{
"description": "[MeasureReport] 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 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], the report is typically transacted as a single MeasureReport report.",
"_filename": "StructureDefinition-summary-measurereport-deqm.json",
"package_name": "hl7.fhir.us.davinci-deqm",
"date": "2018-06-19T00:00:00+00:00",
"derivation": "constraint",
"publisher": "Da Vinci Project",
"fhirVersion": "3.0.2",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "profile_summary_measurereport_deqm",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Mapping",
"identity": "workflow"
}, {
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "MeasureReport",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "DEQM Summary MeasureReport Profile",
"package_version": "1.0.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "MeasureReport",
"min": 0,
"definition": "The MeasureReport resource contains the results of evaluating a measure.",
"short": "Results of a measure evaluation",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "clinical.general",
"identity": "w5"
} ],
"mustSupport": false,
"max": "*",
"id": "MeasureReport",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport"
}
}, {
"path": "MeasureReport.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "MeasureReport.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "MeasureReport.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "MeasureReport.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "MeasureReport.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "MeasureReport.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "MeasureReport.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "MeasureReport.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "MeasureReport.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "MeasureReport.text",
"condition": [ "dom-1" ],
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "MeasureReport.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "MeasureReport.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"path": "MeasureReport.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "MeasureReport.extension",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MeasureReport.extension",
"min": 0,
"definition": "A reference to the vendor who queried the data, calculated results and/or generated the report.",
"short": "Vendor information",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"
} ],
"mustSupport": true,
"sliceName": "vendor",
"max": "1",
"id": "MeasureReport.extension:vendor",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MeasureReport.extension",
"min": 0,
"definition": "An identifier that represents the EHR certication number (CERHT). See [Certified EHR Technology](https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/certification.html) For more information.",
"short": "CMS EHR Certifciation ID",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
} ],
"mustSupport": true,
"sliceName": "cehrt",
"max": "1",
"id": "MeasureReport.extension:cehrt",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "MeasureReport.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.extension:cehrt.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.extension:cehrt.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.extension:cehrt.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "MeasureReport.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MeasureReport.extension:cehrt.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "MeasureReport.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"sliceName": "valueIdentifier",
"patternIdentifier": {
"system": "urn:oid:2.16.840.1.113883.3.2074.1"
},
"max": "1",
"id": "MeasureReport.extension:cehrt.value[x]:valueIdentifier",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "MeasureReport.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "MeasureReport.identifier",
"requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min": 0,
"definition": "A formal identifier that is used to identify this report when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"short": "Additional identifier for the Report",
"mapping": [ {
"map": "id",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MeasureReport.identifier",
"comment": "Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.identifier"
},
"isSummary": true
}, {
"path": "MeasureReport.status",
"min": 1,
"definition": "The report status. No data will be available until the report status is complete.",
"isModifier": true,
"short": "complete | pending | error",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
}
},
"max": "1",
"id": "MeasureReport.status",
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.status"
},
"isSummary": true
}, {
"path": "MeasureReport.type",
"fixedCode": "summary",
"requirements": "For individual quality meaure reporting, this report is constrained to reporting on an individual.",
"min": 1,
"definition": "The type of measure report. This may be an individual report, which provides a single patient's score for the measure; a patient listing, which returns the list of patients that meet the various criteria in the measure; or a summary report, which returns a population count for each of the criteria in the measure.",
"short": "individual | patient-list | summary",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasureReportType"
} ],
"description": "The type of the measure report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-report-type"
}
},
"max": "1",
"id": "MeasureReport.type",
"comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.type"
},
"isSummary": true
}, {
"path": "MeasureReport.measure",
"requirements": "This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure.",
"min": 1,
"definition": "A reference to the Measure that was evaluated to produce this report.",
"short": "What measure was evaluated",
"mapping": [ {
"map": "Event.definition",
"identity": "workflow"
}, {
"map": "what",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Measure"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.measure",
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.measure"
},
"isSummary": true
}, {
"path": "MeasureReport.patient",
"requirements": "This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure.",
"min": 0,
"definition": "Optional Patient if the report was requested for a single patient.",
"short": "What patient the report is for",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "who.focus",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
} ],
"mustSupport": false,
"max": "0",
"id": "MeasureReport.patient",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.patient"
},
"isSummary": true
}, {
"path": "MeasureReport.date",
"min": 1,
"definition": "The date this measure report was generated.",
"short": "When the report was generated",
"mapping": [ {
"map": "Event.occurrenceDateTime",
"identity": "workflow"
}, {
"map": "when.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.date",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.date"
},
"isSummary": true
}, {
"path": "MeasureReport.reportingOrganization",
"min": 1,
"definition": "The organization where the measure was completed.",
"short": "The organization where the measure was completed",
"mapping": [ {
