Release 4 5 Snapshot #1

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). (v5.0.0-snapshot1: R5 Snapshot #1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Clinical Quality Information Work Group Maturity Level : 2 3   Trial Use Security Category : Business Compartments : Patient

Detailed Descriptions for the elements in the MeasureReport resource.

MeasureReport
Element Id MeasureReport
Definition

The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.

Cardinality 0..*
Type DomainResource
Summary false
Invariants
Defined on this element
mrp-1 Rule Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
mrp-2 Rule Stratifiers SHALL be either a single criteria or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())
MeasureReport.identifier
Element Id MeasureReport.identifier
Definition

A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summary true
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.

MeasureReport.status
Element Id MeasureReport.status
Definition

The MeasureReport status. No data will be available until the MeasureReport status is complete.

Cardinality 1..1
Terminology Binding MeasureReportStatus ( Required )
Type code
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary true
Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

MeasureReport.type
Element Id MeasureReport.type
Definition

The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.

Cardinality 1..1
Terminology Binding MeasureReportType ( Required )
Type code
Summary true
Comments

Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may.

Invariants
Affect this element
mrp-1 Rule Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
MeasureReport.dataUpdateType
Element Id MeasureReport.dataUpdateType
Definition

Indicates whether the data submitted in an data-exchange report represents a snapshot or incremental update. A snapshot update replaces all previously submitted data for the receiver, whereas an incremental update represents only updated and/or changed data and should be applied as a differential update to the existing submitted data for the receiver.

Cardinality 0..1
Terminology Binding Submit Data Update Type ( Required )
Type code
Is Modifier true (Reason: This element determines whether the data in a data-exchange measure report is a snapshot or incremental update and is required in order to correctly apply the data update to a receiving system)
Requirements

Allows receiving systems to support incremental exchange of data, reducing overall bandwidth requirements.

Summary true
Comments

This element only applies to Data-collection reports used to communicate the data-of-interest for a measure

MeasureReport.measure
Element Id MeasureReport.measure
Definition

A reference to the Measure that was calculated to produce this report.

Cardinality 1..1
Type canonical ( Measure )
Summary true
MeasureReport.subject
Element Id MeasureReport.subject
Definition

Optional subject identifying the individual or individuals the report is for.

Cardinality 0..1
Type Reference ( Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group )
Patterns Reference(Patient,Practitioner,PractitionerRole,Location,Device,RelatedPerson,Group): Common patterns = Participant
Summary true
MeasureReport.date
Element Id MeasureReport.date
Definition

The date this measure report was generated.

Cardinality 0..1
Type dateTime
Summary true
MeasureReport.reporter
Element Id MeasureReport.reporter
Definition

The individual, location, or organization that is reporting the data.

Cardinality 0..1
Type Reference ( Practitioner | PractitionerRole | Location | Organization | Group )
Patterns Reference(Practitioner,PractitionerRole,Location,Organization,Group): Common patterns = Participant
Summary true
MeasureReport.reportingVendor
Element Id MeasureReport.reportingVendor
Definition

A reference to the vendor who queried the data, calculated results and/or generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report.

Cardinality 0..1
Type Reference ( Organization )
Summary false
MeasureReport.period
Element Id MeasureReport.period
Definition

The reporting period for which the report was calculated.

Cardinality 1..1
Type Period
Summary true
MeasureReport.scoring
Element Id MeasureReport.scoring
Definition

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure.

Cardinality 0..1
Terminology Binding MeasureScoring ( Extensible )
Type CodeableConcept
Is Modifier true (Reason: Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score)
Summary true
MeasureReport.improvementNotation
Element Id MeasureReport.improvementNotation
Definition

Whether improvement in the measure is noted by an increase or decrease in the measure score.

Cardinality 0..1
Terminology Binding MeasureImprovementNotation ( Required )
Type CodeableConcept
Is Modifier true (Reason: Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement))
Summary true
Comments

This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score.

MeasureReport.group
Element Id MeasureReport.group
Definition

The results of the calculation, one for each population group in the measure.

Cardinality 0..*
Summary false
Invariants
Affect this element
mrp-1 Rule Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-collection') or group.exists().not()
MeasureReport.group.code
Element Id MeasureReport.group.code
Definition

The meaning of the population group as defined in the measure definition.

Cardinality 0..1
Terminology Binding MeasureGroupExample ( Example )
Type CodeableConcept
Summary true
MeasureReport.group.population
Element Id MeasureReport.group.population
Definition

The populations that make up the population group, one for each type of population appropriate for the measure.

