CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
3.0.0 - Release 3 - draft
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
3.0.0 - Release 3 - draft
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-individual-measurereport | Version: 3.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: NHSNIndividualMeasureReport | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.1002.42.42 | ||||
This profile applies NHSN Measure specific resource inclusion rules for all on the NHSN dQMs. This profile inherits from the Da Vinci DEQM 5.0.0 Individual MeasureReport profile.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 1.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type |
Description & Constraints Filter: 
|
|---|---|---|---|---|
  MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
  implicitRules
|
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension
|
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
   extension:careGapRemark
|
C | 0..* | (Complex) | Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1 |
|
extension:message
|
0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
|
|
extension:category
|
0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
|
|
extension:reportingProgram
|
0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram |
|
|
extension:inputParameters
|
0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
|
 extension:supplementalData
|
C | 1..* | (Complex) |
(NHSN-MS) Supplemental Data ElementURL: 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
|
0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|
 extension:description
|
0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
extension:scoring
|
C | 0..1 | (Complex) |
(NHSN-MS) cohortURL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
|
extension
|
0..0 | Extension Slice: Unordered, Open by value:url |
||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" | |
|
Slices for value[x]
|
1..1 | CodeableConcept |
Value of extension Slice: Unordered, Closed by type:$this |
|
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept | Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following |
|
|
extension:vendor
|
0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
|
|
extension:cehrt
|
0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
|
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
|
Slices for value[x]
|
1..1 | Identifier |
Value of extension Slice: Unordered, Closed by type:$this |
|
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueIdentifier
|
1..1 | Identifier | Value of extension Required Pattern: At least the following |
|
|
extension:software
|
0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
|
|
extension:location
|
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation |
|
 modifierExtension
|
0..* | Extension | Extensions that cannot be ignored |
|
|
status
|
1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
|
|
type
|
C | 1..1 | code |
(NHSN-MS) individualBinding: MeasureReportType (required): The type of the measure report. Fixed Value: individual |
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated Constraints: deqm-0 |
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) |
(NHSN-MS) What individual the report is for |
|
|
date
|
1..1 | dateTime |
(NHSN-MS) When the report was calculated. |
|
|
reporter
|
1..1 | Reference(QICore Organization) |
(NHSN-MS) The reporting organization that is responsible for the report |
|
|
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
|
C | 1..1 | Period |
(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.Constraints: deqm-1 |
|
start
|
C | 1..1 | dateTime |
(NHSN-MS) Starting time with inclusive boundary |
 end
|
C | 1..1 | dateTime |
(NHSN-MS) End time with inclusive boundary, if not ongoing |
|
improvementNotation
|
C | 0..1 | CodeableConcept |
(NHSN-MS) increase | decreaseBinding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
|
group
|
C | 0..* | BackboneElement |
(NHSN-MS) Measure results for each group.Constraints: deqm-4, deqm-6 |
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:scoring
|
C | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
|
extension:calculatedDate
|
0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
|
|
extension:improvementNotation
|
C | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
|
extension:description
|
0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
0..1 | CodeableConcept |
(NHSN-MS) Meaning of the groupRequired Pattern: At least the following |
|
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
extension
|
0..* | Extension | Additional content defined by implementations | |
 coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
extension
|
0..* | Extension | Additional content defined by implementations | |
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|
|
version
|
0..1 | string | Version of the system - if relevant | |
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|
|
display
|
0..1 | string | Representation defined by the system | |
|
userSelected
|
0..1 | boolean | If this coding was chosen directly by the user | |
|
text
|
0..1 | string | Plain text representation of the concept | |
|
population
|
C | 0..* | BackboneElement |
(NHSN-MS) The populations in the groupConstraints: deqm-8 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
C | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
|
extension:description
|
0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
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
|
C | 0..1 | integer |