"map": "who.source",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.reportingOrganization",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.reportingOrganization"
},
"isSummary": true
}, {
"path": "MeasureReport.reportingOrganization.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.reportingOrganization.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.reportingOrganization.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.reportingOrganization.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.reportingOrganization.extension",
"min": 0,
"definition": "Group of practitioners responsible for a report. This extension is used to provide the capability to allow the participating practitioners to be documented.",
"short": "Group of practitioners responsible for a report",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingOrganizationGroup"
} ],
"mustSupport": true,
"sliceName": "group",
"max": "1",
"id": "MeasureReport.reportingOrganization.extension:group",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.reportingOrganization.reference",
"min": 0,
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"short": "Literal reference, Relative, internal or absolute URL",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "MeasureReport.reportingOrganization.reference",
"condition": [ "ref-1" ],
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.reference"
},
"isSummary": true
}, {
"path": "MeasureReport.reportingOrganization.identifier",
"min": 0,
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"short": "Logical reference, when literal reference is not known",
"mapping": [ {
"map": ".identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MeasureReport.reportingOrganization.identifier",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.identifier"
},
"isSummary": true
}, {
"path": "MeasureReport.reportingOrganization.display",
"min": 0,
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"short": "Text alternative for the resource",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "MeasureReport.reportingOrganization.display",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "deqm-1",
"human": "Date precision SHALL be at least to day ( YYYY-MM-DD )",
"xpath": "f:start[matches(^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]))] and end.matches[(^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]))]",
"severity": "error",
"expression": "start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9])') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9])')"
} ],
"path": "MeasureReport.period",
"min": 1,
"definition": "The reporting period for which the report was calculated.",
"short": "What period the report covers",
"type": [ {
"code": "Period"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.period",
"condition": [ "deqm-1" ],
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.period"
},
"isSummary": true
}, {
"path": "MeasureReport.period.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.period.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.period.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.period.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.period.start",
"min": 1,
"definition": "The start of the period. The boundary is inclusive.",
"short": "Starting time with inclusive boundary",
"mapping": [ {
"map": "DR.1",
"identity": "v2"
}, {
"map": "./low",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.period.start",
"condition": [ "per-1" ],
"comment": "If the low element is missing, the meaning is that the low boundary is not known.",
"base": {
"max": "1",
"min": 0,
"path": "Period.start"
},
"isSummary": true
}, {
"path": "MeasureReport.period.end",
"min": 1,
"definition": "The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
"short": "End time with inclusive boundary, if not ongoing",
"mapping": [ {
"map": "DR.2",
"identity": "v2"
}, {
"map": "./high",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
"max": "1",
"id": "MeasureReport.period.end",
"condition": [ "per-1" ],
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.",
"base": {
"max": "1",
"min": 0,
"path": "Period.end"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "MeasureReport.group",
"min": 1,
"definition": "The results of the calculation, one for each population group in the measure.",
"short": "Measure results for each group",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "MeasureReport.group",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport.group"
},
"isSummary": false
}, {
"path": "MeasureReport.group.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.group.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.group.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.group.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.group.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MeasureReport.group.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "MeasureReport.group.identifier",
"min": 1,
"definition": "The identifier of the population group as defined in the measure definition.",
"short": "What group of the measure",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.identifier",
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.group.identifier"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "MeasureReport.group.population",
"min": 1,
"definition": "The populations that make up the population group, one for each type of population appropriate for the measure.",
"short": "The populations in the group",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "MeasureReport.group.population",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport.group.population"
},
"isSummary": false
}, {
"path": "MeasureReport.group.population.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.group.population.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.group.population.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.group.population.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.group.population.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MeasureReport.group.population.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "MeasureReport.group.population.identifier",
"min": 0,
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"short": "Population identifier as defined in the measure",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.population.identifier",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.population.identifier"
},
"isSummary": true
}, {
"path": "MeasureReport.group.population.code",
"min": 1,
"definition": "The type of the population.",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
} ],
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
},
"max": "1",
"id": "MeasureReport.group.population.code",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.population.code"
},
"isSummary": true
}, {
"path": "MeasureReport.group.population.count",
"min": 1,
"definition": "The number of members of the population.",
"short": "Size of the population",
"type": [ {
"code": "integer"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.population.count",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.population.count"
},
"isSummary": false
}, {
"path": "MeasureReport.group.population.patients",
"min": 0,
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population.",
"short": "For patient-list reports, the patients in this population",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
