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 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](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: 42} 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 min: 1 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: mustSupport: true index: 32 elements: code: {mustSupport: true, index: 33} stratum: mustSupport: true index: 34 elements: value: {mustSupport: true, index: 35} population: mustSupport: true index: 36 elements: code: {mustSupport: true, index: 37} count: {mustSupport: true, index: 38} subjectResults: {mustSupport: false, index: 39} required: [count, code] measureScore: mustSupport: true index: 40 extensions: strataltscoretype: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', min: 0, max: 1, type: Extension, mustSupport: true, index: 41} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType index: 41 slicing: slices: strataltscoretype: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType', index: 41} min: 0 max: 1 required: [code] 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: summary} 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 location: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', index: 5} min: 0 cehrt: match: {} schema: type: Extension short: CMS EHR Certifciation ID mustSupport: true url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier index: 6 elements: valueIdentifier: type: Identifier mustSupport: false pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 7 required: [valueIdentifier] software: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem', 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: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/measure-report-status'} mustSupport: true index: 9 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: 16 elements: start: {mustSupport: true, index: 17} end: {mustSupport: true, index: 18} required: [start, end] improvementNotation: {mustSupport: true, index: 19} subject: {mustSupport: false, 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} location: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation', min: 0, type: Extension, index: 5} cehrt: url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier type: Extension short: CMS EHR Certifciation ID mustSupport: true index: 6 elements: valueIdentifier: type: Identifier mustSupport: false pattern: type: Identifier value: {system: 'urn:oid:2.16.840.1.113883.3.2074.1'} index: 7 required: [valueIdentifier] software: {url: 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem', min: 0, type: Extension, mustSupport: true, index: 8} class: profile kind: resource url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm base: http://hl7.org/fhir/StructureDefinition/MeasureReport version: 4.0.0 required: [reporter, group, date, period]