CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Subject-List MeasureReport Profile

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

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

Usages:

• Use this Profile: NHSN Submission Header Bundle
• Examples for this Profile: MeasureReport/measurereport-example-ach-daily-subjectlist, MeasureReport/measurereport-example-ach-monthly-subjectlist1 and MeasureReport/measurereport-example-ltc-monthly-subjectlist

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count-matches
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
Slices for extension				Content/Rules for all slices
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated Constraints: deqm-0
subject	SΣ	0..1	Reference(Group)	What individual(s) the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
Slices for extension				Content/Rules for all slices
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SΣC	1..1	Period	(NHSN-MS) What period the report covers Constraints: deqm-1
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..1	BackboneElement	(NHSN-MS) Initial population group Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	1..1	BackboneElement	(NHSN-MS) Initial population Constraints: deqm-8
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
count	SC	1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults	S	1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
reference	SΣC	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
measureScore	SΣC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
Slices for extension				Content/Rules for all slices
extension:countQuantity	S	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count	SC	1..1	integer	Size of the population
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.status	Base	required	MeasureReportStatus	📦4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	📍4.0.1	FHIR Std.
MeasureReport.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
MeasureReport.group.​population.code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​measureScore.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.measureScore.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD )	start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
dom-2	error	MeasureReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MeasureReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MeasureReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mrp-1	error	MeasureReport	Measure Reports used for data collection SHALL NOT communicate group and score information	(type != 'data-collection') or group.exists().not()
mrp-2	error	MeasureReport	Stratifiers SHALL be either a single criteria or a set of criteria components	group.stratifier.stratum.all(value.exists() xor component.exists())
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

This structure is derived from DEQMSubjectListMeasureReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: subjectlist-measurereport-population-count-matches
meta
Slices for extension				Content/Rules for all slices
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
status		1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error
type		1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
measure		1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated
date		1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter		1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
period		1..1	Period	(NHSN-MS) What period the report covers
start		1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end		1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
group		1..1	BackboneElement	(NHSN-MS) Initial population group
Slices for extension				Content/Rules for all slices
extension:scoring		0..1	DEQMMeasureScoringExtension	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation
population		1..1	BackboneElement	(NHSN-MS) Initial population
code		1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
count		1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults		1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
reference	S	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count-matches
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated Constraints: deqm-0
subject	SΣ	0..1	Reference(Group)	What individual(s) the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
period	SΣC	1..1	Period	(NHSN-MS) What period the report covers Constraints: deqm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..1	BackboneElement	(NHSN-MS) Initial population group Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	1..1	BackboneElement	(NHSN-MS) Initial population Constraints: deqm-8
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
count	SC	1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults	S	1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
measureScore	SΣC	0..1	Quantity	What score this group achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	S	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count	SC	1..1	integer	Size of the population
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MeasureReport.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MeasureReport.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MeasureReport.extension:supplementalData.​value[x].type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MeasureReport.status	Base	required	MeasureReportStatus	📦4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	📍4.0.1	FHIR Std.
MeasureReport.reporter.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MeasureReport.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
MeasureReport.group.​population.code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​population.subjectResults.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MeasureReport.group.​measureScore.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.measureScore.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD )	start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
dom-2	error	MeasureReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MeasureReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MeasureReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mrp-1	error	MeasureReport	Measure Reports used for data collection SHALL NOT communicate group and score information	(type != 'data-collection') or group.exists().not()
mrp-2	error	MeasureReport	Stratifiers SHALL be either a single criteria or a set of criteria components	group.stratifier.stratum.all(value.exists() xor component.exists())
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