} ],
"mustSupport": false,
"max": "0",
"id": "MeasureReport.group.population.patients",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.population.patients"
},
"isSummary": false
}, {
"path": "MeasureReport.group.measureScore",
"min": 1,
"definition": "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
"short": "What score this group achieved",
"type": [ {
"code": "decimal"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.measureScore",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.measureScore"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "MeasureReport.group.stratifier",
"min": 0,
"definition": "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
"short": "Stratification results",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "MeasureReport.group.stratifier",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport.group.stratifier"
},
"isSummary": false
}, {
"path": "MeasureReport.group.stratifier.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.group.stratifier.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.group.stratifier.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.group.stratifier.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.group.stratifier.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MeasureReport.group.stratifier.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "MeasureReport.group.stratifier.identifier",
"min": 1,
"definition": "The identifier of this stratifier, as defined in the measure definition.",
"short": "What stratifier of the group",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.stratifier.identifier",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.identifier"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "MeasureReport.group.stratifier.stratum",
"min": 0,
"definition": "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
"short": "Stratum results, one for each unique value in the stratifier",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StratifierGroup"
} ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum"
},
"isSummary": false
}, {
"path": "MeasureReport.group.stratifier.stratum.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.group.stratifier.stratum.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.group.stratifier.stratum.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "MeasureReport.group.stratifier.stratum.value",
"min": 1,
"definition": "The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
"short": "The stratum value, e.g. male",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.value",
"base": {
"max": "1",
"min": 1,
"path": "MeasureReport.group.stratifier.stratum.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "MeasureReport.group.stratifier.stratum.population",
"min": 0,
"definition": "The populations that make up the stratum, one for each type of population appropriate to the measure.",
"short": "Population results in this stratum",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StratifierGroupPopulation"
} ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum.population",
"base": {
"max": "*",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population"
},
"isSummary": false
}, {
"path": "MeasureReport.group.stratifier.stratum.population.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.population.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "MeasureReport.group.stratifier.stratum.population.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum.population.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "MeasureReport.group.stratifier.stratum.population.identifier",
"min": 0,
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"short": "Population identifier as defined in the measure",
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.population.identifier",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population.identifier"
},
"isSummary": true
}, {
"path": "MeasureReport.group.stratifier.stratum.population.code",
"min": 1,
"definition": "The type of the population.",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
} ],
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
},
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.population.code",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population.code"
},
"isSummary": true
}, {
"path": "MeasureReport.group.stratifier.stratum.population.count",
"min": 1,
"definition": "The number of members of the population in this stratum.",
"short": "Size of the population",
"type": [ {
"code": "integer"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.population.count",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population.count"
},
"isSummary": false
}, {
"path": "MeasureReport.group.stratifier.stratum.population.patients",
"min": 0,
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.",
"short": "For patient-list reports, the patients in this population",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
} ],
"mustSupport": false,
"max": "0",
"id": "MeasureReport.group.stratifier.stratum.population.patients",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population.patients"
},
"isSummary": false
}, {
"path": "MeasureReport.group.stratifier.stratum.measureScore",
"min": 0,
"definition": "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
"short": "What score this stratum achieved",
"type": [ {
"code": "decimal"
} ],
"mustSupport": true,
"max": "1",
"id": "MeasureReport.group.stratifier.stratum.measureScore",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.measureScore"
},
"isSummary": true
}, {
"path": "MeasureReport.evaluatedResources",
"min": 0,
"definition": "A reference to a Bundle containing the Resources that were used in the evaluation of this report.",
"short": "What data was evaluated to produce the measure score",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Bundle"
} ],
"mustSupport": false,
"max": "0",
"id": "MeasureReport.evaluatedResources",
"base": {
"max": "1",
"min": 0,
"path": "MeasureReport.evaluatedResources"
},
"isSummary": false
} ]
},
"status": "active",
"id": "88d44323-60d5-4318-8b76-55a13afb93a8",
"kind": "resource",
"url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "MeasureReport",
"path": "MeasureReport",
"mustSupport": false
}, {
"id": "MeasureReport.extension:vendor",
"max": "1",
"min": 0,
"path": "MeasureReport.extension",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"
} ],
"sliceName": "vendor",
"mustSupport": true
}, {
"id": "MeasureReport.extension:cehrt",
"max": "1",
"min": 0,
"path": "MeasureReport.extension",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
} ],
"short": "CMS EHR Certifciation ID",
"sliceName": "cehrt",
"mustSupport": true
}, {
"id": "MeasureReport.extension:cehrt.valueIdentifier",
"max": "1",
"min": 1,
"path": "MeasureReport.extension.valueIdentifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"patternIdentifier": {
"system": "urn:oid:2.16.840.1.113883.3.2074.1"
}
}, {
"id": "MeasureReport.status",
"path": "MeasureReport.status",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
}
},
"mustSupport": true
}, {
"id": "MeasureReport.type",
"path": "MeasureReport.type",
"type": [ {
"code": "code"
} ],
"fixedCode": "summary",
"mustSupport": true,
"requirements": "For individual quality meaure reporting, this report is constrained to reporting on an individual."
