Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## Resource Profile: DEQM Data Exchange MeasureReport Profile

Official URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport | Version: 1.0.0-ballot | Highlight text changes?
Standards status: Trial-use Active as of 2018-06-19 | Maturity Level: 4 | Computable Name: DEQMDataExchangeMeasureReportProfile

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. When a data producer needs to send data to a data consumer, they use the DEQM Data-Exchange MeasureReport Profile defined here. The `type` element in this profile is set to "data-collection". Along with the MeasureReport profile, the data producer sends the reporter, subject, and any relevant resources for the measure they have produced data on. When a data producer sends a MeasureReport and the associated data, they may not have all the data that is required to calculate the measure report. Additional data may need to be collected later or there may be additional data used in the measure that the aggregator owns such as a continuous coverage period requirement.

### Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each MeasureReport Must Have:

1. period.start: Starting time with inclusive boundary
2. subject: What individual(s) the report is for
3. status: complete | pending | error
4. type: individual | subject-list | summary | data-collection
5. reporter: The organization where the measure was completed
6. period.end: End time with inclusive boundary, if not ongoing
7. updatetype: Optional Extensions Element
8. date: When the report was generated
9. period: What period the report covers
10. measure: What measure and version was calculated

Each MeasureReport Must Support:

1. evaluatedResource: What data was used to calculate the measure score
2. measurereport-category: What category is this measure report
3. description: Description of the population

Additional Profile specific implementation guidance:

- *For a detailed discussion of incremental and snapshot updates see these sections on Submit Data and Collect Data

- The Producer may not have all the data that is required to calculate the measure report at that time it is transmitted. It that case the MeasureReport may not have any evaluatedResources (in other words, no measure data). The missing data may be transmitted in a subsequent update or the additional data used in the measure is owned by an aggregator (such as a continuous coverage period requirement).

- The `reporter` should be consistent with the X-Provenance header data if present.

A data producer

### Examples

- Measurereport Datax Measurereport01
- Measurereport Datax Measurereport02
- Measurereport Datax Measurereport03

Usages:

- Examples for this Profile: MeasureReport/datax-measurereport01, MeasureReport/datax-measurereport02 and MeasureReport/datax-measurereport03
- CapabilityStatements using this Profile: Consumer Client CapabilityStatement and Producer Client CapabilityStatement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: data-collection
measure | S Σ | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S Σ | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S Σ C | 1..1 | Period | What period the report covers Constraints: deqm-1
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!Σ | 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 | C | 0..* | BackboneElement | Measure results for each group
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
population |  | 0..* | BackboneElement | The populations in the group
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.
MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std.
MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MeasureReport | 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()`
dom-4 | error | MeasureReport | 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()`
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information | `(type != 'data-collection') or group.exists().not()`
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components | `group.stratifier.stratum.all(value.exists() xor component.exists())`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport |  | 0..* | MeasureReport | Results of a measure evaluation
Slices for extension |  |  |  | Content/Rules for all slices
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: data-collection
measure | S | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S | 1..1 | dateTime | When the report was generated
reporter | S | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S C | 1..1 | Period | What period the report covers Constraints: deqm-1
start | S | 1..1 | dateTime | Starting time with inclusive boundary
end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
group |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
population |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
measureScore |  | 0..0 |  | What score this group achieved
stratifier |  | 0..0 |  | Stratification results
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: data-collection
measure | S Σ | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S Σ | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S Σ C | 1..1 | Period | What period the report covers Constraints: deqm-1
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 | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!Σ | 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 | C | 0..* | BackboneElement | Measure results for each group
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..1 | CodeableConcept | Meaning of the group
population |  | 0..* | BackboneElement | The populations in the group
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.
MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std.
MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std.
MeasureReport.group.​population.code | Base | extensible | MeasurePopulationType | 📍4.0.1 | FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code | Base | extensible | MeasurePopulationType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MeasureReport | 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()`
dom-4 | error | MeasureReport | 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()`
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information | `(type != 'data-collection') or group.exists().not()`
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components | `group.stratifier.stratum.all(value.exists() xor component.exists())`

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 16 elements
Fixed: 1 element
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
- http://hl7.org/fhir/StructureDefinition/cqf-messages
- http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
- http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
- Unable to summarise extension http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence (no extension found)

Maturity: 4

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: data-collection
measure | S Σ | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S Σ | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S Σ C | 1..1 | Period | What period the report covers Constraints: deqm-1
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!Σ | 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 | C | 0..* | BackboneElement | Measure results for each group
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
population |  | 0..* | BackboneElement | The populations in the group
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.
MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std.
MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MeasureReport | 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()`
dom-4 | error | MeasureReport | 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()`
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information | `(type != 'data-collection') or group.exists().not()`
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components | `group.stratifier.stratum.all(value.exists() xor component.exists())`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport |  | 0..* | MeasureReport | Results of a measure evaluation
Slices for extension |  |  |  | Content/Rules for all slices
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
status | S | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: data-collection
measure | S | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S | 1..1 | dateTime | When the report was generated
reporter | S | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S C | 1..1 | Period | What period the report covers Constraints: deqm-1
start | S | 1..1 | dateTime | Starting time with inclusive boundary
end | S | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
group |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
population |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
measureScore |  | 0..0 |  | What score this group achieved
stratifier |  | 0..0 |  | Stratification results
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:updatetype | S | 1..1 | code | Optional Extensions Element URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType Binding: DEQM Update Type Value Set (required)
extension:measurereport-category | S | 0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:software |  | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:vendor |  | 0..1 | Reference(Organization) | Vendor information URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
extension:location |  | 0..* | Reference(Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
extension:message |  | 0..1 | Reference(OperationOutcome) | Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:inputParameters |  | 0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: data-collection
measure | S Σ | 1..1 | canonical(Measure) | What measure and version was calculated
subject | S Σ | 1..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(Organization | Practitioner | PractitionerRole) | Who is reporting the data. The reporter is the entity fulfilling the reporting requirement.
period | S Σ C | 1..1 | Period | What period the report covers Constraints: deqm-1
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 | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!Σ | 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 | C | 0..* | BackboneElement | Measure results for each group
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id of the group from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..1 | CodeableConcept | Meaning of the group
population |  | 0..* | BackboneElement | The populations in the group
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:linkId | S | 1..1 | string | Unique id for group.population from the measure. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
extension:description | S | 0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:supportingEvidence | S | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence]] | Specifies the result of a supporting evidence expression in the measure population. URL: http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MeasureReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MeasureReport.status | Base | required | MeasureReportStatus | 📦4.0.1 | FHIR Std.
MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std.
MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std.
MeasureReport.group.​population.code | Base | extensible | MeasurePopulationType | 📍4.0.1 | FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code | Base | extensible | MeasurePopulationType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) | `start.toString().length()>9 and end.toString().length()>9`
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MeasureReport | 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()`
dom-4 | error | MeasureReport | 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()`
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information | `(type != 'data-collection') or group.exists().not()`
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components | `group.stratifier.stratum.all(value.exists() xor component.exists())`

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 16 elements
Fixed: 1 element
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType
- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor
- http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataLocation
- http://hl7.org/fhir/StructureDefinition/cqf-messages
- http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId
- http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
- Unable to summarise extension http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidence (no extension found)

Maturity: 4

Other representations of profile: CSV, Excel, Schematron

### Notes:

This profile is used in the following transactions:

Data Exchange