(NHSN-MS) Size of the population. Always '1' for individual MeasureReport.Required Pattern: 1 |
|
measureScore
|
C | 0..1 | Quantity | What score this group achieved |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:alternateScoreType
|
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
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|
|
stratifier
|
C | 0..* | BackboneElement | Stratification results Constraints: deqm-7 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:description
|
0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
0..1 | CodeableConcept | What stratifier of the group |
|
|
stratum
|
0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
population
|
C | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
C | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
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
|
C | 1..1 | integer | Size of the population |
|
measureScore
|
0..1 | Quantity | What score this stratum achieved | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:alternateScoreType
|
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
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|
|
evaluatedResource
|
0..* | Reference(Resource) |
(NHSN-MS) What data was used to calculate the measure score |
|
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:criteriaReference
|
0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|
|
Documentation for this format
| ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MeasureReport.extension:scoring.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📍2.0.0 | THO v7.1 |
| MeasureReport.status | Base | required | MeasureReportStatus | 📍4.0.1 | FHIR Std. |
| MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std. |
| MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| cgr-1 | error | MeasureReport.extension:careGapRemark | A remark shall include an author, an authorOrganization, or an authorSoftware |
extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
|
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
This structure is derived from DEQMIndividualMeasureReportProfile
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile |
Results of a measure evaluation Constraints: ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
|
extension
|
1..* | Extension | Extension | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:supplementalData
|
C | 1..* | R5 MeasureReport.supplementalData | (NHSN-MS) Supplemental Data Element |
 extension:scoring
|
0..1 | DEQMMeasureScoringExtension | (NHSN-MS) cohort | |
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept |
Value of extension Required Pattern: At least the following |
|
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring |
|
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: cohort |
|
 type
|
1..1 | code | (NHSN-MS) individual | |
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) | (NHSN-MS) What individual the report is for | |
|
date
|
1..1 | dateTime | (NHSN-MS) When the report was calculated. | |
|
reporter
|
1..1 | Reference(QICore Organization) | (NHSN-MS) The reporting organization that is responsible for the report | |
|
period
|
1..1 | Period | (NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. | |
|
start
|
1..1 | dateTime | (NHSN-MS) Starting time with inclusive boundary | |
|
end
|
1..1 | dateTime | (NHSN-MS) End time with inclusive boundary, if not ongoing | |
|
improvementNotation
|
0..1 | CodeableConcept | (NHSN-MS) increase | decrease | |
|
group
|
0..* | BackboneElement | (NHSN-MS) Measure results for each group. | |
|
code
|
0..1 | CodeableConcept | (NHSN-MS) Meaning of the group Required Pattern: At least the following |
|
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|
|
population
|
0..* | BackboneElement | (NHSN-MS) The populations in the group | |
|
count
|
0..1 | integer | (NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1 |
|
|
evaluatedResource
|
0..* | Reference(Resource) | (NHSN-MS) What data was used to calculate the measure score | |
|
Documentation for this format
| ||||
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
||||
|
id
|
0..1 | id | Logical id of this artifact | |||||
|
meta
|
0..1 | Meta | Metadata about the resource | |||||
|
implicitRules
|
0..1 | uri | A set of rules under which this content was created | |||||
|
language
|
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
|
|||||
|
text
|
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
|||||
|
contained
|
0..* | Resource | Contained, inline Resources |
|||||
|
Slices for extension
|
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|||||
|
extension:careGapRemark
|
C | 0..* | (Complex) | Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1 |
||||
|
extension:message
|
0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
|||||
|
extension:category
|
0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
|||||
|
extension:reportingProgram
|
0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram |
|||||
|
extension:inputParameters
|
0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
|||||
|
extension:supplementalData
|
C | 1..* | (Complex) |
(NHSN-MS) Supplemental Data ElementURL: 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 |
|||||
|
Slices for extension
|
Content/Rules for all slices | |||||||
|
extension:criteriaReference
|
0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|||||
|
extension:description
|
0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
reference
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
extension:scoring
|
C | 0..1 | (Complex) |
