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        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        2.0.0 - Release 2 US

        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

        Resource Profile: Subject-List MeasureReport Profile

        Official URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport Version: 2.0.0
        Standards status: Trial-use Maturity Level: 2 Computable Name: SubjectListMeasureReportProfile

        A Subject-List MeasureReport contains the count of subjects (i.e., patients) in the Initial Population. It also references the Individual MeasureReport List.

        This profile is based on the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG 5.0.0 DEQM Subject List MeasureReport profile.

        Usages:

        You can also check for usages in the FHIR IG Statistics

        Changes since version 1.0.0:

      1. The resource metadata has changed (description)
      2. The data elements list has changed
      3. One or more text definitions, invariants or bindings have changed

        4. Formal Views of Profile Content

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

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... Slices for extension Content/Rules for all slices
        .... extension:reportingProgram 0..1 Identifier, canonical(CRMI Manifest Library) Reporting program
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
        .... extension:category S 0..1 CodeableConcept What category is this measure report
        URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
        Binding: MeasureReportCategory (extensible)
        .... extension:inputParameters 0..1 Reference(Parameters) What parameters
        URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
        .... extension:supplementalData S 0..* (Complex) Optional Extensions 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 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:vendor 0..1 Reference(QICore Organization) Vendor information
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
        .... 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
        .... 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:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
        URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
        ... status ?!SΣ 1..1 code
        (NHSN-MS)
        The status of the MeasureReport complete | pending | error
        Binding: MeasureReportStatus (required)
        ... type SΣC 1..1 code
        (NHSN-MS)
        The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
        Binding: MeasureReportType (required): The type of the measure report.
        Fixed Value: subject-list
        ... measure SΣC 1..1 canonical(CRMI Shareable Measure)
        (NHSN-MS)
        What measure and version was calculated
        Constraints: deqm-0
        ... subject SΣ 0..1 Reference(Group) What individual(s) the report is for
        ... date SΣ 1..1 dateTime
        (NHSN-MS)
        When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter SΣ 1..1 Reference(QICore Organization)
        (NHSN-MS)
        The reporting entity that is reporting the data
        .... 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)
        What period the report covers
        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 increase | decrease
        Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
        ... group SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population 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
        (NHSN-MS)
        The scoring extension to indicate the scoring type of the measure 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 Meaning of the group
        .... population SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population
        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
        (NHSN-MS)
        The code identifying the population type is an initial population. Value is fixed to initial-population
        Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
        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 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ....... userSelected 0..1 boolean If this coding was chosen directly by the user
        ...... text 0..1 string Plain text representation of the concept
        ..... count SC 1..1 integer
        (NHSN-MS)
        The number of subjects in the initial population
        ..... subjectResults S 1..1 Reference(NHSN Individual MeasureReport List)
        (NHSN-MS)
        List referencing all individual measure reports for this measure
        ...... reference SΣC 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource
        .... 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
        ...... value S 0..1 CodeableConcept The stratum value, e.g. male
        ...... population SC 0..* BackboneElement Population results in this stratum
        Constraints: deqm-9
        ....... Slices for extension Content/Rules for all slices
        ........ extension:countQuantity S 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 S 1..1 Reference(DEQM Individual MeasureReport List) For subject-list reports, the subject results in this 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.

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        MeasureReport.status Base required MeasureReportStatus ??4.0.1 FHIR Std.
        MeasureReport.type Base required MeasureReportType ??4.0.1 FHIR Std.
        MeasureReport.improvementNotation Base required MeasureImprovementNotation ??4.0.1 FHIR Std.
        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
        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-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())
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)

        This structure is derived from DEQMSubjectListMeasureReport

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... status 1..1 code (NHSN-MS) The status of the MeasureReport complete | pending | error
        ... measure 1..1 canonical(CRMI Shareable Measure) (NHSN-MS) What measure and version was calculated
        ... date 1..1 dateTime (NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter 1..1 Reference(QICore Organization) (NHSN-MS) The reporting entity that is reporting the data
        ... period 1..1 Period (NHSN-MS) What period the report covers
        .... 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
        ... group 1..1 BackboneElement (NHSN-MS) Initial population group
        .... Slices for extension Content/Rules for all slices
        ..... extension:scoring 0..1 DEQMMeasureScoringExtension (NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation
        .... population 1..1 BackboneElement (NHSN-MS) Initial population
        ..... code 1..1 CodeableConcept (NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population
        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
        ....... display 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ..... count 1..1 integer (NHSN-MS) The number of subjects in the initial population
        ..... subjectResults 1..1 Reference(NHSN Individual MeasureReport List) (NHSN-MS) List referencing all individual measure reports for this measure
        ...... reference S 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource

        doco Documentation for this format

        Constraints

        Id Grade Path(s) Description Expression
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)
        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... id Σ 0..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... 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
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... Slices for extension 0..* Extension Extension
        Slice: Unordered, Open by value:url
        .... extension:reportingProgram 0..1 Identifier, canonical(CRMI Manifest Library) Reporting program
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
        .... extension:category S 0..1 CodeableConcept What category is this measure report
        URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
        Binding: MeasureReportCategory (extensible)
        .... extension:inputParameters 0..1 Reference(Parameters) What parameters
        URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
        .... extension:supplementalData S 0..* (Complex) Optional Extensions 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 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:vendor 0..1 Reference(QICore Organization) Vendor information
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
        .... 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
        .... 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:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
        URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
        ... status ?!SΣ 1..1 code
        (NHSN-MS)
        The status of the MeasureReport complete | pending | error
        Binding: MeasureReportStatus (required)
        ... type SΣC 1..1 code
        (NHSN-MS)
        The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
        Binding: MeasureReportType (required): The type of the measure report.
        Fixed Value: subject-list
        ... measure SΣC 1..1 canonical(CRMI Shareable Measure)
        (NHSN-MS)
        What measure and version was calculated
        Constraints: deqm-0
        ... subject SΣ 0..1 Reference(Group) What individual(s) the report is for
        ... date SΣ 1..1 dateTime
        (NHSN-MS)
        When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter SΣ 1..1 Reference(QICore Organization)
        (NHSN-MS)
        The reporting entity that is reporting the data
        .... 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)
        What period the report covers
        Constraints: deqm-1
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... start 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 increase | decrease
        Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
        ... group SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population 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
        (NHSN-MS)
        The scoring extension to indicate the scoring type of the measure 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 Meaning of the group
        .... population SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population
        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
        (NHSN-MS)
        The code identifying the population type is an initial population. Value is fixed to initial-population
        Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
        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 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ....... userSelected 0..1 boolean If this coding was chosen directly by the user
        ...... text 0..1 string Plain text representation of the concept
        ..... count SC 1..1 integer
        (NHSN-MS)
        The number of subjects in the initial population
        ..... subjectResults S 1..1 Reference(NHSN Individual MeasureReport List)
        (NHSN-MS)
        List referencing all individual measure reports for this measure
        ...... id 0..1 string Unique id for inter-element referencing
        ...... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ...... reference SΣC 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource
        ...... 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
        .... 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 S 0..1 CodeableConcept The stratum value, e.g. male
        ...... component 0..* BackboneElement Stratifier component values
        ....... id 0..1 string Unique id for inter-element referencing
        ....... extension 0..* Extension Additional content defined by implementations
        ....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        ....... code 1..1 CodeableConcept What stratifier component of the group
        ....... value 1..1 CodeableConcept The stratum component value, e.g. male
        ...... population 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 S 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 S 1..1 Reference(DEQM Individual MeasureReport 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

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        MeasureReport.meta.security Base extensible SecurityLabels ??4.0.1 FHIR Std.
        MeasureReport.meta.tag Base example Common Tags ??4.0.1 FHIR Std.
        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.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.?population.subjectResults.?type Base extensible ResourceType ??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
        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-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())
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)

        This structure is derived from DEQMSubjectListMeasureReport

        Summary

        Mandatory: 5 elements
        Must-Support: 3 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of MeasureReport.contained

        Maturity: 2

        Key Elements View

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... Slices for extension Content/Rules for all slices
        .... extension:reportingProgram 0..1 Identifier, canonical(CRMI Manifest Library) Reporting program
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
        .... extension:category S 0..1 CodeableConcept What category is this measure report
        URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
        Binding: MeasureReportCategory (extensible)
        .... extension:inputParameters 0..1 Reference(Parameters) What parameters
        URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
        .... extension:supplementalData S 0..* (Complex) Optional Extensions 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 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:vendor 0..1 Reference(QICore Organization) Vendor information
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
        .... 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
        .... 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:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
        URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
        ... status ?!SΣ 1..1 code
        (NHSN-MS)
        The status of the MeasureReport complete | pending | error
        Binding: MeasureReportStatus (required)
        ... type SΣC 1..1 code
        (NHSN-MS)
        The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
        Binding: MeasureReportType (required): The type of the measure report.
        Fixed Value: subject-list
        ... measure SΣC 1..1 canonical(CRMI Shareable Measure)
        (NHSN-MS)
        What measure and version was calculated
        Constraints: deqm-0
        ... subject SΣ 0..1 Reference(Group) What individual(s) the report is for
        ... date SΣ 1..1 dateTime
        (NHSN-MS)
        When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter SΣ 1..1 Reference(QICore Organization)
        (NHSN-MS)
        The reporting entity that is reporting the data
        .... 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)
        What period the report covers
        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 increase | decrease
        Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
        ... group SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population 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
        (NHSN-MS)
        The scoring extension to indicate the scoring type of the measure 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 Meaning of the group
        .... population SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population
        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
        (NHSN-MS)
        The code identifying the population type is an initial population. Value is fixed to initial-population
        Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
        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 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ....... userSelected 0..1 boolean If this coding was chosen directly by the user
        ...... text 0..1 string Plain text representation of the concept
        ..... count SC 1..1 integer
        (NHSN-MS)
        The number of subjects in the initial population
        ..... subjectResults S 1..1 Reference(NHSN Individual MeasureReport List)
        (NHSN-MS)
        List referencing all individual measure reports for this measure
        ...... reference SΣC 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource
        .... 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
        ...... value S 0..1 CodeableConcept The stratum value, e.g. male
        ...... population SC 0..* BackboneElement Population results in this stratum
        Constraints: deqm-9
        ....... Slices for extension Content/Rules for all slices
        ........ extension:countQuantity S 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 S 1..1 Reference(DEQM Individual MeasureReport List) For subject-list reports, the subject results in this 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.

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        MeasureReport.status Base required MeasureReportStatus ??4.0.1 FHIR Std.
        MeasureReport.type Base required MeasureReportType ??4.0.1 FHIR Std.
        MeasureReport.improvementNotation Base required MeasureImprovementNotation ??4.0.1 FHIR Std.
        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
        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-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())
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)

        Differential View

        This structure is derived from DEQMSubjectListMeasureReport

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... status 1..1 code (NHSN-MS) The status of the MeasureReport complete | pending | error
        ... measure 1..1 canonical(CRMI Shareable Measure) (NHSN-MS) What measure and version was calculated
        ... date 1..1 dateTime (NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter 1..1 Reference(QICore Organization) (NHSN-MS) The reporting entity that is reporting the data
        ... period 1..1 Period (NHSN-MS) What period the report covers
        .... 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
        ... group 1..1 BackboneElement (NHSN-MS) Initial population group
        .... Slices for extension Content/Rules for all slices
        ..... extension:scoring 0..1 DEQMMeasureScoringExtension (NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation
        .... population 1..1 BackboneElement (NHSN-MS) Initial population
        ..... code 1..1 CodeableConcept (NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population
        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
        ....... display 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ..... count 1..1 integer (NHSN-MS) The number of subjects in the initial population
        ..... subjectResults 1..1 Reference(NHSN Individual MeasureReport List) (NHSN-MS) List referencing all individual measure reports for this measure
        ...... reference S 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource

        doco Documentation for this format

        Constraints

        Id Grade Path(s) Description Expression
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)

        Snapshot View

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. MeasureReport C 0..* DEQMSubjectListMeasureReport Results of a measure evaluation
        Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population
        ... id Σ 0..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... 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
        ... Slices for contained S 1..* Resource
        (NHSN-MS)
        Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
        Slice: Unordered, Open by profile:$this
        .... contained:ip-measurereport-list S 1..1 IndividualMeasureReportList
        (NHSN-MS)
        The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
        ... Slices for extension 0..* Extension Extension
        Slice: Unordered, Open by value:url
        .... extension:reportingProgram 0..1 Identifier, canonical(CRMI Manifest Library) Reporting program
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
        .... extension:category S 0..1 CodeableConcept What category is this measure report
        URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
        Binding: MeasureReportCategory (extensible)
        .... extension:inputParameters 0..1 Reference(Parameters) What parameters
        URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
        .... extension:supplementalData S 0..* (Complex) Optional Extensions 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 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:vendor 0..1 Reference(QICore Organization) Vendor information
        URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
        .... 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
        .... 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:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
        URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
        ... status ?!SΣ 1..1 code
        (NHSN-MS)
        The status of the MeasureReport complete | pending | error
        Binding: MeasureReportStatus (required)
        ... type SΣC 1..1 code
        (NHSN-MS)
        The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
        Binding: MeasureReportType (required): The type of the measure report.
        Fixed Value: subject-list
        ... measure SΣC 1..1 canonical(CRMI Shareable Measure)
        (NHSN-MS)
        What measure and version was calculated
        Constraints: deqm-0
        ... subject SΣ 0..1 Reference(Group) What individual(s) the report is for
        ... date SΣ 1..1 dateTime
        (NHSN-MS)
        When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
        ... reporter SΣ 1..1 Reference(QICore Organization)
        (NHSN-MS)
        The reporting entity that is reporting the data
        .... 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)
        What period the report covers
        Constraints: deqm-1
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... start 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 increase | decrease
        Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
        ... group SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population 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
        (NHSN-MS)
        The scoring extension to indicate the scoring type of the measure 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 Meaning of the group
        .... population SC 1..1 BackboneElement
        (NHSN-MS)
        Initial population
        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
        (NHSN-MS)
        The code identifying the population type is an initial population. Value is fixed to initial-population
        Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
        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 1..1 string Representation defined by the system
        Fixed Value: Initial Population
        ....... userSelected 0..1 boolean If this coding was chosen directly by the user
        ...... text 0..1 string Plain text representation of the concept
        ..... count SC 1..1 integer
        (NHSN-MS)
        The number of subjects in the initial population
        ..... subjectResults S 1..1 Reference(NHSN Individual MeasureReport List)
        (NHSN-MS)
        List referencing all individual measure reports for this measure
        ...... id 0..1 string Unique id for inter-element referencing
        ...... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ...... reference SΣC 1..1 string
        (NHSN-MS)
        Reference to an Individual MeasureReport List resource
        ...... 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
        .... 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 S 0..1 CodeableConcept The stratum value, e.g. male
        ...... component 0..* BackboneElement Stratifier component values
        ....... id 0..1 string Unique id for inter-element referencing
        ....... extension 0..* Extension Additional content defined by implementations
        ....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        ....... code 1..1 CodeableConcept What stratifier component of the group
        ....... value 1..1 CodeableConcept The stratum component value, e.g. male
        ...... population 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 S 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 S 1..1 Reference(DEQM Individual MeasureReport 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

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        MeasureReport.meta.security Base extensible SecurityLabels ??4.0.1 FHIR Std.
        MeasureReport.meta.tag Base example Common Tags ??4.0.1 FHIR Std.
        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.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.?population.subjectResults.?type Base extensible ResourceType ??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
        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-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())
        subjectlist-measurereport-population-count error MeasureReport SubjectList MeasureReport: group population count is >= number of entries in Subject List entries group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
        subjectlist-measurereport-zero-population error MeasureReport SubjectList MeasureReport: group population count cannot be zero group.population.count.all($this >= 1)

        This structure is derived from DEQMSubjectListMeasureReport

        Summary

        Mandatory: 5 elements
        Must-Support: 3 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of MeasureReport.contained

        Maturity: 2

        ?

        Other representations of profile: CSV, Excel, Schematron


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