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 patients. 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: 40} date: {mustSupport: true, index: 12} group: mustSupport: true array: true min: 1 index: 19 elements: id: {mustSupport: true, index: 20} extension: constraint: deqm-3: {human: 'ensures scoring is either specified only at the root, or on all groups', severity: error, expression: '(%resource.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists().not() and group.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').count() = group.count()) xor (%resource.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'').count()=0)'} type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring index: 21 slicing: slices: scoring: match: {} schema: constraint: deqm-3: {human: 'ensures scoring is either specified only at the root, or on all groups', severity: error, expression: '(%resource.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists().not() and group.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').count() = group.count()) xor (%resource.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'').count()=0)'} type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring index: 21 min: 0 max: 1 groupImprovementNotation: match: {} schema: constraint: deqm-4: {human: 'ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort)', severity: error, expression: '%resource.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists().not() and extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').where(valueCodeableConcept.coding.code in (''proportion'' | ''ratio'' | ''continuous-variable'')).exists() implies extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation'').exists()'} type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation index: 22 min: 0 max: 1 code: {mustSupport: true, index: 23} population: constraint: deqm-5: {human: ensure that cardinality is >= 1 if the scoring is other than composite, severity: error, expression: '%resource.group.extension.(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists and %resource.group.extension.(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').valueCodeableConcept.coding.code in (''proportion'' | ''ratio'' | ''continuous-variable'' | ''cohort'') implies %resource.group.population.exists()'} mustSupport: true index: 24 elements: code: {mustSupport: true, index: 25} count: {mustSupport: true, index: 26} subjectResults: {mustSupport: false, index: 27} required: [count, code] measureScore: constraint: deqm-6: {human: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting, severity: error, expression: 'extension.where(url = ''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').valueCodeableConcept.coding.code = (''proportion'') implies group.all(measureScore.value >= 0.0 or measureScore.value <= 1.0)'} mustSupport: true index: 28 extensions: altscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 29} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 29 slicing: slices: altscoretype: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 29} min: 0 max: 1 stratifier: mustSupport: true index: 30 elements: code: {mustSupport: true, index: 31} stratum: mustSupport: true index: 32 elements: value: {mustSupport: true, index: 33} population: mustSupport: true index: 34 elements: code: {mustSupport: true, index: 35} count: {mustSupport: true, index: 36} subjectResults: {mustSupport: false, index: 37} required: [count, code] measureScore: mustSupport: true index: 38 extensions: strataltscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 39} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 39 slicing: slices: strataltscoretype: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 39} min: 0 max: 1 required: [code] extensions: scoring: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring min: 0 max: 1 constraint: deqm-3: {human: 'ensures scoring is either specified only at the root, or on all groups', severity: error, expression: '(%resource.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists().not() and group.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').count() = group.count()) xor (%resource.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'').count()=0)'} type: Extension mustSupport: true index: 21 groupImprovementNotation: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation min: 0 max: 1 constraint: deqm-4: {human: 'ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort)', severity: error, expression: '%resource.extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').exists().not() and extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring'').where(valueCodeableConcept.coding.code in (''proportion'' | ''ratio'' | ''continuous-variable'')).exists() implies extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation'').exists()'} type: Extension mustSupport: true index: 22 required: [measureScore] type: type: code pattern: {type: Code, value: summary} mustSupport: true index: 9 measure: {type: canonical, mustSupport: true, index: 10} extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference index: 0 slicing: slices: reportingProgramReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference', index: 0} min: 0 max: 1 supplementalData: match: {} schema: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData index: 1 extensions: criteriaReference: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', min: 0, max: 1, type: Extension, mustSupport: true, index: 2} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference index: 2 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', index: 2} min: 0 max: 1 scoring: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', index: 3} min: 0 max: 1 vendor: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', index: 4} min: 0 max: 1 cehrt: match: {} schema: type: Extension short: CMS EHR Certifciation ID mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier index: 5 elements: valueIdentifier: type: Identifier mustSupport: false pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 6 required: [valueIdentifier] software: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem', index: 7} min: 0 reporter: short: Organization that generated the MeasureReport refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization'] type: Reference mustSupport: true index: 13 extensions: group: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', min: 0, max: 1, type: Extension, mustSupport: true, index: 14} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup index: 14 slicing: slices: group: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', index: 14} min: 0 max: 1 status: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/measure-report-status'} mustSupport: true index: 8 period: type: Period constraint: deqm-1: {human: Date precision SHALL be at least to day ( YYYY-MM-DD ), severity: error, expression: 'start.value.matches(''^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*'') and end.value.matches(''^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*'')'} mustSupport: true index: 15 elements: start: {mustSupport: true, index: 16} end: {mustSupport: true, index: 17} required: [start, end] improvementNotation: {mustSupport: true, index: 18} subject: {mustSupport: false, index: 11} package_version: 4.0.0-ballot extensions: reportingProgramReference: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgramReference', min: 0, max: 1, type: Extension, mustSupport: true, index: 0} supplementalData: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-supplementalData type: Extension mustSupport: true index: 1 extensions: criteriaReference: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', min: 0, max: 1, type: Extension, mustSupport: true, index: 2} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference index: 2 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', index: 2} min: 0 max: 1 scoring: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', min: 0, max: 1, type: Extension, mustSupport: true, index: 3} vendor: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} cehrt: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier type: Extension short: CMS EHR Certifciation ID mustSupport: true index: 5 elements: valueIdentifier: type: Identifier mustSupport: false pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 6 required: [valueIdentifier] software: {url: 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem', min: 0, type: Extension, mustSupport: true, index: 7} class: profile kind: resource url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm base: http://hl7.org/fhir/StructureDefinition/MeasureReport version: 4.0.0-ballot required: [reporter, group, date, period]