The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Value-Based Performance MeasureReport has the following mandatory elements

1. A status - status of this report
2. A type - with a fixed value summary
3. A measure - that references the Value-Based Performance Measure
4. An orgSubject extention on subject - that references the organization the report is for
5. A date
6. A reporter - references the organization who is reporting the data
7. A period - the performance period the report covers

Each Value-Based Performance MeasureReport should have the following elements

1. Zero to many group - each group corresponds to a performance metric
   • If group is present, each group must have a group.code that represents the performance metric
2. Zero to many evaluatedResource - references the VBP Quality MeasureReport profile

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport		0..*	MeasureReport	A value-based performance report
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: summary
measure	S	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	S	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
extension		1..*	Extension	Extension
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date	S	1..1	dateTime	When the report was generated
reporter	S	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	S	1..1	Period	What performance period the report covers
improvementNotation		0..0
group	S	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
code	S	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
measureScore		0..1	Quantity	The performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
stratifier	S	0..*	BackboneElement	Stratification results
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
measureScore	S	0..1	Quantity	Stratified performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	A value-based performance report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure	SΣ	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	SΣ	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	SΣ	1..1	Period	What performance period the report covers
group	SC	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
measureScore	Σ	0..1	Quantity	The performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier	S	0..*	BackboneElement	Stratification results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measureScore	S	0..1	Quantity	Stratified performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	A value-based performance report
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure	SΣ	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	SΣ	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	SΣ	1..1	Period	What performance period the report covers
group	SC	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
population		0..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	Σ	0..1	Quantity	The performance metric value
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	S	0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	Stratified performance metric value
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.subject.type	extensible	ResourceType
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
MeasureReport.group.population.code	extensible	MeasurePopulationType
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator
MeasureReport.evaluatedResource:qualityReport.type	extensible	ResourceType

Differential View

This structure is derived from MeasureReport

Name	Flags	Card.	Type	Description & Constraints
MeasureReport		0..*	MeasureReport	A value-based performance report
status	S	1..1	code	complete | pending | error
type	S	1..1	code	individual | subject-list | summary | data-collection Fixed Value: summary
measure	S	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	S	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
extension		1..*	Extension	Extension
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date	S	1..1	dateTime	When the report was generated
reporter	S	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	S	1..1	Period	What performance period the report covers
improvementNotation		0..0
group	S	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
code	S	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
measureScore		0..1	Quantity	The performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
stratifier	S	0..*	BackboneElement	Stratification results
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
measureScore	S	0..1	Quantity	Stratified performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	A value-based performance report
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure	SΣ	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	SΣ	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	SΣ	1..1	Period	What performance period the report covers
group	SC	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
measureScore	Σ	0..1	Quantity	The performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier	S	0..*	BackboneElement	Stratification results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measureScore	S	0..1	Quantity	Stratified performance metric value
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	MeasureReport	A value-based performance report
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure	SΣ	1..1	canonical(Value-Based Performance Measure)	A Measure definition with contract level data for a value-based contract the report is for
subject	SΣ	1..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group)	What individual(s) the report is for
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orgSubject	S	1..1	Reference(US Core Organization Profile)	What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(US Core Organization Profile)	Who is reporting the data
period	SΣ	1..1	Period	What performance period the report covers
group	SC	0..*	BackboneElement	Performance metrics in the report. Each group contains data for a performance metric.
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
paymentStream	S	0..*	(Complex)	The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod	S	0..1	Period	The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate	S	0..1	date	Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline	S	0..1	(Complex)	The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Performance metric Binding: Performance Metric (extensible)
population		0..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	Σ	0..1	Quantity	The performance metric value
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	S	0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	Stratified performance metric value
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore	S	0..1	boolean, decimal, integer, CodeableConcept, Money	Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Slices for evaluatedResource	S	0..*	Reference(Resource)	What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport		0..*	Reference(VBP Quality MeasureReport)	quality measure MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
groupRef	S	0..*	string	Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.subject.type	extensible	ResourceType
MeasureReport.group.code	extensible	VbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
MeasureReport.group.population.code	extensible	MeasurePopulationType
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	MeasurePopulationType
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator
MeasureReport.evaluatedResource:qualityReport.type	extensible	ResourceType

This structure is derived from MeasureReport

Summary

Mandatory: 5 elements (1 nested mandatory element)
Must-Support: 22 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Value-Based Performance Measure (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• VBP Quality MeasureReport (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

Slices

This structure defines the following Slices:

• The element MeasureReport.evaluatedResource is sliced based on the value of type:reference