The Value-Based Performance (VBP) Quality MeasureReport derives from the DEQM Susmmary MeasureReport.

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

Each Value-Based Performance Measure has the following mandatory elements:

1. A url - a canonical identifier for this measure (value-based contract)
2. A version - version of the measure (value-based contract)
3. A name - a computer friendly name for this measure (value-based contract)
4. A status - status of this measure, which would often be active
5. An experimental element - set to true if for testing
6. A publisher - name of the publisher for this measure (value-based contract)
7. A description - description of the measure (value-based contract)

Each Value-Based Performance Measure should have the following elements:

1. Zero to many identifier - business identifier of the measure (value-based contract)
2. Zero to one title - a human friendly title for this measure (value-based contract)
3. Zero to one effectivePeriod - effective period of the measure, which is the contract term period for a value-based contract
4. Zero to one lineOfBusiness - line of business for the measure (value-based contract)
5. Zero to many paymentStream - list of payment streams covered in the measure (value-based contract)
6. Zeor to one programModel - program model for the measure (value-based contract) based on the HPCLAN Framework
7. Zero to many group.code - list of performance metrics that could be reported on the measure (value-based contract)
8. zero to many relatedArtifact - list of quality measures specified in the value-based contract that ties to the payment stream based on quality measures
9. zeor to one relatedArtifact.weight for each relatedArtifact - the weight of a quality measure that contributes to the scoring

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

This structure is derived from DEQMSummaryMeasureReportProfile

Name	Flags	Card.	Type	Description & Constraints
MeasureReport		0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
group
population
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
stratifier
stratum
population
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
scoring	SC	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor	S	0..1	Reference(QICoreOrganization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
software	S	0..*	Reference(CQFM Device)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
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(Measure)	What measure was calculated
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(QICoreOrganization)	Organization that generated the MeasureReport
group	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SΣC	1..1	Period	What period the report covers
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	SΣC	1..1	Quantity	What score this group achieved
altscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
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
code	S	1..1	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
population	S	0..*	BackboneElement	Population results in this stratum
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.improvementNotation	required	MeasureImprovementNotation
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
scoring	SC	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor	S	0..1	Reference(QICoreOrganization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
software	S	0..*	Reference(CQFM Device)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
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)
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(Measure)	What measure was calculated
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(QICoreOrganization)	Organization that generated the MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
group	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
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
period	SΣC	1..1	Period	What period the report covers
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	SΣC	1..1	Quantity	What score this group achieved
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
altscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	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	S	1..1	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	S	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	S	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	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
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
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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.reporter.type	extensible	ResourceType
MeasureReport.improvementNotation	required	MeasureImprovementNotation
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

Differential View

This structure is derived from DEQMSummaryMeasureReportProfile

Name	Flags	Card.	Type	Description & Constraints
MeasureReport		0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
group
population
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
stratifier
stratum
population
code		1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
scoring	SC	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor	S	0..1	Reference(QICoreOrganization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
software	S	0..*	Reference(CQFM Device)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required)
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(Measure)	What measure was calculated
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(QICoreOrganization)	Organization that generated the MeasureReport
group	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SΣC	1..1	Period	What period the report covers
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	SΣC	1..1	Quantity	What score this group achieved
altscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
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
code	S	1..1	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
population	S	0..*	BackboneElement	Population results in this stratum
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MeasureReport.status	required	MeasureReportStatus
MeasureReport.type	required	Fixed Value: summary
MeasureReport.improvementNotation	required	MeasureImprovementNotation
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MeasureReport	C	0..*	DEQMSummaryMeasureReportProfile	Results of a measure evaluation
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
scoring	SC	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor	S	0..1	Reference(QICoreOrganization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt	S	0..1	Identifier	CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
software	S	0..*	Reference(CQFM Device)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
score	S	0..1	decimal	Score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold	S	0..*	(Complex)	Threshold URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
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)
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(Measure)	What measure was calculated
date	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(QICoreOrganization)	Organization that generated the MeasureReport
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
group	S	0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
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
period	SΣC	1..1	Period	What period the report covers
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..*	BackboneElement	Measure results for each group
id	S	0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	S	1..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	SΣC	1..1	Quantity	What score this group achieved
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
altscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	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	S	1..1	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	S	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	S	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	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count	S	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
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
strataltscoretype	S	0..1	dateTime, CodeableConcept, Period, Range, Duration	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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.reporter.type	extensible	ResourceType
MeasureReport.improvementNotation	required	MeasureImprovementNotation
MeasureReport.group.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.measureScore.comparator	required	QuantityComparator
MeasureReport.group.stratifier.stratum.population.code	extensible	VBPRMeasurePopulationVS
MeasureReport.group.stratifier.stratum.measureScore.comparator	required	QuantityComparator

This structure is derived from DEQMSummaryMeasureReportProfile

Summary

Must-Support: 2 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
• http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold