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/subjectlist-measurereport | Version: 3.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: SubjectListMeasureReportProfile | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.1002.42.47 | ||||
A Subject-List MeasureReport contains the count of subjects (i.e., patients) in the Initial Population. It also references the Individual MeasureReport List.
This profile is based on the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG 5.0.0 DEQM Subject List MeasureReport profile.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 1.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type |
Description & Constraints Filter: 
|
|---|---|---|---|---|
  MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
  implicitRules
|
0..1 | uri | A set of rules under which this content was created | |
  Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
   contained:ip-measurereport-list
|
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
|
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
|
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
|
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 | 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 |
|
|
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: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
|
1..1 | code |
(NHSN-MS) The status of the MeasureReport
complete | pending | errorBinding: MeasureReportStatus (required) |
|
|
type
|
C | 1..1 | code |
(NHSN-MS) The type of MeasureReport is subject-list
individual | subject-list | summary | data-collectionBinding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) |
(NHSN-MS) What measure and version was calculatedConstraints: deqm-0 |
|
subject
|
0..1 | Reference(Group) | What individual(s) the report is for | |
|
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 |
|
|
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) What period the report coversConstraints: 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 | 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
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial population groupConstraints: 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 |
(NHSN-MS) The scoring extension to indicate the scoring type of the measure
proportion | ratio | continuous-variable | cohort | composite | attestationURL: 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 | Meaning of the group | |
|
population
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial populationConstraints: 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 |
(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-populationBinding: 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
|
C | 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
|
C | 1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
|
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 |
|
|
value
|
0..1 | CodeableConcept | The stratum value, e.g. male | |
|
population
|
C | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
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
|
1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this 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. |
|
|
Documentation for this format
| ||||
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
This structure is derived from DEQMSubjectListMeasureReport
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport |
Results of a measure evaluation Constraints: subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
 meta
|
||||
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:link-received-date-extension
|
0..1 | dateTime |
Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|
|
Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
|
contained:ip-measurereport-list
|
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
|
1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
|
|
Documentation for this format
| ||||
| Id | Grade | Path(s) | Description | Expression |
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
||||
|
id
|
0..1 | id | Logical id of this artifact | |||||
|
meta
|
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
|
0..1 | id | Version specific identifier | |||||
|
lastUpdated
|
0..1 | instant | When the resource version last changed | |||||
|
source
|
0..1 | uri | Identifies where the resource comes from | |||||
|
profile
|
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
|||||
|
security
|
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
|||||
|
tag
|
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
|
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 |
|||||
|
Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|||||
|
contained:ip-measurereport-list
|
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
|
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
|
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 |
|||||
|
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 | 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 |
|||||
|
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: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
|
0..* | Identifier | Additional identifier for the MeasureReport |
|||||
|
status
|
1..1 | code |
(NHSN-MS) The status of the MeasureReport
complete | pending | errorBinding: MeasureReportStatus (required) |
|||||
|
type
|
C | 1..1 | code |
(NHSN-MS) The type of MeasureReport is subject-list
individual | subject-list | summary | data-collectionBinding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
||||
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) |
(NHSN-MS) What measure and version was calculatedConstraints: deqm-0 |
||||
|
subject
|
0..1 | Reference(Group) | What individual(s) the report is for | |||||
|
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 |
|||||
|
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) What period the report coversConstraints: 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 | 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
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial population groupConstraints: 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 |
(NHSN-MS) The scoring extension to indicate the scoring type of the measure
proportion | ratio | continuous-variable | cohort | composite | attestationURL: 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 | Meaning of the group | |||||
|
population
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial populationConstraints: 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 |
(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-populationBinding: 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
|
C | 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 |
|||||
|
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
|
C | 1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
||||
|
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 | |||||
|
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
|
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
|
1..1 | Reference(DEQM Individual MeasureReport 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 | |||||
|
Documentation for this format
| ||||||||
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
This structure is derived from DEQMSubjectListMeasureReport
Summary
Mandatory: 5 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
|
implicitRules
|
0..1 | uri | A set of rules under which this content was created | |
|
Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
|
contained:ip-measurereport-list
|
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
|
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
|
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
|
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 | 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 |
|
|
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: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
|
1..1 | code |
(NHSN-MS) The status of the MeasureReport
complete | pending | errorBinding: MeasureReportStatus (required) |
|
|
type
|
C | 1..1 | code |
(NHSN-MS) The type of MeasureReport is subject-list
individual | subject-list | summary | data-collectionBinding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) |
(NHSN-MS) What measure and version was calculatedConstraints: deqm-0 |
|
subject
|
0..1 | Reference(Group) | What individual(s) the report is for | |
|
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 |
|
|
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) What period the report coversConstraints: 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 | 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
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial population groupConstraints: 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 |
