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 Individual MeasureReport Profile** defined here is used when a measure is reported to an aggregator for one specific patient. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 1 report. In addition to the MeasureReport, the report would be collected in a Bundle with the Organization, Patient and any other resources that were used to calculate this measure.' package_name: hl7.fhir.us.davinci-deqm derivation: constraint name: DEQMIndividualMeasureReportProfile type: MeasureReport elements: evaluatedResource: mustSupport: true index: 33 extensions: popref: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', min: 0, type: Extension, mustSupport: true, index: 34} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference index: 34 slicing: slices: popref: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference', index: 34} min: 0 date: {short: 'When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.', mustSupport: true, index: 13} 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 contains (''proportion'' | ''ratio'' | ''continuous-variable'')) implies extension(''http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation'').exists()'} mustSupport: true array: true index: 20 elements: id: {mustSupport: true, index: 21} extension: short: proportion | ratio | continuous-variable | cohort | composite type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring index: 22 slicing: slices: scoring: match: {} schema: {short: proportion | ratio | continuous-variable | cohort | composite, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', index: 22} min: 0 max: 1 calculatedDate: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', index: 23} min: 0 max: 1 groupImprovementNotation: match: {} schema: {short: increase | decrease, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation', index: 24} min: 0 max: 1 code: {mustSupport: true, index: 25} population: mustSupport: true index: 26 elements: code: {mustSupport: true, index: 27} count: {mustSupport: true, index: 28} subjectResults: {mustSupport: false, index: 29} required: [count, code] measureScore: mustSupport: true index: 30 extensions: altscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 31} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 31 slicing: slices: altscoretype: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 31} min: 0 max: 1 stratifier: elements: code: isModifier: false short: What stratifier of the group type: CodeableConcept mustSupport: true base: {max: '1', min: 0, path: MeasureReport.group.stratifier.code} isSummary: false index: 32 extensions: scoring: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', min: 0, max: 1, short: proportion | ratio | continuous-variable | cohort | composite, type: Extension, mustSupport: true, index: 22} calculatedDate: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 23} groupImprovementNotation: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation', min: 0, max: 1, short: increase | decrease, type: Extension, mustSupport: true, index: 24} type: type: code pattern: {type: Code, value: individual} mustSupport: true index: 10 measure: {type: canonical, mustSupport: true, index: 11} extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram index: 0 slicing: slices: reportingProgram: match: {} schema: {type: Extension, mustSupport: true, 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/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: {short: proportion | ratio | continuous-variable | cohort | composite, 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: true 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 location: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', index: 8} min: 0 reporter: short: Organization that generated the MeasureReport refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization'] type: Reference mustSupport: true index: 14 extensions: group: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', min: 0, max: 1, type: Extension, mustSupport: true, index: 15} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup index: 15 slicing: slices: group: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', index: 15} min: 0 max: 1 status: {mustSupport: true, index: 9} 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} short: The period for which the report was calculated. For the gaps in care use case, this is referred to as the gaps through period. type: Period mustSupport: true index: 16 elements: start: {mustSupport: true, index: 17} end: {mustSupport: true, index: 18} required: [start, end] improvementNotation: {mustSupport: true, index: 19} subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient'] index: 12 package_version: 4.0.0 extensions: reportingProgram: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram', 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, short: proportion | ratio | continuous-variable | cohort | composite, 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: true 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} location: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', min: 0, type: Extension, index: 8} class: profile kind: resource url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm base: http://hl7.org/fhir/StructureDefinition/MeasureReport version: 4.0.0 required: [reporter, subject, date, period]