Generated Narrative: StructureDefinition profile-MeasureReport Name Flags Card. Type Description & Constraints MeasureReport 0..* MeasureReport(4.0.1) Results of a measure evaluation #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:reportingVendor 0..1 Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization) R5: What vendor prepared the data (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.reportingVendor #xD; extension:location 0..1 Reference(Cross-version Profile for R5.Location for use in FHIR R4(0.1.0) | Location) R5: Where the reported data is from (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.location #xD; extension:inputParameters 0..1 Reference(Cross-version Profile for R5.Parameters for use in FHIR R4(0.1.0) | Parameters) R5: What parameters were provided to the report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.inputParameters #xD; extension:supplementalData 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR R4(0.1.0) | Resource) R5: Additional information collected for the report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData #xD; Slices for modifierExtension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; modifierExtension:dataUpdateType 0..1 code R5: incremental | snapshot (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.dataUpdateType Binding: R5SubmitDataUpdateTypeForR4 (0.1.0) (required) #xD; modifierExtension:scoring 0..1 CodeableConcept R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.scoring Binding: MeasureScoring (extensible) #xD; subject #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:subject 0..1 Reference(Resource) R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; reporter #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:reporter 0..1 Reference(Resource) R5: reporter URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; group #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:linkId 0..1 string R5: Pointer to specific group from Measure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId #xD; extension:subject 0..1 Reference(Cross-version Profile for R5.CareTeam for use in FHIR R4(0.1.0) | CareTeam | Cross-version Profile for R5.Device for use in FHIR R4(0.1.0) | Device | Cross-version Profile for R5.Group for use in FHIR R4(0.1.0) | Group | Cross-version Profile for R5.HealthcareService for use in FHIR R4(0.1.0) | HealthcareService | Cross-version Profile for R5.Location for use in FHIR R4(0.1.0) | Location | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.Patient for use in FHIR R4(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4(0.1.0) | RelatedPerson) R5: What individual(s) the report is for (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.subject #xD; population #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:linkId 0..1 string R5: Pointer to specific population from Measure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId #xD; extension:subjectReport 0..* Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4(0.1.0) | MeasureReport) R5: For subject-list reports, a subject result in this population (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.subjectReport #xD; extension:subjects 0..1 Reference(Cross-version Profile for R5.Group for use in FHIR R4(0.1.0) | Group) R5: What individual(s) in the population (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.subjects #xD; measureScore #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:measureScore 0..1 dateTime, CodeableConcept, Period, Range R5: measureScore additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.measureScore #xD; stratifier #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:linkId 0..1 string R5: Pointer to specific stratifier from Measure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId #xD; stratum #xD; value #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:value 0..1 boolean, Quantity, Range, Reference() R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.value #xD; component #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:linkId 0..1 string R5: Pointer to specific stratifier component from Measure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.component.linkId #xD; value #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:value 0..1 boolean, Quantity, Range, Reference() R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.component.value #xD; population #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:linkId 0..1 string R5: Pointer to specific population from Measure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId #xD; extension:subjectReport 0..* Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4(0.1.0) | MeasureReport) R5: For subject-list reports, a subject result in this population (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.subjectReport #xD; extension:subjects 0..1 Reference(Cross-version Profile for R5.Group for use in FHIR R4(0.1.0) | Group) R5: What individual(s) in the population (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.subjects #xD; measureScore #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:measureScore 0..1 dateTime, CodeableConcept, Period, Range R5: measureScore additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.measureScore #xD; Documentation for this format
Cross-version Profile for R5.MeasureReport for use in FHIR R4
This cross-version profile allows R5 MeasureReport content to be represented via FHIR R4 MeasureReport resources.
