This page is part of the NHSN Digital Quality Measures (dQM) Content Package Implementation Guide (v2.0.0: 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

This profile applies NHSN Measure specific resource inclusion rules for all on the NHSN dQMs. This profile inherits from the Da Vinci DEQM 5.0.0 Individual MeasureReport profile.

Usages:

• Use this Profile: NHSN Subject Bundle
• Refer to this Profile: NHSN Individual MeasureReport List
• Examples for this Profile: MeasureReport/measurereport-example-ach-daily-influenzatherapeutic, MeasureReport/measurereport-example-ach-daily-initialpopulationpass, MeasureReport/measurereport-example-ach-daily-negativepcr, MeasureReport/measurereport-example-ach-daily-rsvlabbtg... Show 3 more, MeasureReport/measurereport-example-individual-ach-monthly-pass1, MeasureReport/measurereport-example-individual-ach-monthly-pass2 and MeasureReport/measurereport-example-individual-ach-monthly-pass3

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
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
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:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	SC	1..*	(Complex)	(NHSN-MS) Supplemental Data Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	(Complex)	(NHSN-MS) cohort URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	(NHSN-MS) individual Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated Constraints: deqm-0
subject	SΣ	1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
Slices for extension				Content/Rules for all slices
extension:group		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	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. Constraints: deqm-1
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	(NHSN-MS) 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	0..*	BackboneElement	(NHSN-MS) Measure results for each group. Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
population	SC	0..*	BackboneElement	(NHSN-MS) The populations in the group Constraints: deqm-8
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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	SC	0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
measureScore	SΣC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..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
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
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	SC	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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.
evaluatedResource	S	0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.extension:scoring.?value[x]:valueCodeableConcept	Base	extensible	Measure Scoring	??2.0.0	THO v7.1
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.?measureScore.comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.population.?code	Base	extensible	MeasurePopulationType	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.measureScore.?comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
cgr-1	error	MeasureReport.extension:careGapRemark	A remark shall include an author, an authorOrganization, or an authorSoftware	extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
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())

This structure is derived from DEQMIndividualMeasureReportProfile

Name	Flags	Card.	Type	Description & Constraints????Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:supplementalData	C	1..*	R5 MeasureReport.supplementalData	(NHSN-MS) Supplemental Data Element
extension:scoring		0..1	DEQMMeasureScoringExtension	(NHSN-MS) cohort
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cohort
type		1..1	code	(NHSN-MS) individual
subject		1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date		1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter		1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
period		1..1	Period	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
start		1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end		1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation		0..1	CodeableConcept	(NHSN-MS) increase | decrease
group		0..*	BackboneElement	(NHSN-MS) Measure results for each group.
code		0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
population		0..*	BackboneElement	(NHSN-MS) The populations in the group
count		0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
evaluatedResource		0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()

Name	Flags	Card.	Type	Description & Constraints????Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
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:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	SC	1..*	(Complex)	(NHSN-MS) Supplemental Data Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
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:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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
extension:scoring	SC	0..1	(Complex)	(NHSN-MS) cohort URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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): The status of the measure report.
type	SΣC	1..1	code	(NHSN-MS) individual Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated Constraints: deqm-0
subject	SΣ	1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
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:group		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	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. 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	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	(NHSN-MS) 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	0..*	BackboneElement	(NHSN-MS) Measure results for each group. Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
population	SC	0..*	BackboneElement	(NHSN-MS) The populations in the group Constraints: deqm-8
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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	SC	0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
measureScore	SΣC	0..1	Quantity	What score this group 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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..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		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	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
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	SC	1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this 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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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
evaluatedResource	S	0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
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:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.language	Base	preferred	Common Languages	??4.0.1	FHIR Std.
MeasureReport.extension:supplementalData.?value[x].type	Base	extensible	ResourceType	??4.0.1	FHIR Std.
MeasureReport.extension:scoring.?value[x]:valueCodeableConcept	Base	extensible	Measure Scoring	??2.0.0	THO v7.1
MeasureReport.status	Base	required	MeasureReportStatus	??4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	??4.0.1	FHIR Std.
MeasureReport.reporter.?type	Base	extensible	ResourceType	??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.?measureScore.comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.population.?code	Base	extensible	MeasurePopulationType	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.measureScore.?comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.evaluatedResource.?type	Base	extensible	ResourceType	??4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
cgr-1	error	MeasureReport.extension:careGapRemark	A remark shall include an author, an authorOrganization, or an authorSoftware	extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
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())

