Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

Publication Build: This will be filled in by the publication tooling

## Resource Profile: VBP Quality MeasureReport

Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport | Version: 1.0.0
Active as of 2024-06-17 | Computable Name: VbpQualityMeasureReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.15

VBP quality measure report at the summary level for a population. This profile is derived from the Data Exchange for Quality Measure IG’s DEQM Summary MeasureReport.

The Value-Based Performance (VBP) Quality MeasureReport derives from the DEQM Susmmary MeasureReport.

The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Value-Based Performance Measure has the following mandatory elements:

1. A `measurereport-category` - with a fixed code `vbp`
2. A `url` - a canonical identifier for this measure (value-based contract)
3. A `version` - version of the measure (value-based contract)
4. A `name` - a computer friendly name for this measure (value-based contract)
5. A `status` - status of this measure, which would often be `active`
6. An `experimental` element - set to `true` if for testing
7. A `publisher` - name of the publisher for this measure (value-based contract)
8. A `description` - description of the measure (value-based contract)

Each Value-Based Performance Measure should have the following elements:

1. Zero to many `identifier` - business identifier of the measure (value-based contract)
2. Zero to one `title` - a human friendly title for this measure (value-based contract)
3. Zero to one `effectivePeriod` - effective period of the measure, which is the contract term period for a value-based contract
4. Zero to one `lineOfBusiness` - line of business for the measure (value-based contract)
5. Zero to many `paymentStream` - list of payment streams covered in the measure (value-based contract)
6. Zeor to one `programModel` - program model for the measure (value-based contract) based on the HPCLAN Framework
7. Zero to many `group.code` - list of performance metrics that could be reported on the measure (value-based contract)
8. zero to many `relatedArtifact` - list of quality measures specified in the value-based contract that ties to the payment stream based on quality measures
9. zeor to one `relatedArtifact.weight` for each relatedArtifact - the weight of a quality measure that contributes to the scoring

Usage:

- Refer to this Resource Profile: Value-Based Performance MeasureReport
- Examples for this Resource Profile: MeasureReport/quality-measurereport01, MeasureReport/quality-measurereport02, MeasureReport/quality-measurereport03, MeasureReport/quality-measurereport04... Show 20 more, MeasureReport/quality-measurereport05, MeasureReport/quality-measurereport06, MeasureReport/quality-measurereport07, MeasureReport/quality-measurereport08, MeasureReport/quality-measurereport09, MeasureReport/quality-measurereport11, MeasureReport/quality-measurereport12, MeasureReport/quality-measurereport13, MeasureReport/quality-measurereport14, MeasureReport/quality-measurereport15, MeasureReport/quality-measurereport20, MeasureReport/quality-measurereport21, MeasureReport/quality-measurereport22, MeasureReport/quality-measurereport23, MeasureReport/quality-measurereport24, MeasureReport/quality-measurereport25, MeasureReport/quality-measurereport30, MeasureReport/quality-measurereport31, MeasureReport/quality-measurereport32 and MeasureReport/quality-measurereport33

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from DEQMSummaryMeasureReportProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport |  |  | DEQMSummaryMeasureReportProfile |
Slices for extension |  |  |  | Content/Rules for all slices
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
value[x] |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
group |  |  |  |
population |  |  |  |
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
stratifier |  |  |  |
code |  | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
component |  |  |  |
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  |  |  |
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
scoring | S C | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor | S | 0..1 | Reference(QICoreOrganization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x] |  | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier |  | 1..1 | Identifier | Value of extension Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
software | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Measure) | What measure was calculated
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(QICoreOrganization) | Organization that generated the MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period | S Σ C | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!S Σ C | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group | S C | 1..* | BackboneElement | Measure results for each group
id | S | 0..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..* | BackboneElement | The populations in the group
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S Σ C | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
Slices for extension |  |  |  | Content/Rules for all slices
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier | S | 0..* | BackboneElement | Stratification results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population | S | 0..* | BackboneElement | Population results in this stratum
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S | 0..1 | Quantity | What score this stratum achieved
Slices for extension |  |  |  | Content/Rules for all slices
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.improvementNotation | required | MeasureImprovementNotation `http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1` from the FHIR Standard
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
scoring | S C | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor | S | 0..1 | Reference(QICoreOrganization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x] |  | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier |  | 1..1 | Identifier | Value of extension Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
software | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Measure) | What measure was calculated
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(QICoreOrganization) | Organization that generated the MeasureReport
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
period | S Σ C | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!S Σ C | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group | S C | 1..* | BackboneElement | Measure results for each group
id | S | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..* | BackboneElement | The populations in the group
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S Σ C | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
stratifier | S | 0..* | BackboneElement | Stratification results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population | S | 0..* | BackboneElement | Population results in this stratum
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S | 0..1 | Quantity | What score this stratum achieved
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.reporter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MeasureReport.improvementNotation | required | MeasureImprovementNotation `http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1` from the FHIR Standard
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