(NHSN-MS) cohortURL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..0 | Extension Slice: Unordered, Open by value:url |
||||||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" | |||||
|
Slices for value[x]
|
1..1 | CodeableConcept |
Value of extension Slice: Unordered, Closed by type:$this |
|||||
|
Slices for value[x]
|
Content/Rules for all slices | |||||||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept | Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following |
|||||
|
extension:vendor
|
0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
|||||
|
extension:cehrt
|
0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
|
Slices for value[x]
|
1..1 | Identifier |
Value of extension Slice: Unordered, Closed by type:$this |
|||||
|
Slices for value[x]
|
Content/Rules for all slices | |||||||
|
value[x]:valueIdentifier
|
1..1 | Identifier | Value of extension Required Pattern: At least the following |
|||||
|
extension:software
|
0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
|||||
|
extension:location
|
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored |
|||||
|
identifier
|
0..* | Identifier | Additional identifier for the MeasureReport |
|||||
|
status
|
1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
|||||
|
type
|
C | 1..1 | code |
(NHSN-MS) individualBinding: MeasureReportType (required): The type of the measure report. Fixed Value: individual |
||||
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated Constraints: deqm-0 |
||||
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) |
(NHSN-MS) What individual the report is for |
|||||
|
date
|
1..1 | dateTime |
(NHSN-MS) When the report was calculated. |
|||||
|
reporter
|
1..1 | Reference(QICore Organization) |
(NHSN-MS) The reporting organization that is responsible for the report |
|||||
|
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
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
period
|
C | 1..1 | Period |
(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.Constraints: deqm-1 |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
start
|
C | 1..1 | dateTime |
(NHSN-MS) Starting time with inclusive boundary |
||||
|
end
|
C | 1..1 | dateTime |
(NHSN-MS) End time with inclusive boundary, if not ongoing |
||||
|
improvementNotation
|
C | 0..1 | CodeableConcept |
(NHSN-MS) increase | decreaseBinding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
||||
|
group
|
C | 0..* | BackboneElement |
(NHSN-MS) Measure results for each group.Constraints: deqm-4, deqm-6 |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
Slices for extension
|
0..* | Extension | Extension Slice: Unordered, Open by value:url |
|||||
|
extension:scoring
|
C | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
||||
|
extension:calculatedDate
|
0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
|||||
|
extension:improvementNotation
|
C | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
||||
|
extension:description
|
0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
0..1 | CodeableConcept |
(NHSN-MS) Meaning of the groupRequired Pattern: At least the following |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations | |||||
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations | |||||
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|||||
|
version
|
0..1 | string | Version of the system - if relevant | |||||
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|||||
|
display
|
0..1 | string | Representation defined by the system | |||||
|
userSelected
|
0..1 | boolean | If this coding was chosen directly by the user | |||||
|
text
|
0..1 | string | Plain text representation of the concept | |||||
|
population
|
C | 0..* | BackboneElement |
(NHSN-MS) The populations in the groupConstraints: 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
|
C | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
||||
|
extension:description
|
0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
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
|
C | 0..1 | integer |
(NHSN-MS) Size of the population. Always '1' for individual MeasureReport.Required Pattern: 1 |
||||
|
measureScore
|
C | 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
|
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
|
0..1 | decimal | Numerical value (with implicit precision) | |||||
|
comparator
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|||||
|
unit
|
0..1 | string | Unit representation | |||||
|
system
|
C | 0..1 | uri | System that defines coded unit form | ||||
|
code
|
0..1 | code | Coded form of the unit | |||||
|
stratifier
|
C | 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
|
0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
0..1 | CodeableConcept | What stratifier of the group |
|||||
|
stratum
|
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
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
value
|
0..1 | CodeableConcept | The stratum value, e.g. male | |||||
|
component
|
0..* | BackboneElement | Stratifier component values |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
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
|
C | 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
|
C | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
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
|
C | 1..1 | integer | Size of the population | ||||
|
subjectResults
|
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
|
measureScore
|
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
|
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
|
0..1 | decimal | Numerical value (with implicit precision) | |||||
