This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7? FHIR? Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: NHSN Individual MeasureReport List

An Individual MeasureReport List contains references to all Individual MeasureReports for a given NHSN measure; each MeasureReport pertains to an individual patient within the Initial Population of a given measure.

Usages:

• Use this Profile: Subject-List MeasureReport Profile
• Refer to this Profile: Subject-List MeasureReport Profile
• Examples for this Profile: List/list-example-ach-daily-individual-measurereport-list and List/list-example-ach-monthly-individual-measurereport-list

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
entry	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 From the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	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()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List		0..*	List	A list is a curated collection of resources
meta
Slices for extension				Content/Rules for all slices
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
entry	S	0..*	BackboneElement	Entries in the list
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	SC	0..*	BackboneElement	Entries in the list
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
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
List.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|4.0.1 From the FHIR Standard
List.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 From the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
List.code	example	ExampleUseCodesForList http://hl7.org/fhir/ValueSet/list-example-codes|4.0.1 From the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order|4.0.1 From the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag|4.0.1 From the FHIR Standard
List.entry.item.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	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()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• DEQM Individual MeasureReport Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm)

Extensions

This structure refers to these extensions:

• http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
entry	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 From the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	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()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Differential View

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List		0..*	List	A list is a curated collection of resources
meta
Slices for extension				Content/Rules for all slices
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
entry	S	0..*	BackboneElement	Entries in the list
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	SC	0..*	BackboneElement	Entries in the list
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
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(DEQM Individual MeasureReport Profile)	Individual measure report reference. For complete bundle submissions, include reference that resolves in the bundle. For subject specific bundle submissions, this needs to be a business identifier (Last.entry.item.identifier = MeasureReport.identifier)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
List.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
List.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|4.0.1 From the FHIR Standard
List.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
List.status	required	ListStatus http://hl7.org/fhir/ValueSet/list-status|4.0.1 From the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
List.code	example	ExampleUseCodesForList http://hl7.org/fhir/ValueSet/list-example-codes|4.0.1 From the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order|4.0.1 From the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag|4.0.1 From the FHIR Standard
List.entry.item.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	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()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• DEQM Individual MeasureReport Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm)

Extensions

This structure refers to these extensions:

• http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 1

Other representations of profile: CSV, Excel, Schematron