description: Subject List MeasureReport is for data exchange and reporting on a list of subjects, which also allows individual MeasureReports be provided for each of the subjects in the population. package_name: hl7.fhir.uv.deqm derivation: constraint name: DEQMSubjectListMeasureReport type: MeasureReport elements: evaluatedResource: {mustSupport: false, index: 58} date: {short: 'When the report was generated. Note: The language in R5 was changed to calculated. We are clarifying that intent.', mustSupport: true, index: 19} 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/uv/deqm/StructureDefinition/deqm-measureScoring'').exists().anyTrue() and extension(''http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring'').value.coding.code in (''proportion'' | ''ratio'' | ''continuous-variable'')).anyTrue() implies extension(''http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-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/uv/deqm/StructureDefinition/deqm-measureScoring'').value.coding.code contains ''proportion'').anyTrue() or extension(''http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring'').value.coding.code contains ''proportion'').anyTrue() implies (measureScore.value >= 0.0 and measureScore.value <= 1.0)'} mustSupport: true array: true min: 1 index: 25 elements: id: {mustSupport: true, index: 26} extension: type: Extension short: Unique id of the group from the measure. mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId index: 27 slicing: slices: linkId: match: {} schema: {type: Extension, short: Unique id of the group from the measure., mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId', index: 27} min: 1 max: 1 scoring: match: {} schema: {short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring', index: 28} min: 0 max: 1 cqm-compositeScoring: match: {} schema: {type: Extension, short: 'How the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort', mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring', index: 29} min: 0 max: 1 calculatedDate: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-calculatedDate', index: 30} min: 0 max: 1 improvementNotation: match: {} schema: {short: increase | decrease, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-groupImprovementNotation', index: 31} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the group, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', index: 32} min: 0 max: 1 code: {mustSupport: true, index: 33} 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: 34 extensions: linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId', min: 1, max: 1, type: Extension, short: Unique id for group.population from the measure., mustSupport: true, index: 35} countQuantity: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', min: 0, max: 1, short: Count as a Quantity, type: Extension, mustSupport: true, index: 36} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the population, mustSupport: true, index: 37} elements: extension: type: Extension short: Unique id for group.population from the measure. mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId index: 35 slicing: slices: linkId: match: {} schema: {type: Extension, short: Unique id for group.population from the measure., mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId', index: 35} min: 1 max: 1 countQuantity: match: {} schema: {short: Count as a Quantity, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', index: 36} min: 0 max: 1 description: match: {} schema: {type: Extension, short: Description of the population, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', index: 37} min: 0 max: 1 code: {mustSupport: true, index: 38} count: {mustSupport: true, index: 39} subjectResults: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereportlist'] index: 40 required: [subjectResults, code] measureScore: mustSupport: true index: 41 extensions: alternateScoreType: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 42} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType index: 42 slicing: slices: alternateScoreType: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType', index: 42} 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: 43 extensions: linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId', min: 1, max: 1, type: Extension, short: Unique id for group.stratifier from the measure., mustSupport: true, index: 44} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the stratifier, mustSupport: true, index: 45} elements: extension: type: Extension short: Unique id for group.stratifier from the measure. mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId index: 44 slicing: slices: linkId: match: {} schema: {type: Extension, short: Unique id for group.stratifier from the measure., mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId', index: 44} min: 1 max: 1 description: match: {} schema: {type: Extension, short: Description of the stratifier, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', index: 45} min: 0 max: 1 code: {mustSupport: true, index: 46} stratum: mustSupport: true index: 47 elements: value: {mustSupport: true, index: 48} component: extensions: linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.component.linkId', min: 1, max: 1, type: Extension, short: Unique id for group.stratifier.component from the measure., mustSupport: true, index: 49} elements: extension: type: Extension short: Unique id for group.stratifier.component from the measure. mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.component.linkId index: 49 slicing: slices: linkId: match: {} schema: {type: Extension, short: Unique id for group.stratifier.component from the measure., mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.component.linkId', index: 49} min: 1 max: 1 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: 50 extensions: linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId', min: 1, max: 1, type: Extension, short: Unique id for group.stratifier.population from the measure., mustSupport: true, index: 51} countQuantity: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', min: 0, max: 1, type: Extension, mustSupport: true, index: 52} elements: extension: type: Extension short: Unique id for group.stratifier.population from the measure. mustSupport: true url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId index: 51 slicing: slices: linkId: match: {} schema: {type: Extension, short: Unique id for group.stratifier.population from the measure., mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId', index: 51} min: 1 max: 1 countQuantity: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', index: 52} min: 0 max: 1 code: {mustSupport: true, index: 53} count: {mustSupport: true, index: 54} subjectResults: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereportlist'] index: 55 required: [count, subjectResults, code] measureScore: mustSupport: true index: 56 extensions: alternateScoreType: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 57} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType index: 