|
comparator
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|||||
|
unit
|
0..1 | string | Unit representation | |||||
|
system
|
C | 0..1 | uri | System that defines coded unit form | ||||
|
code
|
0..1 | code | Coded form of the unit | |||||
|
evaluatedResource
|
0..* | Reference(Resource) |
(NHSN-MS) What data was used to calculate the measure score |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
Slices for extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
extension:criteriaReference
|
0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|||||
|
reference
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
Documentation for this format
| ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MeasureReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MeasureReport.extension:supplementalData.value[x].type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| MeasureReport.extension:scoring.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📍2.0.0 | THO v7.1 |
| MeasureReport.status | Base | required | MeasureReportStatus | 📍4.0.1 | FHIR Std. |
| MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std. |
| MeasureReport.reporter.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.evaluatedResource.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| cgr-1 | error | MeasureReport.extension:careGapRemark | A remark shall include an author, an authorOrganization, or an authorSoftware |
extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
|
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
This structure is derived from DEQMIndividualMeasureReportProfile
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
|
implicitRules
|
0..1 | uri | A set of rules under which this content was created | |
|
Slices for extension
|
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
|
extension:careGapRemark
|
C | 0..* | (Complex) | Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1 |
|
extension:message
|
0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
|
|
extension:category
|
0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
|
|
extension:reportingProgram
|
0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram |
|
|
extension:inputParameters
|
0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
|
|
extension:supplementalData
|
C | 1..* | (Complex) |
(NHSN-MS) Supplemental Data ElementURL: 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
|
0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|
|
extension:description
|
0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
extension:scoring
|
C | 0..1 | (Complex) |
(NHSN-MS) cohortURL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
|
extension
|
0..0 | Extension Slice: Unordered, Open by value:url |
||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" | |
|
Slices for value[x]
|
1..1 | CodeableConcept |
Value of extension Slice: Unordered, Closed by type:$this |
|
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept | Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following |
|
|
extension:vendor
|
0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
|
|
extension:cehrt
|
0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
|
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |
|
Slices for value[x]
|
1..1 | Identifier |
Value of extension Slice: Unordered, Closed by type:$this |
|
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueIdentifier
|
1..1 | Identifier | Value of extension Required Pattern: At least the following |
|
|
extension:software
|
0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
|
|
extension:location
|
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored |
|
|
status
|
1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
|
|
type
|
C | 1..1 | code |
(NHSN-MS) individualBinding: MeasureReportType (required): The type of the measure report. Fixed Value: individual |
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated Constraints: deqm-0 |
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) |
(NHSN-MS) What individual the report is for |
|
|
date
|
1..1 | dateTime |
(NHSN-MS) When the report was calculated. |
|
|
reporter
|
1..1 | Reference(QICore Organization) |
(NHSN-MS) The reporting organization that is responsible for the report |
|
|
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
|
C | 1..1 | Period |
(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.Constraints: deqm-1 |
|
start
|
C | 1..1 | dateTime |
(NHSN-MS) Starting time with inclusive boundary |
|
end
|
C | 1..1 | dateTime |
(NHSN-MS) End time with inclusive boundary, if not ongoing |
|
improvementNotation
|
C | 0..1 | CodeableConcept |
(NHSN-MS) increase | decreaseBinding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
|
group
|
C | 0..* | BackboneElement |
(NHSN-MS) Measure results for each group.Constraints: deqm-4, deqm-6 |
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:scoring
|
C | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
|
extension:calculatedDate
|
0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
|
|
extension:improvementNotation
|
C | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
|
extension:description
|
0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
0..1 | CodeableConcept |
(NHSN-MS) Meaning of the groupRequired Pattern: At least the following |
|
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
extension
|
0..* | Extension | Additional content defined by implementations | |
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
id
|
0..1 | string | Unique id for inter-element referencing | |