This structure is derived from DEQMIndividualMeasureReportProfile

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints????Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
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:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	SC	1..*	(Complex)	(NHSN-MS) Supplemental Data Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	(Complex)	(NHSN-MS) cohort URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type	SΣC	1..1	code	(NHSN-MS) individual Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated Constraints: deqm-0
subject	SΣ	1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
Slices for extension				Content/Rules for all slices
extension:group		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	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. Constraints: deqm-1
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	(NHSN-MS) 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	0..*	BackboneElement	(NHSN-MS) Measure results for each group. Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
population	SC	0..*	BackboneElement	(NHSN-MS) The populations in the group Constraints: deqm-8
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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	SC	0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
measureScore	SΣC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..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
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
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	SC	1..1	integer	Size of the population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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.
evaluatedResource	S	0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.extension:scoring.?value[x]:valueCodeableConcept	Base	extensible	Measure Scoring	??2.0.0	THO v7.1
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.?measureScore.comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.population.?code	Base	extensible	MeasurePopulationType	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.measureScore.?comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
cgr-1	error	MeasureReport.extension:careGapRemark	A remark shall include an author, an authorOrganization, or an authorSoftware	extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
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

This structure is derived from DEQMIndividualMeasureReportProfile

Name	Flags	Card.	Type	Description & Constraints????Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:supplementalData	C	1..*	R5 MeasureReport.supplementalData	(NHSN-MS) Supplemental Data Element
extension:scoring		0..1	DEQMMeasureScoringExtension	(NHSN-MS) cohort
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cohort
type		1..1	code	(NHSN-MS) individual
subject		1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date		1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter		1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
period		1..1	Period	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.
start		1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end		1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation		0..1	CodeableConcept	(NHSN-MS) increase | decrease
group		0..*	BackboneElement	(NHSN-MS) Measure results for each group.
code		0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
population		0..*	BackboneElement	(NHSN-MS) The populations in the group
count		0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
evaluatedResource		0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints????Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMIndividualMeasureReportProfile	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements
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:careGapRemark	SC	0..*	(Complex)	Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1
extension:message		0..1	Reference(OperationOutcome)	Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	SC	1..*	(Complex)	(NHSN-MS) Supplemental Data Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
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:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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
extension:scoring	SC	0..1	(Complex)	(NHSN-MS) cohort URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
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): The status of the measure report.
type	SΣC	1..1	code	(NHSN-MS) individual Binding: MeasureReportType (required): The type of the measure report. Fixed Value: individual
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	What measure was calculated Constraints: deqm-0
subject	SΣ	1..1	Reference(Cross-Measure Patient Profile)	(NHSN-MS) What individual the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was calculated.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting organization that is responsible for the report
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:group		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	(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. 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	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	(NHSN-MS) 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	0..*	BackboneElement	(NHSN-MS) Measure results for each group. Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	(NHSN-MS) Meaning of the group Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
population	SC	0..*	BackboneElement	(NHSN-MS) The populations in the group Constraints: deqm-8
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
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	SC	0..1	integer	(NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1
measureScore	SΣC	0..1	Quantity	What score this group 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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..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		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	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
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	SC	1..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this 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
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	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
evaluatedResource	S	0..*	Reference(Resource)	(NHSN-MS) What data was used to calculate the measure score
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:criteriaReference	S	0..*	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.language	Base	preferred	Common Languages	??4.0.1	FHIR Std.
MeasureReport.extension:supplementalData.?value[x].type	Base	extensible	ResourceType	??4.0.1	FHIR Std.
MeasureReport.extension:scoring.?value[x]:valueCodeableConcept	Base	extensible	Measure Scoring	??2.0.0	THO v7.1
MeasureReport.status	Base	required	MeasureReportStatus	??4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	??4.0.1	FHIR Std.
MeasureReport.reporter.?type	Base	extensible	ResourceType	??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.?measureScore.comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.population.?code	Base	extensible	MeasurePopulationType	??4.0.1	FHIR Std.
MeasureReport.group.?stratifier.stratum.measureScore.?comparator	Base	required	QuantityComparator	??4.0.1	FHIR Std.
MeasureReport.evaluatedResource.?type	Base	extensible	ResourceType	??4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ach-daily-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
ach-monthly-measure-resource-requirements	error	MeasureReport	MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location.	measure.startsWith('http://www.cy118119.com/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation') implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1 and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists() and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
cgr-1	error	MeasureReport.extension:careGapRemark	A remark shall include an author, an authorOrganization, or an authorSoftware	extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
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
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').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(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').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-5	error	MeasureReport	If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
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())

This structure is derived from DEQMIndividualMeasureReportProfile

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)

Maturity: 2