Data Exchange For Quality Measures Implementation Guide
4.0.0-ballot - STU Ballot
US
Data Exchange For Quality Measures Implementation Guide
4.0.0-ballot - STU Ballot
US
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0-ballot: STU4 (v4.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm | Version: 4.0.0-ballot | |||
| Active as of 2018-06-19 | Computable Name: DEQMSummaryMeasureReportProfile | |||
MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Summary MeasureReport Profile defined here is used when a measure is reported to an aggregator for a group of patients. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the DEQM Individual MeasureReport Profile, the report is typically transacted as a single MeasureReport report.
The following data-elements are mandatory (i.e data MUST be present).
Each MeasureReport must have:
Each MeasureReport should have (Must Support):
Additional Profile specific implementation guidance:
The MeasureReport.group.population.id is a must support element because it is used to link across the Measure and is equal to the Measure.population.group.id. This is needed because the MeasureReport.group.population.code is insufficient when the measure types have multiple populations with the same code.
If the measure scoring type is ‘proportion’, ‘ratio’, or ‘continuous-variable’ then the improvementNotation element is required.
If the measure scoring type is ‘proportion’ then the MeasureReport.group.measureScore.value SHALL be a numerical value between 0 and 1.
The reporter should be consistent with the X-Provenance header data if present.
the DEQM Reporting Vendor Extension is intended to represent the submitting entity when it is not the same as the reporting entity.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
  reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
  criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| 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 |
 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 |
 status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
 type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary |
| measure | S | 1..1 | canonical(CQFM Measure) | What measure was calculated |
| subject | 0..0 | |||
| date | S | 1..1 | dateTime | When the report was generated |
 reporter | S | 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 | SC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) deqm-3: ensures scoring is either specified only at the root, or on all groups |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | SC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
| 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 |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| 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 |
| value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
| population | S | 0..* | BackboneElement | Population results in this stratum |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| 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 |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MeasureReport.status | required | MeasureReportStatus |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
 criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |
| 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 |
 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(CQFM 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 deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| 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 |
| scoring | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) deqm-3: ensures scoring is either specified only at the root, or on all groups |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite |
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
| 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 | ||||
| Path | Conformance | ValueSet / Code |
| MeasureReport.status | required | MeasureReportStatus |
| MeasureReport.type | required | Fixed Value: summary |
| MeasureReport.improvementNotation | required | MeasureImprovementNotation |
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required | ||||
| 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.
| |||||
| 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 | |||||
| reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) | ||||
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData | ||||
| 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 | |||||
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference | ||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |||||
| value[x] | 0..1 | Reference(QICore Observation | Resource) | For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource. | |||||
| scoring | 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 | id | 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 | ||||
| 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(CQFM 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 deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) | ||||
| 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 | ||||
| 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) deqm-3: ensures scoring is either specified only at the root, or on all groups | ||||
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 0..1 | CodeableConcept | Meaning of the group | ||||
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite | ||||
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| count | S | 1..1 | integer | Size of the population | ||||
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting | ||||
| id | 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| MeasureReport.language | preferred | CommonLanguages
| ||||
| MeasureReport.status | required | MeasureReportStatus | ||||
| MeasureReport.type | required | Fixed Value: summary | ||||
| MeasureReport.reporter.type | extensible | ResourceType | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotation | ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
This structure is derived from MeasureReport
Summary
Mandatory: 7 elements (6 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 1 element
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MeasureReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| 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 |
| 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 |
| status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required) |
| type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary |
| measure | S | 1..1 | canonical(CQFM Measure) | What measure was calculated |
| subject | 0..0 | |||
| date | S | 1..1 | dateTime | When the report was generated |
| reporter | S | 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 | SC | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| start | S | 1..1 | dateTime | Starting time with inclusive boundary |
| end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
| improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease |
| group | S | 1..* | BackboneElement | Measure results for each group |
| id | S | 0..1 | string | Unique id for inter-element referencing |
| scoring | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) deqm-3: ensures scoring is either specified only at the root, or on all groups |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) |
| code | S | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| measureScore | SC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
| 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 |
| stratifier | S | 0..* | BackboneElement | Stratification results |
| 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 |
| value | S | 0..1 | CodeableConcept | The stratum value, e.g. male |
| population | S | 0..* | BackboneElement | Population results in this stratum |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation |
| count | S | 1..1 | integer | Size of the population |
| subjectResults | 0..0 | |||
| 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 |
| evaluatedResource | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MeasureReport.status | required | MeasureReportStatus |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) |
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData |
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference |
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |
| 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 |
| 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(CQFM 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 deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) |
| 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 |
| scoring | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible) deqm-3: ensures scoring is either specified only at the root, or on all groups |
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 0..1 | CodeableConcept | Meaning of the group |
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite |
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
| count | S | 1..1 | integer | Size of the population |
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting |
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). |
| 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 | ||||
| Path | Conformance | ValueSet / Code |
| MeasureReport.status | required | MeasureReportStatus |
| MeasureReport.type | required | Fixed Value: summary |
| MeasureReport.improvementNotation | required | MeasureImprovementNotation |
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required : extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation deqm-2: If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required | ||||
| 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.
| |||||
| 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 | |||||
| reportingProgramReference | S | 0..1 | CodeableConcept | Reporting program reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference Binding: Quality Programs (extensible) | ||||
| supplementalData | S | 0..1 | Reference(QICore Observation | Resource) | Supplemental Data URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData | ||||
| 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 | |||||
| criteriaReference | S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference | ||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData" | |||||
| value[x] | 0..1 | Reference(QICore Observation | Resource) | For supplementalData that is a calculation, this will be a reference to an Observation containing the result of the supplementalData calculation. For supplementalData that is a resource, this will be a reference to the supplementalData resource. | |||||
| scoring | 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 | id | 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 | ||||
| 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(CQFM 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 deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) | ||||
| 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 | ||||
| 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) deqm-3: ensures scoring is either specified only at the root, or on all groups | ||||
| groupImprovementNotation | SC | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 0..1 | CodeableConcept | Meaning of the group | ||||
| population | SC | 0..* | BackboneElement | The populations in the group deqm-5: ensure that cardinality is >= 1 if the scoring is other than composite | ||||
| 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| count | S | 1..1 | integer | Size of the population | ||||
| measureScore | SΣC | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting | ||||
| id | 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: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| MeasureReport.language | preferred | CommonLanguages
| ||||
| MeasureReport.status | required | MeasureReportStatus | ||||
| MeasureReport.type | required | Fixed Value: summary | ||||
| MeasureReport.reporter.type | extensible | ResourceType | ||||
| MeasureReport.improvementNotation | required | MeasureImprovementNotation | ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) : start.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') and end.value.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*') | |
| deqm-3 | error | MeasureReport.group.extension:scoring | ensures scoring is either specified only at the root, or on all groups : (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count() = group.count()) xor (%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').count()=0) | |
| deqm-4 | error | MeasureReport.group.extension:groupImprovementNotation | ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) : %resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists().not() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists() | |
| deqm-5 | error | MeasureReport.group.population | ensure that cardinality is >= 1 if the scoring is other than composite : %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists and %resource.group.extension.('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable' | 'cohort') implies %resource.group.population.exists() | |
| deqm-6 | error | MeasureReport.group.measureScore | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting : extension.where(url = 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').valueCodeableConcept.coding.code = ('proportion') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0) |
This structure is derived from MeasureReport
Summary
Mandatory: 7 elements (6 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 1 element
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#4.0.0-ballot based on FHIR 4.0.1. Generated 2022-12-05
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