|
extension
|
0..* | Extension | Additional content defined by implementations | |
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|
|
version
|
0..1 | string | Version of the system - if relevant | |
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|
|
display
|
0..1 | string | Representation defined by the system | |
|
userSelected
|
0..1 | boolean | If this coding was chosen directly by the user | |
|
text
|
0..1 | string | Plain text representation of the concept | |
|
population
|
C | 0..* | BackboneElement |
(NHSN-MS) The populations in the groupConstraints: deqm-8 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
C | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
|
extension:description
|
0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
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
|
C | 0..1 | integer |
(NHSN-MS) Size of the population. Always '1' for individual MeasureReport.Required Pattern: 1 |
|
measureScore
|
C | 0..1 | Quantity | What score this group achieved |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:alternateScoreType
|
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
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|
|
stratifier
|
C | 0..* | BackboneElement | Stratification results Constraints: deqm-7 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:description
|
0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
0..1 | CodeableConcept | What stratifier of the group |
|
|
stratum
|
0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
|
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
population
|
C | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
C | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
|
code
|
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
|
C | 1..1 | integer | Size of the population |
|
measureScore
|
0..1 | Quantity | What score this stratum achieved | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:alternateScoreType
|
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
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|
|
evaluatedResource
|
0..* | Reference(Resource) |
(NHSN-MS) What data was used to calculate the measure score |
|
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:criteriaReference
|
0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|
|
Documentation for this format
| ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MeasureReport.extension:scoring.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📍2.0.0 | THO v7.1 |
| MeasureReport.status | Base | required | MeasureReportStatus | 📍4.0.1 | FHIR Std. |
| MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std. |
| MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| cgr-1 | error | MeasureReport.extension:careGapRemark | A remark shall include an author, an authorOrganization, or an authorSoftware |
extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
|
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
Differential View
This structure is derived from DEQMIndividualMeasureReportProfile
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile |
Results of a measure evaluation Constraints: ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
|
extension
|
1..* | Extension | Extension | |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:supplementalData
|
C | 1..* | R5 MeasureReport.supplementalData | (NHSN-MS) Supplemental Data Element |
|
extension:scoring
|
0..1 | DEQMMeasureScoringExtension | (NHSN-MS) cohort | |
|
Slices for value[x]
|
Content/Rules for all slices | |||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept |
Value of extension Required Pattern: At least the following |
|
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring |
|
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: cohort |
|
|
type
|
1..1 | code | (NHSN-MS) individual | |
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) | (NHSN-MS) What individual the report is for | |
|
date
|
1..1 | dateTime | (NHSN-MS) When the report was calculated. | |
|
reporter
|
1..1 | Reference(QICore Organization) | (NHSN-MS) The reporting organization that is responsible for the report | |
|
period
|
1..1 | Period | (NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. | |
|
start
|
1..1 | dateTime | (NHSN-MS) Starting time with inclusive boundary | |
|
end
|
1..1 | dateTime | (NHSN-MS) End time with inclusive boundary, if not ongoing | |
|
improvementNotation
|
0..1 | CodeableConcept | (NHSN-MS) increase | decrease | |
|
group
|
0..* | BackboneElement | (NHSN-MS) Measure results for each group. | |
|
code
|
0..1 | CodeableConcept | (NHSN-MS) Meaning of the group Required Pattern: At least the following |
|
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|
|
population
|
0..* | BackboneElement | (NHSN-MS) The populations in the group | |
|
count
|
0..1 | integer | (NHSN-MS) Size of the population. Always '1' for individual MeasureReport. Required Pattern: 1 |
|
|
evaluatedResource
|
0..* | Reference(Resource) | (NHSN-MS) What data was used to calculate the measure score | |
|
Documentation for this format
| ||||
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
Snapshot View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMIndividualMeasureReportProfile | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, deqm-5, ach-monthly-measure-resource-requirements, ach-daily-measure-resource-requirements |
||||
|
id
|
0..1 | id | Logical id of this artifact | |||||
|
meta
|
0..1 | Meta | Metadata about the resource | |||||
|
implicitRules
|
0..1 | uri | A set of rules under which this content was created | |||||