This structure is derived from DEQMSubjectListMeasureReport

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• NHSN Individual MeasureReport List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count-matches
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
Slices for extension				Content/Rules for all slices
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
Slices for extension				Content/Rules for all slices
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated Constraints: deqm-0
subject	SΣ	0..1	Reference(Group)	What individual(s) the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
Slices for extension				Content/Rules for all slices
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period	SΣC	1..1	Period	(NHSN-MS) What period the report covers Constraints: deqm-1
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..1	BackboneElement	(NHSN-MS) Initial population group Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension				Content/Rules for all slices
extension:scoring	SC	0..1	CodeableConcept	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	1..1	BackboneElement	(NHSN-MS) Initial population Constraints: deqm-8
Slices for extension				Content/Rules for all slices
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
count	SC	1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults	S	1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
reference	SΣC	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
measureScore	SΣC	0..1	Quantity	What score this group achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
Slices for extension				Content/Rules for all slices
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
Slices for extension				Content/Rules for all slices
extension:countQuantity	S	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count	SC	1..1	integer	Size of the population
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
Slices for extension				Content/Rules for all slices
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.status	Base	required	MeasureReportStatus	📦4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	📍4.0.1	FHIR Std.
MeasureReport.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
MeasureReport.group.​population.code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​measureScore.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.measureScore.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD )	start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
dom-2	error	MeasureReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MeasureReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MeasureReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mrp-1	error	MeasureReport	Measure Reports used for data collection SHALL NOT communicate group and score information	(type != 'data-collection') or group.exists().not()
mrp-2	error	MeasureReport	Stratifiers SHALL be either a single criteria or a set of criteria components	group.stratifier.stratum.all(value.exists() xor component.exists())
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

