description: '[MeasureReport](http://hl7.org/fhir/R4/measurereport.html) is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The **DEQM Summary MeasureReport Profile** defined here is used when a measure is reported to an aggregator for a group of subjects. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the [DEQM Individual MeasureReport Profile](StructureDefinition-indv-measurereport-deqm.html), the report is typically transacted as a single MeasureReport report.' package_name: hl7.fhir.us.davinci-deqm derivation: constraint name: DEQMSummaryMeasureReportProfile type: MeasureReport elements: evaluatedResource: {mustSupport: false, index: 51} date: {short: 'When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.', mustSupport: true, index: 17} group: constraint: deqm-4: {human: '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.', severity: error, expression: '(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: {human: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1, severity: error, expression: '(%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)'} mustSupport: true array: true min: 1 index: 24 elements: id: {mustSupport: true, index: 25} extension: short: proportion | ratio | continuous-variable | cohort | composite | attestation type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring index: 26 slicing: slices: scoring: match: {} schema: {short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', index: 26} min: 0 max: 1 calculatedDate: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', index: 27} min: 0 max: 1 improvementNotation: match: {} schema: {short: increase | decrease, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation', index: 28} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the group, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', index: 29} min: 0 max: 1 code: {mustSupport: true, index: 30} population: constraint: deqm-8: {human: 'The population must either have a count (integer) or a countQuantity (quantity), but not both.', severity: error, expression: 'extension(''http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'').exists() xor count.exists()'} mustSupport: true index: 31 extensions: countQuantity: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0', min: 0, max: 1, short: Count as a Quantity, type: Extension, mustSupport: true, index: 32} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', min: 0, max: 1, type: Extension, short: Description of the population, mustSupport: true, index: 33} elements: extension: short: Count as a Quantity type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0 index: 32 slicing: slices: countQuantity: match: {} schema: {short: Count as a Quantity, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0', index: 32} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the population, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', index: 33} min: 0 max: 1 code: {mustSupport: true, index: 34} count: {mustSupport: true, index: 35} subjectResults: {mustSupport: false, index: 36} required: [code] measureScore: mustSupport: true index: 37 extensions: alternateScoreType: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 38} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 38 slicing: slices: alternateScoreType: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 38} min: 0 max: 1 stratifier: constraint: deqm-7: {human: 'If group.stratifier exists, then either group.stratifier.code or the group.stratifier.stratum.component.code is present, but not both', severity: error, expression: code.exists() xor stratum.component.exists()} mustSupport: true index: 39 extensions: description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', min: 0, max: 1, type: Extension, short: Description of the stratifier, mustSupport: true, index: 40} elements: extension: type: Extension short: Description of the stratifier mustSupport: true url: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0 index: 40 slicing: slices: description: match: {} schema: {type: Extension, short: Description of the stratifier, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', index: 40} min: 0 max: 1 code: {mustSupport: true, index: 41} stratum: mustSupport: true index: 42 elements: value: {mustSupport: true, index: 43} population: constraint: deqm-9: {human: 'The stratum population must either have a count (integer) or a countQuantity (quantity), but not both.', severity: error, expression: 'extension(''http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'').exists() xor count.exists()'} mustSupport: true index: 44 extensions: countQuantity: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 45} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0 index: 45 slicing: slices: countQuantity: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.2.0', index: 45} min: 0 max: 1 code: {mustSupport: true, index: 46} count: {mustSupport: true, index: 47} subjectResults: {mustSupport: false, index: 48} required: [code, count] measureScore: mustSupport: true index: 49 extensions: alternateScoreType: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 50} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 50 slicing: slices: alternateScoreType: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 50} min: 0 max: 1 extensions: scoring: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', min: 0, max: 1, short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, index: 26} calculatedDate: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 27} improvementNotation: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation', min: 0, max: 1, short: increase | decrease, type: Extension, mustSupport: true, index: 28} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', min: 0, max: 1, type: Extension, short: Description of the group, mustSupport: true, index: 29} type: type: code pattern: {type: code, value: summary} mustSupport: true index: 14 measure: constraint: deqm-0: {human: Canonical URL SHALL contain a version., severity: error, expression: '%resource.measure.toString().contains(''|'') and %resource.measure.substring(%resource.measure.toString().indexOf(''|'') + 1).length() > 0'} short: What measure and version was calculated type: canonical mustSupport: true index: 15 extension: type: Extension url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram index: 0 slicing: slices: vendor: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', index: 7} min: 0 max: 1 category: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0', index: 1} min: 0 max: 1 reportingProgram: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram', index: 0} min: 0 max: 1 supplementalData: match: {} schema: type: Extension mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData index: 3 elements: value[x]: extensions: criteriaReference: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', min: 0, max: 1, type: Extension, short: Description of the supplemental data, mustSupport: true, index: 5} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0 index: 4 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0', index: 4} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the supplemental data, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', index: 5} min: 0 max: 1 cehrt: match: {} schema: type: Extension short: CMS EHR Certification ID url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier index: 9 elements: valueIdentifier: type: Identifier pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 10 required: [valueIdentifier] inputParameters: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters|5.2.0', index: 2} min: 0 max: 1 scoring: match: {} schema: {short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', index: 6} min: 0 max: 1 software: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', index: 11} min: 0 location: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', index: 8} min: 0 message: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages|5.2.0', index: 12} min: 0 max: 1 reporter: short: Organization that generated the MeasureReport refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization'] type: Reference mustSupport: true index: 18 extensions: group: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', min: 0, max: 1, type: Extension, index: 19} elements: extension: type: Extension url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup index: 19 slicing: slices: group: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', index: 19} min: 0 max: 1 status: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/measure-report-status'} mustSupport: true index: 13 period: type: Period constraint: deqm-1: {human: Date precision SHALL be at least to day ( YYYY-MM-DD ), severity: error, expression: start.toString().length()>9 and end.toString().length()>9} mustSupport: true index: 20 elements: start: {mustSupport: true, index: 21} end: {mustSupport: true, index: 22} required: [end, start] improvementNotation: {mustSupport: true, index: 23} subject: {mustSupport: false, index: 16} package_version: 5.0.0 extensions: vendor: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', min: 0, max: 1, type: Extension, index: 7} category: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 1} reportingProgram: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram', min: 0, max: 1, type: Extension, index: 0} supplementalData: url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData type: Extension mustSupport: true index: 3 elements: value[x]: extensions: criteriaReference: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', min: 0, max: 1, type: Extension, short: Description of the supplemental data, mustSupport: true, index: 5} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0 index: 4 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference|5.2.0', index: 4} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the supplemental data, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription|5.2.0', index: 5} min: 0 max: 1 cehrt: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier type: Extension short: CMS EHR Certification ID index: 9 elements: valueIdentifier: type: Identifier pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 10 required: [valueIdentifier] inputParameters: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters|5.2.0', min: 0, max: 1, type: Extension, index: 2} scoring: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', min: 0, max: 1, short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, index: 6} software: {url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', min: 0, type: Extension, index: 11} location: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', min: 0, type: Extension, index: 8} message: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages|5.2.0', min: 0, max: 1, type: Extension, index: 12} class: profile kind: resource url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm base: http://hl7.org/fhir/StructureDefinition/MeasureReport version: 5.0.0 required: [date, group, period, reporter]