The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If 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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If 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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Measure Reports used for data collection SHALL NOT communicate group and score information
(type != 'data-collection') or group.exists().not()
not(f:kind/@value='data-collection') or not(exists(f:group))
Stratifiers SHALL be either a single criteria or a set of criteria components
group.stratifier.stratum.all(value.exists() xor component.exists())
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
R5: `MeasureReport.reportingVendor` (new:Reference(Organization))
Element `MeasureReport.reportingVendor` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.reportingVendor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
R5: Where the reported data is from (new)
R5: `MeasureReport.location` (new:Reference(Location))
Element `MeasureReport.location` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.location` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
R5: What parameters were provided to the report (new)
R5: `MeasureReport.inputParameters` (new:Reference(Parameters))
Element `MeasureReport.inputParameters` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.inputParameters` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Whenever an operation returns a MeasureReport, the IN parameters from that operation can be returned to the caller of the operation using MeasureReport.inputParameters. Operations include but are not limited to $evaluate-measure, $care-gaps, $data-requirements, and $collect-data. The inputParameters can also be used in a MeasureReport used to define a test case (i.e., not as a result of an operation).
R5: Additional information collected for the report (new)
R5: `MeasureReport.supplementalData` (new:Reference(Resource))
Element `MeasureReport.supplementalData` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.supplementalData` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For individual measure reports, the supplementalData elements represent the direct result of evaluating the supplementalData expression for the subject of the report. For summary reports, supplementalData is reported as references to contained Observation resources that represent the number of times each value appeared as a supplementalData result for members of the population.
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
R5: `MeasureReport.dataUpdateType` (new:code)
Element `MeasureReport.dataUpdateType` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.dataUpdateType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element only applies to Data-collection reports used to communicate the data-of-interest for a measure
This element determines whether the data in a data-exchange measure report is a snapshot or incremental update and is required in order to correctly apply the data update to a receiving system
R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new)
R5: `MeasureReport.scoring` (new:CodeableConcept)
Element `MeasureReport.scoring` has a context of MeasureReport based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.scoring` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score
Additional identifier for the MeasureReport
A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.
Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.
Allows externally provided and/or usable business identifiers to be easily associated with the module.
The MeasureReport status. No data will be available until the MeasureReport status is complete.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
individual | subject-list | summary | data-collection
The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.
Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may.
A reference to the Measure that was calculated to produce this report.
Optional subject identifying the individual or individuals the report is for.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Element `MeasureReport.subject` is mapped to FHIR R4 element `MeasureReport.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `MeasureReport.subject` with unmapped reference targets: CareTeam, HealthcareService, Organization.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Logical reference, when literal reference is not known
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
The date this measure report was generated.
The individual, location, or organization that is reporting the data.
Element `MeasureReport.reporter` is mapped to FHIR R4 element `MeasureReport.reporter` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `MeasureReport.reporter` with unmapped reference targets: Group.
The reporting period for which the report was calculated.
Whether improvement in the measure is noted by an increase or decrease in the measure score.
This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score.
Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)
Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
The results of the calculation, one for each population group in the measure.
R5: Pointer to specific group from Measure (new)
R5: `MeasureReport.group.linkId` (new:string)
Element `MeasureReport.group.linkId` has a context of MeasureReport.group based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
R5: What individual(s) the report is for (new)
R5: `MeasureReport.group.subject` (new:Reference(CareTeam,Device,Group,HealthcareService,Location,Organization,Patient,Practitioner,PractitionerRole,RelatedPerson))
Element `MeasureReport.group.subject` has a context of MeasureReport.group based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The meaning of the population group as defined in the measure definition.
The populations that make up the population group, one for each type of population appropriate for the measure.
R5: Pointer to specific population from Measure (new)
R5: `MeasureReport.group.population.linkId` (new:string)
Element `MeasureReport.group.population.linkId` has a context of MeasureReport.group.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.population.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
R5: For subject-list reports, a subject result in this population (new)
R5: `MeasureReport.group.population.subjectReport` (new:Reference(MeasureReport))
Element `MeasureReport.group.population.subjectReport` has a context of MeasureReport.group.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.population.subjectReport` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects.
R5: What individual(s) in the population (new)
R5: `MeasureReport.group.population.subjects` (new:Reference(Group))
Element `MeasureReport.group.population.subjects` has a context of MeasureReport.group.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.population.subjects` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group resource SHALL be an actual (as opposed to a definitional) group.
initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
The type of population (e.g. initial, numerator, denominator, etc.).
The number of members of the population.
For subject-list reports, the subject results in this population
This element refers to a List of subject level MeasureReport resources, one for each subject in this population.
The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.
