description: '[MeasureReport](http://hl7.org/fhir/R4/measurereport.html) is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The **DEQM Summary MeasureReport Profile** defined here is used when a measure is reported to an aggregator for a group of subjects. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the [DEQM Individual MeasureReport Profile](StructureDefinition-indv-measurereport-deqm.html), the report is typically transacted as a single MeasureReport report.'
package_name: hl7.fhir.us.davinci-deqm
derivation: constraint
name: DEQMSummaryMeasureReportProfile
type: MeasureReport
elements:
  evaluatedResource: {mustSupport: false, index: 52}
  date: {short: 'When the report was generated. Note: The language in R5 was changed to calculated.  We are clarifying that intent.', mustSupport: true, index: 16}
  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
    min: 1
    index: 23
    elements:
      id: {mustSupport: true, index: 24}
      extension:
        short: proportion | ratio | continuous-variable | cohort | composite
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring
        index: 25
        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: 25}
              min: 0
              max: 1
            calculatedDate:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', index: 26}
              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: 27}
              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: 28}
              min: 0
              max: 1
            numeratorMembership:
              match: {}
              schema: {type: Extension, short: Provides the number of subjects in the numerator population membership., mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership', index: 29}
              min: 0
              max: 1
            denominatorMembership:
              match: {}
              schema: {type: Extension, short: Provides the number of subjects in the denominator population membership., mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership', index: 30}
              min: 0
              max: 1
            measurePopulationMembership:
              match: {}
              schema: {type: Extension, short: Provides the number of subjects in the measure population membership., mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership', index: 31}
              min: 0
              max: 1
      code: {mustSupport: true, index: 32}
      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: 33
        extensions:
          countQuantity: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', min: 0, max: 1, short: Count as a Quantity, type: Extension, mustSupport: true, index: 34}
          description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the population, mustSupport: true, index: 35}
        elements:
          extension:
            short: Count as a Quantity
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity
            index: 34
            slicing:
              slices:
                countQuantity:
                  match: {}
                  schema: {short: Count as a Quantity, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity', index: 34}
                  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: 35}
                  min: 0
                  max: 1
          code: {mustSupport: true, index: 36}
          count: {mustSupport: true, index: 37}
          subjectResults: {mustSupport: false, index: 38}
        required: [code]
      measureScore:
        mustSupport: true
        index: 39
        extensions:
          altscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 40}
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
            index: 40
            slicing:
              slices:
                altscoretype:
                  match: {}
                  schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 40}
                  min: 0
                  max: 1
      stratifier:
        mustSupport: true
        index: 41
        extensions:
          description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the stratifier, mustSupport: true, index: 42}
        elements:
          extension:
            type: Extension
            short: Description of the stratifier
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
            index: 42
            slicing:
              slices:
                description:
                  match: {}
                  schema: {type: Extension, short: Description of the stratifier, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', index: 42}
                  min: 0
                  max: 1
          code: {mustSupport: true, index: 43}
          stratum:
            mustSupport: true
            index: 44
            elements:
              value: {mustSupport: true, index: 45}
              population:
                mustSupport: true
                index: 46
                elements:
                  code: {mustSupport: true, index: 47}
                  count: {mustSupport: true, index: 48}
                  subjectResults: {mustSupport: false, index: 49}
                required: [count, code]
              measureScore:
                mustSupport: true
                index: 50
                extensions:
                  strataltscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 51}
                elements:
                  extension:
                    type: Extension
                    mustSupport: true
                    url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
                    index: 51
                    slicing:
                      slices:
                        strataltscoretype:
                          match: {}
                          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 51}
                          min: 0
                          max: 1
    extensions:
      scoring: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring', min: 0, max: 1, short: proportion | ratio | continuous-variable | cohort | composite, type: Extension, mustSupport: true, index: 25}
      calculatedDate: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-calculatedDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 26}