(NHSN-MS) The scoring extension to indicate the scoring type of the measure
proportion | ratio | continuous-variable | cohort | composite | attestationURL: 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 | Meaning of the group | |
|
population
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial populationConstraints: 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 |
(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-populationBinding: 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
|
C | 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
|
C | 1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
|
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 |
|
|
value
|
0..1 | CodeableConcept | The stratum value, e.g. male | |
|
population
|
C | 0..* | BackboneElement | Population results in this stratum Constraints: deqm-9 |
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:countQuantity
|
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
|
1..1 | Reference(DEQM Individual MeasureReport List) | For subject-list reports, the subject results in this 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. |
|
|
Documentation for this format
| ||||
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
Differential View
This structure is derived from DEQMSubjectListMeasureReport
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport |
Results of a measure evaluation Constraints: subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
|
meta
|
||||
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:link-received-date-extension
|
0..1 | dateTime |
Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|
|
Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|
|
contained:ip-measurereport-list
|
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
|
1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
|
|
Documentation for this format
| ||||
| Id | Grade | Path(s) | Description | Expression |
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
Snapshot View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
MeasureReport
|
C | 0..* | DEQMSubjectListMeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2, deqm-2, deqm-3, subjectlist-measurereport-population-count, subjectlist-measurereport-zero-population |
||||
|
id
|
0..1 | id | Logical id of this artifact | |||||
|
meta
|
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
|
0..1 | id | Version specific identifier | |||||
|
lastUpdated
|
0..1 | instant | When the resource version last changed | |||||
|
source
|
0..1 | uri | Identifies where the resource comes from | |||||
|
profile
|
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
|||||
|
security
|
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
|||||
|
tag
|
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
|
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 |
|||||
|
Slices for contained
|
1..* | Resource |
(NHSN-MS) Contained resources within the Subject List MeasureReport, containing the Individual MeasureReport List
Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
|||||
|
contained:ip-measurereport-list
|
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
|
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
|
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 |
|||||
|
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 | 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 |
|||||
|
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: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
|
0..* | Identifier | Additional identifier for the MeasureReport |
|||||
|
status
|
1..1 | code |
(NHSN-MS) The status of the MeasureReport
complete | pending | errorBinding: MeasureReportStatus (required) |
|||||
|
type
|
C | 1..1 | code |
(NHSN-MS) The type of MeasureReport is subject-list
individual | subject-list | summary | data-collectionBinding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list |
||||
|
measure
|
C | 1..1 | canonical(CRMI Shareable Measure) |
(NHSN-MS) What measure and version was calculatedConstraints: deqm-0 |
||||
|
subject
|
0..1 | Reference(Group) | What individual(s) the report is for | |||||
|
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 |
|||||
|
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) What period the report coversConstraints: 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 | 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
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial population groupConstraints: 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 |
(NHSN-MS) The scoring extension to indicate the scoring type of the measure
proportion | ratio | continuous-variable | cohort | composite | attestationURL: 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 | Meaning of the group | |||||
|
population
|
C | 1..1 | BackboneElement |
(NHSN-MS) Initial populationConstraints: 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 |
(NHSN-MS) The code identifying the population type is an initial population. Value is fixed to initial-populationBinding: 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
|
C | 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 |
|||||
|
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
|
C | 1..1 | string |
(NHSN-MS) Reference to an Individual MeasureReport List resource |
||||
|
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 | |||||
|
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
|
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
|
1..1 | Reference(DEQM Individual MeasureReport 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 | |||||
|
Documentation for this format
| ||||||||
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| deqm-0 | error | MeasureReport.measure | Canonical URL SHALL contain a version. |
%resource.measure.toString().contains('|') and %resource.measure.substring(%resource.measure.toString().indexOf('|') + 1).length() > 0
|
| deqm-1 | error | MeasureReport.period | Date precision SHALL be at least to day ( YYYY-MM-DD ) |
start.toString().length()>9 and end.toString().length()>9
|
| deqm-2 | error | MeasureReport | If the measure scoring is specified at the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists()
|
| deqm-3 | error | MeasureReport | Measure scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and group.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty()) xor (extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').empty() and group.all(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists()))
|
| deqm-4 | error | MeasureReport.group | If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio' or 'continuous-variable' then the groupImprovementNotation element is required. |
(extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').exists() and extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists()
|
| deqm-6 | error | MeasureReport.group | If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 |
(%resource.extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion' or extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').value.coding.code contains 'proportion') implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)
|
| deqm-7 | error | MeasureReport.group.stratifier | If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both |
code.exists() xor stratum.component.exists()
|
| deqm-8 | error | MeasureReport.group.population | The population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| deqm-9 | error | MeasureReport.group.stratifier.stratum.population | The stratum population must either have a count (integer) or a countQuantity (quantity), but not both. |
extension('http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity').exists() xor count.exists()
|
| dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MeasureReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information |
(type != 'data-collection') or group.exists().not()
|
| mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components |
group.stratifier.stratum.all(value.exists() xor component.exists())
|
| subjectlist-measurereport-population-count | error | MeasureReport | SubjectList MeasureReport: group population count is >= number of entries in Subject List entries |
group.population.where(
where(code.coding.where(code='initial-population').exists()).exists()).where(count >= subjectResults.resolve().entry.count()).exists()
|
| subjectlist-measurereport-zero-population | error | MeasureReport | SubjectList MeasureReport: group population count cannot be zero |
group.population.count.all($this >= 1)
|
This structure is derived from DEQMSubjectListMeasureReport
Summary
Mandatory: 5 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
