CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: Subject-List MeasureReport Profile

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: SubjectListMeasureReportProfile

A Subject-List MeasureReport contains the count of subjects (i.e. patients) in the Initial Population. It also references the Individual MeasureReport List.

Usages:

- Use this Profile: NHSN MeasureReport Bundle and NHSN Submission Header Bundle
- Examples for this Profile: MeasureReport/measurereport-example-ach-daily-subjectlist and MeasureReport/measurereport-example-ach-monthly-subjectlist1

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure | Σ | 1..1 | canonical(Measure) | What measure was calculated
period | Σ | 1..1 | Period | What period the report covers
improvementNotation | ?!Σ | 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..1 | BackboneElement | Initial population group
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
population | S | 1..1 | BackboneElement | Initial population
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` From the FHIR Standard
MeasureReport.type | required | Fixed Value: subject-list `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 | Pattern Value: initial-population("Initial Population") `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information : (type != 'data-collection') or group.exists().not() |
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components : group.stratifier.stratum.all(value.exists() xor component.exists()) |

This structure is derived from MeasureReport

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport |  |  | MeasureReport |
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: subject-list
group | S | 1..1 | BackboneElement | Initial population group
population | S | 1..1 | BackboneElement | Initial population
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure | Σ | 1..1 | canonical(Measure) | What measure was calculated
subject | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | Σ | 0..1 | dateTime | When the report was generated
reporter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data
period | Σ | 1..1 | Period | What period the report covers
improvementNotation | ?!Σ | 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..1 | BackboneElement | Initial population 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 | Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..1 | BackboneElement | Initial population
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 | Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..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
measureScore | Σ | 0..1 | Quantity | What score this group achieved
stratifier |  | 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 |  | 0..* | CodeableConcept | What stratifier of the group
stratum |  | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value |  | 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 |  | 1..1 | CodeableConcept | What stratifier component of the group
value |  | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  | 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 |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore |  | 0..1 | Quantity | What score this stratum achieved
evaluatedResource |  | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
MeasureReport.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
MeasureReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` From the FHIR Standard
MeasureReport.type | required | Fixed Value: subject-list `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 | Pattern Value: initial-population("Initial Population") `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard
MeasureReport.group.population.subjectResults.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information : (type != 'data-collection') or group.exists().not() |
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components : group.stratifier.stratum.all(value.exists() xor component.exists()) |

This structure is derived from MeasureReport

Summary

Mandatory: 8 elements
Must-Support: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- NHSN Individual MeasureReport List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list)

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MeasureReport.contained

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure | Σ | 1..1 | canonical(Measure) | What measure was calculated
period | Σ | 1..1 | Period | What period the report covers
improvementNotation | ?!Σ | 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..1 | BackboneElement | Initial population group
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
population | S | 1..1 | BackboneElement | Initial population
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` From the FHIR Standard
MeasureReport.type | required | Fixed Value: subject-list `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 | Pattern Value: initial-population("Initial Population") `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information : (type != 'data-collection') or group.exists().not() |
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components : group.stratifier.stratum.all(value.exists() xor component.exists()) |

Differential View

This structure is derived from MeasureReport

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport |  |  | MeasureReport |
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: subject-list
group | S | 1..1 | BackboneElement | Initial population group
population | S | 1..1 | BackboneElement | Initial population
code |  | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | Results of a measure evaluation Constraints: mrp-1, mrp-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for contained |  | 1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:ip-measurereport-list |  | 1..1 | IndividualMeasureReportList | The Individual MeasureReport List pointed to by MeasureReport.group.population.subjectResults
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: subject-list
measure | Σ | 1..1 | canonical(Measure) | What measure was calculated
subject | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group) | What individual(s) the report is for
date | Σ | 0..1 | dateTime | When the report was generated
reporter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Location | Organization) | Who is reporting the data
period | Σ | 1..1 | Period | What period the report covers
improvementNotation | ?!Σ | 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..1 | BackboneElement | Initial population 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 | Σ | 0..1 | CodeableConcept | Meaning of the group
population | S | 1..1 | BackboneElement | Initial population
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 | Σ | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.). Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population
display |  | 1..1 | string | Representation defined by the system Fixed Value: Initial Population
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
count |  | 1..1 | integer | Size of the population
subjectResults |  | 1..1 | Reference(NHSN Individual MeasureReport List) | List referencing all individual measure reports for this measure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..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
measureScore | Σ | 0..1 | Quantity | What score this group achieved
stratifier |  | 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 |  | 0..* | CodeableConcept | What stratifier of the group
stratum |  | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value |  | 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 |  | 1..1 | CodeableConcept | What stratifier component of the group
value |  | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  | 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 |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore |  | 0..1 | Quantity | What score this stratum achieved
evaluatedResource |  | 0..* | Reference(Resource) | What data was used to calculate the measure score
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
MeasureReport.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
MeasureReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` From the FHIR Standard
MeasureReport.type | required | Fixed Value: subject-list `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 | Pattern Value: initial-population("Initial Population") `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard
MeasureReport.group.population.subjectResults.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MeasureReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MeasureReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MeasureReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MeasureReport | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mrp-1 | error | MeasureReport | Measure Reports used for data collection SHALL NOT communicate group and score information : (type != 'data-collection') or group.exists().not() |
mrp-2 | error | MeasureReport | Stratifiers SHALL be either a single criteria or a set of criteria components : group.stratifier.stratum.all(value.exists() xor component.exists()) |

This structure is derived from MeasureReport

Summary

Mandatory: 8 elements
Must-Support: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- NHSN Individual MeasureReport List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list)

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MeasureReport.contained

Maturity: 1

Other representations of profile: CSV, Excel, Schematron