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