Cardinality 0..*
Summary false
MeasureReport.group.population.code
Element Id MeasureReport.group.population.code
Definition

The type of the population.

Cardinality 0..1
Terminology Binding MeasurePopulationType ( Extensible )
Type CodeableConcept
Summary true
MeasureReport.group.population.count
Element Id MeasureReport.group.population.count
Definition

The number of members of the population.

Cardinality 0..1
Type integer
Summary false
MeasureReport.group.population.subjectResults
Element Id MeasureReport.group.population.subjectResults
Definition

This element refers to a List of subject level MeasureReport resources, one for each subject in this population.

Cardinality 0..1
Type Reference ( List )
Summary false
MeasureReport.group.measureScore MeasureReport.group.measureScore[x]
Element Id MeasureReport.group.measureScore MeasureReport.group.measureScore[x]
Definition

The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.

Cardinality 0..1
Type Quantity | dateTime | CodeableConcept | Period | Range | Duration
[x] Note See Choice of Data Types for further information about how to use [x]
Summary true
MeasureReport.group.stratifier
Element Id MeasureReport.group.stratifier
Definition

When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.

Cardinality 0..*
Summary false
MeasureReport.group.stratifier.code
Element Id MeasureReport.group.stratifier.code
Definition

The meaning of this stratifier, as defined in the measure definition.

Cardinality 0..*
Terminology Binding MeasureStratifierExample ( Example )
Type CodeableConcept
Summary false
MeasureReport.group.stratifier.stratum
Element Id MeasureReport.group.stratifier.stratum
Definition

This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.

Cardinality 0..*
Summary false
MeasureReport.group.stratifier.stratum.value MeasureReport.group.stratifier.stratum.value[x]
Element Id MeasureReport.group.stratifier.stratum.value MeasureReport.group.stratifier.stratum.value[x]
Definition

The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.

Cardinality 0..1
Terminology Binding MeasureReportStratifierValueExample ( Example )
Type CodeableConcept | boolean | Quantity | Range | Reference
[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MeasureReport.group.stratifier.stratum.component
Element Id MeasureReport.group.stratifier.stratum.component
Definition

A stratifier component value.

Cardinality 0..*
Summary false
MeasureReport.group.stratifier.stratum.component.code
Element Id MeasureReport.group.stratifier.stratum.component.code
Definition

The code for the stratum component value.

Cardinality 1..1
Terminology Binding MeasureStratifierExample ( Example )
Type CodeableConcept
Summary false
MeasureReport.group.stratifier.stratum.component.value MeasureReport.group.stratifier.stratum.component.value[x]
Element Id MeasureReport.group.stratifier.stratum.component.value MeasureReport.group.stratifier.stratum.component.value[x]
Definition

The stratum component value.

Cardinality 1..1
Terminology Binding MeasureReportStratifierValueExample ( Example )
Type CodeableConcept | boolean | Quantity | Range | Reference
[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MeasureReport.group.stratifier.stratum.population
Element Id MeasureReport.group.stratifier.stratum.population
Definition

The populations that make up the stratum, one for each type of population appropriate to the measure.

Cardinality 0..*
Summary false
MeasureReport.group.stratifier.stratum.population.code
Element Id MeasureReport.group.stratifier.stratum.population.code
Definition

The type of the population.

Cardinality 0..1
Terminology Binding MeasurePopulationType ( Extensible )
Type CodeableConcept
Summary false
MeasureReport.group.stratifier.stratum.population.count
Element Id MeasureReport.group.stratifier.stratum.population.count
Definition

The number of members of the population in this stratum.

Cardinality 0..1
Type integer
Summary false
MeasureReport.group.stratifier.stratum.population.subjectResults
Element Id MeasureReport.group.stratifier.stratum.population.subjectResults
Definition

This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum.

Cardinality 0..1
Type Reference ( List )
Summary false
MeasureReport.group.stratifier.stratum.measureScore MeasureReport.group.stratifier.stratum.measureScore[x]
Element Id MeasureReport.group.stratifier.stratum.measureScore MeasureReport.group.stratifier.stratum.measureScore[x]
Definition

The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.

Cardinality 0..1
Type Quantity | dateTime | CodeableConcept | Period | Range | Duration
[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MeasureReport.evaluatedResource
Element Id MeasureReport.evaluatedResource
Definition

A reference to a Bundle containing the Resources that were used in the calculation of this measure.

Cardinality 0..*
Type Reference ( Any )
Summary false