      groupImprovementNotation: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation', min: 0, max: 1, short: increase | decrease, type: Extension, mustSupport: true, index: 27}
      description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the group, mustSupport: true, index: 28}
      numeratorMembership: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-numeratorMembership', min: 0, max: 1, type: Extension, short: Provides the number of subjects in the numerator population membership., mustSupport: true, index: 29}
      denominatorMembership: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-denominatorMembership', min: 0, max: 1, type: Extension, short: Provides the number of subjects in the denominator population membership., mustSupport: true, index: 30}
      measurePopulationMembership: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-measurePopulationMembership', min: 0, max: 1, type: Extension, short: Provides the number of subjects in the measure population membership., mustSupport: true, index: 31}
  type:
    type: code
    pattern: {type: Code, value: summary}
    mustSupport: true
    index: 13
  measure: {type: canonical, mustSupport: true, index: 14}
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingProgram
    index: 0
    slicing:
      slices:
        vendor:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', index: 6}
          min: 0
          max: 1
        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/StructureDefinition/measurereport-supplementalData
            index: 2
            extensions:
              criteriaReference: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', min: 0, max: 1, type: Extension, mustSupport: true, index: 3}
              description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the supplemental data, mustSupport: true, index: 4}
            elements:
              extension:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
                index: 3
                slicing:
                  slices:
                    criteriaReference:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', index: 3}
                      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: 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: 8
            elements:
              valueIdentifier:
                type: Identifier
                mustSupport: false
                pattern:
                  type: Identifier
                  value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'}
                index: 9
            required: [valueIdentifier]
        inputParameters:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters', index: 1}
          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: 5}
          min: 0
          max: 1
        software:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', index: 10}
          min: 0
        location:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', index: 7}
          min: 0
        message:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages', index: 11}
          min: 0
          max: 1
  reporter:
    short: Organization that generated the MeasureReport
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization']
    type: Reference
    mustSupport: true
    index: 17
    extensions:
      group: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', min: 0, max: 1, type: Extension, mustSupport: true, index: 18}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
        index: 18
        slicing:
          slices:
            group:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', index: 18}
              min: 0
              max: 1
  status:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/measure-report-status'}
    mustSupport: true
    index: 12
  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: 19
    elements:
      start: {mustSupport: true, index: 20}
      end: {mustSupport: true, index: 21}
    required: [start, end]
  improvementNotation: {mustSupport: true, index: 22}
  subject: {mustSupport: false, index: 15}
package_version: 5.0.0-ballot
extensions:
  vendor: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor', min: 0, max: 1, type: Extension, mustSupport: true, index: 6}
  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/StructureDefinition/measurereport-supplementalData
    type: Extension
    mustSupport: true
    index: 2
    extensions:
      criteriaReference: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', min: 0, max: 1, type: Extension, mustSupport: true, index: 3}
      description: {url: 'http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription', min: 0, max: 1, type: Extension, short: Description of the supplemental data, mustSupport: true, index: 4}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference
        index: 3
        slicing:
          slices:
            criteriaReference:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference', index: 3}
              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: 4}
              min: 0
              max: 1
  cehrt:
    url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
    type: Extension
    short: CMS EHR Certifciation ID
    mustSupport: true
    index: 8
    elements:
      valueIdentifier:
        type: Identifier
        mustSupport: false
        pattern:
          type: Identifier
          value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'}
        index: 9
    required: [valueIdentifier]
  inputParameters: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters', min: 0, max: 1, type: Extension, mustSupport: true, index: 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: 5}
  software: {url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', min: 0, type: Extension, mustSupport: true, index: 10}
  location: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', min: 0, type: Extension, index: 7}
  message: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-messages', min: 0, max: 1, type: Extension, mustSupport: true, index: 11}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm
base: http://hl7.org/fhir/StructureDefinition/MeasureReport
version: 5.0.0-ballot
required: [reporter, group, date, period]