# US SAFR Measure Report Bundle - US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US SAFR Measure Report Bundle**

## Resource Profile: US SAFR Measure Report Bundle 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle | *Version*:1.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:SafrMeasureReportBundle |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.53.42.2 | | |

 
This profile defines a valid submission bundle to NHSN, federal and jurisdictional Public Health Agencies including State, Tribal, Local and Territorial (STLT) Health Departments with all resources contained within. The Bundle is comprised of entry slices representing the data submitting organization, submitting device, and individual MeasureReports. 
If this fails, use the following FHIRPath expression to discover missing resources: Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).where((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')).not()) 

**Usages:**

* Examples for this Profile: [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md) and [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.safr|current/StructureDefinition/us-safr-measurereport-bundle)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-safr-measurereport-bundle.csv), [Excel](StructureDefinition-us-safr-measurereport-bundle.xlsx), [Schematron](StructureDefinition-us-safr-measurereport-bundle.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-safr-measurereport-bundle",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pher"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/safr/ImplementationGuide/hl7.fhir.us.safr"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/safr/ImplementationGuide/hl7.fhir.us.safr"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.53.42.2"
  }],
  "version" : "1.0.0",
  "name" : "SafrMeasureReportBundle",
  "title" : "US SAFR Measure Report Bundle",
  "status" : "active",
  "date" : "2026-04-01T03:04:13+11:00",
  "publisher" : "HL7 International / Public Health",
  "contact" : [{
    "name" : "HL7 International / Public Health",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/pher"
    }]
  }],
  "description" : "This profile defines a valid submission bundle to NHSN, federal and jurisdictional Public Health Agencies including State, Tribal, Local and Territorial (STLT) Health Departments with all resources contained within. The Bundle is comprised of entry slices representing the data \nsubmitting organization, submitting device, and individual MeasureReports.\n\nIf this fails, use the following FHIRPath expression to discover missing resources: \nBundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).where((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')).not())",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Bundle",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Bundle",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Bundle",
      "path" : "Bundle",
      "short" : "A Bundle contains a collection of Resources.",
      "constraint" : [{
        "key" : "bundle-no-modifier-extensions",
        "severity" : "error",
        "human" : "MeasureReport Bundle:  must not contain any modifierExensions",
        "expression" : "(descendants().select(modifierExtension)).exists().not()",
        "source" : "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"
      },
      {
        "key" : "bundle-contain-all-references",
        "severity" : "error",
        "human" : "All referenced resources SHALL be contained within the Bundle.",
        "expression" : "Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))",
        "source" : "http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle"
      }]
    },
    {
      "id" : "Bundle.type",
      "path" : "Bundle.type",
      "fixedCode" : "collection"
    },
    {
      "id" : "Bundle.entry",
      "path" : "Bundle.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resource"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "short" : "An entry in the Bundle; will have a resource or information",
      "min" : 2
    },
    {
      "id" : "Bundle.entry:submitting-organization",
      "path" : "Bundle.entry",
      "sliceName" : "submitting-organization",
      "short" : "The Submitting Organization: the organization that is the source of the data",
      "min" : 1,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:submitting-organization.resource",
      "path" : "Bundle.entry.resource",
      "short" : "Bundle entry for submitting organization",
      "min" : 1,
      "type" : [{
        "code" : "Organization",
        "profile" : ["http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-submitting-organization"]
      }]
    },
    {
      "id" : "Bundle.entry:submitting-device",
      "path" : "Bundle.entry",
      "sliceName" : "submitting-device",
      "short" : "The Submitting Device: the device that is the source of the data",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:submitting-device.resource",
      "path" : "Bundle.entry.resource",
      "short" : "Bundle entry for submitting device",
      "min" : 1,
      "type" : [{
        "code" : "Device",
        "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystemdevice|1.0.0"]
      }]
    },
    {
      "id" : "Bundle.entry:measurereport",
      "path" : "Bundle.entry",
      "sliceName" : "measurereport",
      "short" : "Measure Report: each MeasureReport refers to one Patient and one measure included in the Measure Report List",
      "min" : 1,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:measurereport.resource",
      "path" : "Bundle.entry.resource",
      "short" : "Bundle entry for a Measure Report",
      "min" : 1,
      "type" : [{
        "code" : "MeasureReport",
        "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"]
      }]
    }]
  }
}

```