57 slicing: slices: alternateScoreType: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-alternateScoreType', index: 57} min: 0 max: 1 extensions: linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId', min: 1, max: 1, type: Extension, short: Unique id of the group from the measure., mustSupport: true, index: 27} scoring: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring', min: 0, max: 1, short: proportion | ratio | continuous-variable | cohort | composite | attestation, type: Extension, mustSupport: true, index: 28} cqm-compositeScoring: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring', min: 0, max: 1, type: Extension, short: 'How the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort', mustSupport: true, index: 29} calculatedDate: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-calculatedDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 30} improvementNotation: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-groupImprovementNotation', min: 0, max: 1, short: increase | decrease, type: Extension, mustSupport: true, index: 31} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the group, mustSupport: true, index: 32} type: type: code pattern: {type: Code, value: subject-list} mustSupport: true index: 16 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: 17 extension: type: Extension url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingProgram index: 0 slicing: slices: vendor: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor', index: 7} min: 0 max: 1 category: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-category', index: 1} min: 0 max: 1 reportingProgram: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingProgram', index: 0} min: 0 max: 1 limitations: match: {} schema: {type: Extension, short: 'identifies what limitations should be noted, including potential selection biases and confounding factors when interpreting indicator results or comparing results across the country. If the extension is present in the Measure, then it SHALL be in the MeasureReport (MustSupport) and SHALL at least contain a copy of the content from the Measure. It is permissible to add content to the extensions in the MeasureReport.', mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations', index: 13} 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', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', 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 index: 4 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', 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', index: 5} min: 0 max: 1 trendingIssues: match: {} schema: {type: Extension, short: 'identifies what issues might affect the interpretation of trending results, including changes in geographic coverage, data quality, coding standards and classification changes (for example, a new ICD standard). If the extension is present in the Measure, then it SHALL be in the MeasureReport (MustSupport) and SHALL at least contain a copy of the content from the Measure. It is permissible to add content to the extensions in the MeasureReport.', mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues', index: 14} min: 0 max: 1 cehrt: match: {} schema: type: Extension short: CMS EHR Certification ID url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-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', 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/uv/deqm/StructureDefinition/deqm-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/uv/deqm/StructureDefinition/deqm-dataLocation', index: 8} min: 0 message: match: {} schema: {type: Extension, short: Messages encountered while creating the report, url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages', index: 12} min: 0 max: 1 reporter: short: Who is reporting the data. The reporter is the entity fulfilling the reporting requirement. refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole'] type: Reference mustSupport: true index: 20 status: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/measure-report-status'} mustSupport: true index: 15 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: 21 elements: start: {mustSupport: true, index: 22} end: {mustSupport: true, index: 23} required: [start, end] improvementNotation: {mustSupport: true, index: 24} subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Group'] index: 18 package_version: 1.0.0-ballot extensions: vendor: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor', min: 0, max: 1, type: Extension, index: 7} category: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-category', min: 0, max: 1, type: Extension, mustSupport: true, index: 1} reportingProgram: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingProgram', min: 0, max: 1, type: Extension, index: 0} limitations: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations', min: 0, max: 1, type: Extension, short: 'identifies what limitations should be noted, including potential selection biases and confounding factors when interpreting indicator results or comparing results across the country. If the extension is present in the Measure, then it SHALL be in the MeasureReport (MustSupport) and SHALL at least contain a copy of the content from the Measure. It is permissible to add content to the extensions in the MeasureReport.', mustSupport: true, index: 13} 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', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', 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 index: 4 slicing: slices: criteriaReference: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', 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', index: 5} min: 0 max: 1 trendingIssues: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues', min: 0, max: 1, type: Extension, short: 'identifies what issues might affect the interpretation of trending results, including changes in geographic coverage, data quality, coding standards and classification changes (for example, a new ICD standard). If the extension is present in the Measure, then it SHALL be in the MeasureReport (MustSupport) and SHALL at least contain a copy of the content from the Measure. It is permissible to add content to the extensions in the MeasureReport.', mustSupport: true, index: 14} cehrt: url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-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', min: 0, max: 1, type: Extension, index: 2} scoring: {url: 'http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-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/uv/deqm/StructureDefinition/deqm-dataLocation', min: 0, type: Extension, index: 8} message: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages', min: 0, max: 1, type: Extension, short: Messages encountered while creating the report, index: 12} class: profile kind: resource url: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-subjectlistmeasurereport base: http://hl7.org/fhir/StructureDefinition/MeasureReport version: 1.0.0-ballot required: [reporter, group, date, period]