This structure is derived from DEQMSummaryMeasureReportProfile

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold

Differential View

This structure is derived from DEQMSummaryMeasureReportProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport |  |  | DEQMSummaryMeasureReportProfile |
Slices for extension |  |  |  | Content/Rules for all slices
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
value[x] |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
group |  |  |  |
population |  |  |  |
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
stratifier |  |  |  |
code |  | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
component |  |  |  |
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  |  |  |
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
scoring | S C | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor | S | 0..1 | Reference(QICoreOrganization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x] |  | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier |  | 1..1 | Identifier | Value of extension Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
software | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Measure) | What measure was calculated
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(QICoreOrganization) | Organization that generated the MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
period | S Σ C | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!S Σ C | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group | S C | 1..* | BackboneElement | Measure results for each group
id | S | 0..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..* | BackboneElement | The populations in the group
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S Σ C | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
Slices for extension |  |  |  | Content/Rules for all slices
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier | S | 0..* | BackboneElement | Stratification results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population | S | 0..* | BackboneElement | Population results in this stratum
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S | 0..1 | Quantity | What score this stratum achieved
Slices for extension |  |  |  | Content/Rules for all slices
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.improvementNotation | required | MeasureImprovementNotation `http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1` from the FHIR Standard
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | DEQMSummaryMeasureReportProfile | Results of a measure evaluation mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components deqm-2: If the measure scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
scoring | S C | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Binding: MeasureScoring (extensible)
vendor | S | 0..1 | Reference(QICoreOrganization) | Vendor information URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
cehrt | S | 0..1 | (Complex) | CMS EHR Certifciation ID URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"
Slices for value[x] |  | 1..1 | Identifier | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueIdentifier |  | 1..1 | Identifier | Value of extension Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.3.2074.1
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
software | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
score | S | 0..1 | decimal | Score of a measure, such as star rating score URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
threshold | S | 0..* | (Complex) | Threshold needed to be met when measuring performance URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required)
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Measure) | What measure was calculated
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(QICoreOrganization) | Organization that generated the MeasureReport
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
group | S | 0..1 | Reference(Group) | Group of practitioners responsible for a report URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
period | S Σ C | 1..1 | Period | What period the report covers deqm-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing
improvementNotation | ?!S Σ C | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group | S C | 1..* | BackboneElement | Measure results for each group
id | S | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..* | BackboneElement | The populations in the group
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S Σ C | 1..1 | Quantity | What score this group achieved deqm-6: If the measure scoring type is 'proportion' then the measureScore SHALL be a numerical value between 0 and 1 for summary reporting
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
stratifier | S | 0..* | BackboneElement | Stratification results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
score | S | 0..1 | decimal | What score such as star rating score this stratum achieved URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population | S | 0..* | BackboneElement | Population results in this stratum
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: VBP Measure Population Type (extensible)
count | S | 1..1 | integer | Size of the population
measureScore | S | 0..1 | Quantity | What score this stratum achieved
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
strataltscoretype | S | 0..1 | dateTime, CodeableConcept, Period, Range, Duration | Possible additional measureScore value types URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-alternateScoreType
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.reporter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MeasureReport.improvementNotation | required | MeasureImprovementNotation `http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1` from the FHIR Standard
MeasureReport.group.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | VBPRMeasurePopulationVS `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-measure-population` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

This structure is derived from DEQMSummaryMeasureReportProfile

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold

Other representations of profile: CSV, Excel, Schematron