Condition Categories (HCC) code 19.
... evaluatedResource S0..*Reference(Resource)Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... ra-groupReference S0..*stringThis references the MeasureReport.group.id.
URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
MeasureReport.languagepreferredCommonLanguages
Max Binding: AllLanguages
MeasureReport.statusrequiredMeasureReportStatus
MeasureReport.typerequiredFixed Value: individual
MeasureReport.reporter.typeextensibleResourceType
MeasureReport.group.population.codeextensibleMeasurePopulationType
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
MeasureReport.evaluatedResource.typeextensibleResourceType

Constraints

IdPathDetailsRequirements
dom-2MeasureReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MeasureReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4MeasureReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5MeasureReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MeasureReportA resource should have narrative for robust management
: text.`div`.exists()
mrp-1MeasureReportMeasure Reports used for data collection SHALL NOT communicate group and score information
: (type != 'data-collection') or group.exists().not()
mrp-2MeasureReportStratifiers SHALL be either a single criteria or a set of criteria components
: group.stratifier.stratum.all(value.exists() xor component.exists())
ele-1MeasureReport.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.measureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.reporterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.reporter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.reporter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.reporter.extension:groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.reporter.extension:groupMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.reporter.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.reporter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.reporter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.reporter.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ra-1MeasureReport.periodDate precision SHALL be at least to day ( YYYY-MM-DD )
: start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*')
ele-1MeasureReport.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.period.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.extension:suspectTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.extension:suspectTypeMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.extension:evidenceStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.extension:evidenceStatusMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.extension:evidenceStatusDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.extension:evidenceStatusDateMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.extension:hierarchicalStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.extension:hierarchicalStatusMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.population.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.population.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.population.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.population.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.population.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.population.countAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.population.subjectResultsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratumAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.component.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.populationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.population.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.population.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.population.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.group.stratifier.stratum.population.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.group.stratifier.stratum.population.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.population.countAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.population.subjectResultsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.group.stratifier.stratum.measureScoreAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.evaluatedResourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.evaluatedResource.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.evaluatedResource.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.evaluatedResource.extension:groupReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MeasureReport.evaluatedResource.extension:groupReferenceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MeasureReport.evaluatedResource.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.evaluatedResource.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.evaluatedResource.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MeasureReport.evaluatedResource.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())