}, {
"id": "MeasureReport.measure",
"path": "MeasureReport.measure",
"mustSupport": true,
"requirements": "This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure."
}, {
"id": "MeasureReport.patient",
"max": "0",
"min": 0,
"path": "MeasureReport.patient",
"mustSupport": false,
"requirements": "This will indicate the measure being reported on. For example, the cannonical uri location for the MRP measure."
}, {
"id": "MeasureReport.date",
"max": "1",
"min": 1,
"path": "MeasureReport.date",
"mustSupport": true
}, {
"id": "MeasureReport.reportingOrganization",
"max": "1",
"min": 1,
"path": "MeasureReport.reportingOrganization",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
} ],
"short": "The organization where the measure was completed",
"definition": "The organization where the measure was completed.",
"mustSupport": true
}, {
"id": "MeasureReport.reportingOrganization.extension:group",
"max": "1",
"min": 0,
"path": "MeasureReport.reportingOrganization.extension",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingOrganizationGroup"
} ],
"sliceName": "group",
"mustSupport": true
}, {
"id": "MeasureReport.period",
"max": "1",
"min": 1,
"path": "MeasureReport.period",
"type": [ {
"code": "Period"
} ],
"condition": [ "deqm-1" ],
"constraint": [ {
"key": "deqm-1",
"human": "Date precision SHALL be at least to day ( YYYY-MM-DD )",
"xpath": "f:start[matches(^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]))] and end.matches[(^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]))]",
"severity": "error",
"expression": "start.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9])') and end.matches('^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9])')"
} ],
"mustSupport": true
}, {
"id": "MeasureReport.period.start",
"max": "1",
"min": 1,
"path": "MeasureReport.period.start",
"mustSupport": true
}, {
"id": "MeasureReport.period.end",
"max": "1",
"min": 1,
"path": "MeasureReport.period.end",
"mustSupport": true
}, {
"id": "MeasureReport.group",
"max": "*",
"min": 1,
"path": "MeasureReport.group",
"mustSupport": true
}, {
"id": "MeasureReport.group.identifier",
"path": "MeasureReport.group.identifier",
"mustSupport": true
}, {
"id": "MeasureReport.group.population",
"max": "*",
"min": 1,
"path": "MeasureReport.group.population",
"mustSupport": true
}, {
"id": "MeasureReport.group.population.identifier",
"path": "MeasureReport.group.population.identifier",
"mustSupport": true
}, {
"id": "MeasureReport.group.population.code",
"max": "1",
"min": 1,
"path": "MeasureReport.group.population.code",
"mustSupport": true
}, {
"id": "MeasureReport.group.population.count",
"max": "1",
"min": 1,
"path": "MeasureReport.group.population.count",
"mustSupport": true
}, {
"id": "MeasureReport.group.population.patients",
"max": "0",
"min": 0,
"path": "MeasureReport.group.population.patients",
"mustSupport": false
}, {
"id": "MeasureReport.group.measureScore",
"max": "1",
"min": 1,
"path": "MeasureReport.group.measureScore",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier",
"path": "MeasureReport.group.stratifier",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.identifier",
"max": "1",
"min": 1,
"path": "MeasureReport.group.stratifier.identifier",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum",
"path": "MeasureReport.group.stratifier.stratum",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum.value",
"path": "MeasureReport.group.stratifier.stratum.value",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum.population",
"path": "MeasureReport.group.stratifier.stratum.population",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum.population.code",
"max": "1",
"min": 1,
"path": "MeasureReport.group.stratifier.stratum.population.code",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum.population.count",
"max": "1",
"min": 1,
"path": "MeasureReport.group.stratifier.stratum.population.count",
"mustSupport": true
}, {
"id": "MeasureReport.group.stratifier.stratum.population.patients",
"max": "0",
"min": 0,
"path": "MeasureReport.group.stratifier.stratum.population.patients",
"mustSupport": false
}, {
"id": "MeasureReport.group.stratifier.stratum.measureScore",
"path": "MeasureReport.group.stratifier.stratum.measureScore",
"mustSupport": true
}, {
"id": "MeasureReport.evaluatedResources",
"max": "0",
"min": 0,
"path": "MeasureReport.evaluatedResources",
"mustSupport": false
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MeasureReport"
}