Differential View

This structure is derived from DEQMSubjectListMeasureReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: subjectlist-measurereport-population-count-matches
meta
Slices for extension				Content/Rules for all slices
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
status		1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error
type		1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection
measure		1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated
date		1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter		1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
period		1..1	Period	(NHSN-MS) What period the report covers
start		1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end		1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
group		1..1	BackboneElement	(NHSN-MS) Initial population group
Slices for extension				Content/Rules for all slices
extension:scoring		0..1	DEQMMeasureScoringExtension	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation
population		1..1	BackboneElement	(NHSN-MS) Initial population
code		1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
count		1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults		1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
reference	S	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MeasureReport	C	0..*	DEQMSubjectListMeasureReport	Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count-matches
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for contained	S	1..*	Resource	(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list	S	1..1	IndividualMeasureReportList	(NHSN-MS) The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reportingProgram		0..1	Identifier, canonical(CRMI Manifest Library)	Reporting program URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
extension:category	S	0..1	CodeableConcept	What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category Binding: MeasureReportCategory (extensible)
extension:inputParameters		0..1	Reference(Parameters)	What parameters URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
extension:supplementalData	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData"
value[x]		1..1	Reference(Resource)	Value of extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:criteriaReference	S	0..1	string	Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
extension:description	S	0..1	markdown	Description of the supplemental data URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
extension:scoring	SC	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:vendor		0..1	Reference(QICore Organization)	Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
extension:location		0..*	Reference(QICore Location)	Location(s) from which reported data was gathered URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
extension:cehrt		0..1	(Complex)	CMS EHR Certification ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x]		1..1	Identifier	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier		1..1	Identifier	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
extension:software		0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:message		0..1	Reference(OperationOutcome)	Messages encountered while creating the report URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	(NHSN-MS) The status of the MeasureReport complete | pending | error Binding: MeasureReportStatus (required)
type	SΣC	1..1	code	(NHSN-MS) The type of MeasureReport is subject-list individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure	SΣC	1..1	canonical(CRMI Shareable Measure)	(NHSN-MS) What measure and version was calculated Constraints: deqm-0
subject	SΣ	0..1	Reference(Group)	What individual(s) the report is for
date	SΣ	1..1	dateTime	(NHSN-MS) When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.
reporter	SΣ	1..1	Reference(QICore Organization)	(NHSN-MS) The reporting entity that is reporting the data
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:group		0..1	Reference(Group)	Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
period	SΣC	1..1	Period	(NHSN-MS) What period the report covers Constraints: deqm-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	(NHSN-MS) Starting time with inclusive boundary
end	SΣC	1..1	dateTime	(NHSN-MS) End time with inclusive boundary, if not ongoing
improvementNotation	?!SΣC	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	1..1	BackboneElement	(NHSN-MS) Initial population group Constraints: deqm-4, deqm-6
id	S	0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:scoring	SC	0..1	CodeableConcept	(NHSN-MS) The scoring extension to indicate the scoring type of the measure proportion | ratio | continuous-variable | cohort | composite | attestation URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (2.0.0) (extensible)
extension:calculatedDate	S	0..1	dateTime	The date the score was calculated URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate
extension:improvementNotation	SC	0..1	CodeableConcept	increase | decrease URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Binding: MeasureImprovementNotation (extensible)
extension:description	S	0..1	markdown	Description of the group URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Meaning of the group
population	SC	1..1	BackboneElement	(NHSN-MS) Initial population Constraints: deqm-8
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	SC	0..1	Quantity	Count as a Quantity URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
extension:description	S	0..1	markdown	Description of the population URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-population Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: initial-population
display		1..1	string	Representation defined by the system Fixed Value: Initial Population
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
count	SC	1..1	integer	(NHSN-MS) The number of subjects in the initial population
subjectResults	S	1..1	Reference(NHSN Individual MeasureReport List)	(NHSN-MS) List referencing all individual measure reports for this measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	(NHSN-MS) Reference to an Individual MeasureReport List resource
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
measureScore	SΣC	0..1	Quantity	What score this group achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
stratifier	SC	0..*	BackboneElement	Stratification results Constraints: deqm-7
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	S	0..1	markdown	Description of the stratifier URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	What stratifier of the group
stratum	S	0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	S	0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male
population	SC	0..*	BackboneElement	Population results in this stratum Constraints: deqm-9
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countQuantity	S	0..1	Quantity	Size of the population as a quantity. URL: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count	SC	1..1	integer	Size of the population
subjectResults	S	1..1	Reference(DEQM Individual MeasureReport List)	For subject-list reports, the subject results in this population
measureScore	S	0..1	Quantity	What score this stratum achieved
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:alternateScoreType	S	0..1	dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio	Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MeasureReport.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MeasureReport.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MeasureReport.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MeasureReport.extension:supplementalData.​value[x].type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MeasureReport.status	Base	required	MeasureReportStatus	📦4.0.1	FHIR Std.
MeasureReport.type	Base	required	MeasureReportType	📍4.0.1	FHIR Std.
MeasureReport.reporter.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MeasureReport.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
MeasureReport.group.​population.code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​population.subjectResults.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MeasureReport.group.​measureScore.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
MeasureReport.group.​stratifier.stratum.measureScore.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
deqm-0	error	MeasureReport.measure	Canonical URL SHALL contain a version.	%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
deqm-1	error	MeasureReport.period	Date precision SHALL be at least to day ( YYYY-MM-DD )	start.toString().length()>9 and end.toString().length()>9
deqm-2	error	MeasureReport	If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
deqm-3	error	MeasureReport	Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
deqm-4	error	MeasureReport.group	If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required.	(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
deqm-6	error	MeasureReport.group	If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1	(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
deqm-7	error	MeasureReport.group.stratifier	If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both	code.exists() xor stratum.component.exists()
deqm-8	error	MeasureReport.group.population	The population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
deqm-9	error	MeasureReport.group.stratifier.stratum.population	The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.	extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
dom-2	error	MeasureReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MeasureReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MeasureReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MeasureReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mrp-1	error	MeasureReport	Measure Reports used for data collection SHALL NOT communicate group and score information	(type != 'data-collection') or group.exists().not()
mrp-2	error	MeasureReport	Stratifiers SHALL be either a single criteria or a set of criteria components	group.stratifier.stratum.all(value.exists() xor component.exists())
subjectlist-measurereport-population-count-matches	error	MeasureReport	SubjectList MeasureReport: group population count matches number of entries in Subject List entries	group.population.where( where(code.coding.where(code='initial-population').exists()).exists()).where(count = subjectResults.resolve().entry.count()).exists()

This structure is derived from DEQMSubjectListMeasureReport

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• NHSN Individual MeasureReport List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Maturity: 1