|
language
|
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
|
|||||
|
text
|
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
|||||
|
contained
|
0..* | Resource | Contained, inline Resources |
|||||
|
Slices for extension
|
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|||||
|
extension:careGapRemark
|
C | 0..* | (Complex) | Condition Category remark URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Constraints: cgr-1 |
||||
|
extension:message
|
0..1 | Reference(OperationOutcome) | Evaluation messages URL: http://hl7.org/fhir/StructureDefinition/cqf-messages |
|||||
|
extension:category
|
0..1 | CodeableConcept | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible) |
|||||
|
extension:reportingProgram
|
0..1 | Identifier, canonical(CRMI Manifest Library) | Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram |
|||||
|
extension:inputParameters
|
0..1 | Reference(Parameters) | What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters |
|||||
|
extension:supplementalData
|
C | 1..* | (Complex) |
(NHSN-MS) Supplemental Data ElementURL: 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 |
|||||
|
Slices for extension
|
Content/Rules for all slices | |||||||
|
extension:criteriaReference
|
0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|||||
|
extension:description
|
0..1 | markdown | Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
reference
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
extension:scoring
|
C | 0..1 | (Complex) |
(NHSN-MS) cohortURL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..0 | Extension Slice: Unordered, Open by value:url |
||||||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" | |||||
|
Slices for value[x]
|
1..1 | CodeableConcept |
Value of extension Slice: Unordered, Closed by type:$this |
|||||
|
Slices for value[x]
|
Content/Rules for all slices | |||||||
|
value[x]:valueCodeableConcept
|
1..1 | CodeableConcept | Value of extension Binding: MeasureScoring (2.0.0) (extensible) Required Pattern: At least the following |
|||||
|
extension:vendor
|
0..1 | Reference(QICore Organization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor |
|||||
|
extension:cehrt
|
0..1 | (Complex) | CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
url
|
1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" | |||||
|
Slices for value[x]
|
1..1 | Identifier |
Value of extension Slice: Unordered, Closed by type:$this |
|||||
|
Slices for value[x]
|
Content/Rules for all slices | |||||||
|
value[x]:valueIdentifier
|
1..1 | Identifier | Value of extension Required Pattern: At least the following |
|||||
|
extension:software
|
0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
|||||
|
extension:location
|
0..* | Reference(QICore Location) | Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored |
|||||
|
identifier
|
0..* | Identifier | Additional identifier for the MeasureReport |
|||||
|
status
|
1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report. |
|||||
|
type
|
C | 1..1 | code |
(NHSN-MS) individualBinding: MeasureReportType (required): The type of the measure report. Fixed Value: individual |
||||
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) | What measure was calculated Constraints: deqm-0 |
||||
|
subject
|
1..1 | Reference(Cross-Measure Patient Profile) |
(NHSN-MS) What individual the report is for |
|||||
|
date
|
1..1 | dateTime |
(NHSN-MS) When the report was calculated. |
|||||
|
reporter
|
1..1 | Reference(QICore Organization) |
(NHSN-MS) The reporting organization that is responsible for the report |
|||||
|
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
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
period
|
C | 1..1 | Period |
(NHSN-MS) The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period.Constraints: deqm-1 |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
start
|
C | 1..1 | dateTime |
(NHSN-MS) Starting time with inclusive boundary |
||||
|
end
|
C | 1..1 | dateTime |
(NHSN-MS) End time with inclusive boundary, if not ongoing |
||||
|
improvementNotation
|
C | 0..1 | CodeableConcept |
(NHSN-MS) increase | decreaseBinding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
||||
|
group
|
C | 0..* | BackboneElement |
(NHSN-MS) Measure results for each group.Constraints: deqm-4, deqm-6 |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
Slices for extension
|
0..* | Extension | Extension Slice: Unordered, Open by value:url |
|||||
|
extension:scoring
|
C | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible) |
||||
|
extension:calculatedDate
|
0..1 | dateTime | The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate |
|||||
|
extension:improvementNotation
|
C | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible) |
||||
|
extension:description
|
0..1 | markdown | Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
0..1 | CodeableConcept |
(NHSN-MS) Meaning of the groupRequired Pattern: At least the following |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations | |||||
|
coding
|
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations | |||||
|
system
|
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population |
|||||
|
version
|
0..1 | string | Version of the system - if relevant | |||||
|
code
|
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population |
|||||
|
display
|
0..1 | string | Representation defined by the system | |||||
|
userSelected
|
0..1 | boolean | If this coding was chosen directly by the user | |||||
|
text
|
0..1 | string | Plain text representation of the concept | |||||