R5: `MeasureReport.group.measureScore[x]` additional types (dateTime, CodeableConcept, Period, Range)
Element `MeasureReport.group.measureScore[x]` is mapped to FHIR R4 element `MeasureReport.group.measureScore` as `RelatedTo`. The mappings for `MeasureReport.group.measureScore[x]` do not cover the following types: CodeableConcept, dateTime, Period, Range.
Numerical value (with implicit precision)
The value of the measured amount. The value includes an implicit precision in the presentation of the value.
The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Precision is handled implicitly in almost all cases of measurement.
PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
< | <= | >= | > - how to understand the value
How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
If there is no comparator, then there is no modification of the value
This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
How the Quantity should be understood and represented.
There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
The identification of the system that provides the coded form of the unit.
Need to know the system that defines the coded form of the unit.
CO.codeSystem, PQ.translation.codeSystem
A computer processable form of the unit in some unit representation system.
The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
PQ.code, MO.currency, PQ.translation.code
When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.
R5: Pointer to specific stratifier from Measure (new)
R5: `MeasureReport.group.stratifier.linkId` (new:string)
Element `MeasureReport.group.stratifier.linkId` has a context of MeasureReport.group.stratifier based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.stratifier.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The meaning of this stratifier, as defined in the measure definition.
Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.
R5: `MeasureReport.group.stratifier.stratum.value[x]` additional types (boolean, Quantity, Range, Reference)
Element `MeasureReport.group.stratifier.stratum.value[x]` is mapped to FHIR R4 element `MeasureReport.group.stratifier.stratum.value` as `SourceIsBroaderThanTarget`. The mappings for `MeasureReport.group.stratifier.stratum.value[x]` do not cover the following types: boolean, Quantity, Range, Reference.
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
R5: Pointer to specific stratifier component from Measure (new)
R5: `MeasureReport.group.stratifier.stratum.component.linkId` (new:string)
Element `MeasureReport.group.stratifier.stratum.component.linkId` has a context of MeasureReport.group.stratifier.stratum.component based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.stratifier.stratum.component.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The code for the stratum component value.
R5: `MeasureReport.group.stratifier.stratum.component.value[x]` additional types (boolean, Quantity, Range, Reference)
Element `MeasureReport.group.stratifier.stratum.component.value[x]` is mapped to FHIR R4 element `MeasureReport.group.stratifier.stratum.component.value` as `SourceIsBroaderThanTarget`. The mappings for `MeasureReport.group.stratifier.stratum.component.value[x]` do not cover the following types: boolean, Quantity, Range, Reference.
The populations that make up the stratum, one for each type of population appropriate to the measure.
R5: `MeasureReport.group.stratifier.stratum.population.linkId` (new:string)
Element `MeasureReport.group.stratifier.stratum.population.linkId` has a context of MeasureReport.group.stratifier.stratum.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.stratifier.stratum.population.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
R5: `MeasureReport.group.stratifier.stratum.population.subjectReport` (new:Reference(MeasureReport))
Element `MeasureReport.group.stratifier.stratum.population.subjectReport` has a context of MeasureReport.group.stratifier.stratum.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.stratifier.stratum.population.subjectReport` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects.
R5: `MeasureReport.group.stratifier.stratum.population.subjects` (new:Reference(Group))
Element `MeasureReport.group.stratifier.stratum.population.subjects` has a context of MeasureReport.group.stratifier.stratum.population based on following the parent source element upwards and mapping to `MeasureReport`. Element `MeasureReport.group.stratifier.stratum.population.subjects` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be an actual (as opposed to a definitional) group.
The number of members of the population in this stratum.
This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum.
The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.
R5: `MeasureReport.group.stratifier.stratum.measureScore[x]` additional types (dateTime, CodeableConcept, Period, Range)
Element `MeasureReport.group.stratifier.stratum.measureScore[x]` is mapped to FHIR R4 element `MeasureReport.group.stratifier.stratum.measureScore` as `RelatedTo`. The mappings for `MeasureReport.group.stratifier.stratum.measureScore[x]` do not cover the following types: CodeableConcept, dateTime, Period, Range.
What data was used to calculate the measure score
A reference to a Bundle containing the Resources that were used in the calculation of this measure.