|
population
|
C | 0..* | BackboneElement |
(NHSN-MS) The populations in the groupConstraints: 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
|
C | 0..1 | Quantity | Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
||||
|
extension:description
|
0..1 | markdown | Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
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
|
C | 0..1 | integer |
(NHSN-MS) Size of the population. Always '1' for individual MeasureReport.Required Pattern: 1 |
||||
|
measureScore
|
C | 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
|
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
|
0..1 | decimal | Numerical value (with implicit precision) | |||||
|
comparator
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|||||
|
unit
|
0..1 | string | Unit representation | |||||
|
system
|
C | 0..1 | uri | System that defines coded unit form | ||||
|
code
|
0..1 | code | Coded form of the unit | |||||
|
stratifier
|
C | 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
|
0..1 | markdown | Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription |
|||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
0..1 | CodeableConcept | What stratifier of the group |
|||||
|
stratum
|
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
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
value
|
0..1 | CodeableConcept | The stratum value, e.g. male | |||||
|
component
|
0..* | BackboneElement | Stratifier component values |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
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
|
C | 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
|
C | 0..1 | Quantity | Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity |
||||
|
modifierExtension
|
0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|||||
|
code
|
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
|
C | 1..1 | integer | Size of the population | ||||
|
subjectResults
|
0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
|
measureScore
|
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
|
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
|
0..1 | decimal | Numerical value (with implicit precision) | |||||
|
comparator
|
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
|||||
|
unit
|
0..1 | string | Unit representation | |||||
|
system
|
C | 0..1 | uri | System that defines coded unit form | ||||
|
code
|
0..1 | code | Coded form of the unit | |||||
|
evaluatedResource
|
0..* | Reference(Resource) |
(NHSN-MS) What data was used to calculate the measure score |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
Slices for extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
extension:criteriaReference
|
0..* | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
|||||
|
reference
|
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
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
|
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
|
display
|
0..1 | string | Text alternative for the resource | |||||
|
Documentation for this format
| ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MeasureReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MeasureReport.extension:supplementalData.value[x].type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| MeasureReport.extension:scoring.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📍2.0.0 | THO v7.1 |
| MeasureReport.status | Base | required | MeasureReportStatus | 📍4.0.1 | FHIR Std. |
| MeasureReport.type | Base | required | MeasureReportType | 📍4.0.1 | FHIR Std. |
| MeasureReport.reporter.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| MeasureReport.improvementNotation | Base | required | MeasureImprovementNotation | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.population.code | Base | extensible | MeasurePopulationType | 📦4.0.1 | FHIR Std. |
| MeasureReport.group.stratifier.stratum.measureScore.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MeasureReport.evaluatedResource.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ach-daily-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Daily MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalDailyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| ach-monthly-measure-resource-requirements | error | MeasureReport | MeasureReport: ACH Monthly MeasureReport must have a single supplemental data reference to Patient and at least one supplemental data reference to each of Encounter and Location. |
measure.startsWith('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation')
implies extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Patient).count() = 1
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Encounter).exists()
and extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData').value.resolve().ofType(Location).exists()
|
| cgr-1 | error | MeasureReport.extension:careGapRemark | A remark shall include an author, an authorOrganization, or an authorSoftware |
extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()
|
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-5 | error | MeasureReport | If the scoring, at either the root level or the group level, is other than composite then the group.population cardinality is >=1 |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() or (group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains ('composite')).not() implies group.population.count()>=1
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
This structure is derived from DEQMIndividualMeasureReportProfile
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
