Release 5 R6 Ballot (3rd Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

14.19 14.18 Resource MeasureReport - Content

Clinical Quality Information icon Work Group Maturity Level : 4   Trial Use Security Category : Business Compartments : Group , Patient

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

14.19.1 14.18.1 Scope and Usage

The MeasureReport resource represents the results of calculating a measure for a specific subject or group of subjects. The $evaluate-measure $evaluate operation of the Measure resource is defined to return a MeasureReport. The resource is capable of representing can represent three different levels of report: individual, subject-list, and summary.

The resource draws requirements from the HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture - Category 1 (QRDA I) DSTU Release 3 1 STU5.3 (US Realm) and the HL7 Implementation Guide for CDA Release 2: Quality Reporting Document Architecture - Category III (QRDA III), DSTU Release 1 implementation guides.

An individual MeasureReport contains information about a specific subject and typically includes references to the relevant data used to generate the report. A subject-list MeasureReport reports on a list of subjects and provides a List resource that contains references to individual-level reports for each subject being reported. A summary MeasureReport reports on a group of subjects and contains population counts and the calculated score as defined by the Measure. Finally, data-collection reports are used to communicate the data of interest, so no scoring or other calculated information is expected.

For a detailed discussion of how to use the Measure and MeasureReport resources, refer to the Quality Reporting topic.

Note that to Balloters: A new countQuantity element is added in this resource ballot. The CQI Work Group is a special case of seeking reviewers and implementers feedback on these two options addressing the more general notion of a query evaluation result. However, because need to support decimal-valued count.

  1. Option 1: generalize the general case requires count element itself (i.e. change the ability count element to represent arbitrary content, this resource uses a simple indicator structure to describe population sizes for each population type defined in the measure. The intent is to be able to represent the more general case as well, either by generalizing this resource, or by making this structure Quantity, a profile breaking change)
  2. Option 2: keep the approach of defining a more general resource, and we are actively seeking comments about what approaches might be taken new countQuantity element to achieve that aim. maintain backwards compatibility

14.19.2 14.18.2 Boundaries and Relationships

Although the MeasureReport is conceptually an Observation , there is enough specific information required to support the quality reporting use case to warrant a separate resource.

The resource is differentiated from a general purpose general-purpose query result because it communicates specific information related to quality measurement evaluation that would be difficult to convey generally without imposing some other structure on top of the general results.

14.19.3 14.18.3 References to this Resource

  • Resource References: itself

14.19.4 14.18.4 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
. . MeasureReport TU DomainResource Results of a measure evaluation
+ Rule: Measure Reports used for data collection SHALL NOT communicate group and score information
+ Rule: Stratifiers SHALL be either a single criteria element or a set of criteria components

Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier Σ 0..* Identifier Additional identifier for the MeasureReport

. . . category 0..1 CodeableConcept The category of measure report instance this is (example codes include deqm, ra, vbp)
Binding: Measure Report Category VS ( Extensible )
... messages 0..1 Reference ( OperationOutcome ) Evaluation messages
. . . type Σ C 1..1 code individual | subject-list | summary | data-exchange
Binding: Measure Report Type ( Required )
. . . dataUpdateType ?! Σ 0..1 code incremental | snapshot
Binding: Submit Data Update Type ( Required )
. . . measure Σ 0..1 canonical ( Measure ) What measure was calculated
. . . subject Σ 0..1 Reference ( CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson ) What individual(s) the report is for
. . . date Σ 0..1 dateTime When the measure report was calculated generated
. . . reporter Σ 0..1 Reference ( Practitioner | PractitionerRole | Organization | Group ) Who is reporting the data
. . . reportingVendor 0..1 Reference ( Organization ) What vendor prepared the data
. . . location 0..1 0..* Reference ( Location ) Where the reported data is from

. . . period Σ 1..1 Period What period the report covers
. . . inputParameters 0..1 Reference ( Parameters ) What parameters were provided to the report
. . . scoring ?! Σ XD 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring)
Binding: MeasureScoring Measure Scoring icon ( Extensible )
. . . improvementNotation ?! Σ XD 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation MeasureImprovementNotation icon ( Required )
. . . group C 0..* BackboneElement Measure results for each group

. . . . linkId 0..1 string Pointer to specific group from Measure
. . . code . calculatedDate 0..1 dateTime The date the Measure Report was calculated
.... code Σ 0..1 CodeableConcept Meaning of the group
Binding: Measure Group Example ( Example )
. . . . description 0..1 markdown Summary description
. . . . subject Σ 0..1 Reference ( CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson ) What individual(s) the report is for
. . . . scoring ?! Σ 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable)
Binding: Measure Scoring icon ( Extensible )
.... improvementNotation ?! Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation icon ( Extensible )
.... improvementNotationGuidance Σ 0..1 markdown Explanation of improvement notation
. . . . population C 0..* BackboneElement The populations in the group
+ Rule: The count and countQuantity elements SHALL be mutually exclusive

. . . . . linkId 0..1 string Pointer to specific population from Measure
. . . . . code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type MeasurePopulationType icon ( Extensible )
. . . . . description 0..1 markdown The human readable description of this population criteria
. . . . . count C 0..1 integer Size of the population
. . . . subjectResults . countQuantity C TU 0..1 Quantity Size of the population as a quantity
..... subjectResults 0..1 Reference ( List ) For subject-list reports, the subject results in this population
. . . . . subjectReport 0..* Reference ( MeasureReport ) For subject-list reports, a subject result references to the individual reports for subjects in this population

. . . . . subjects 0..1 Reference ( Group ) What individual(s) in the population
. . . . measureScore[x] Σ 0..1 What score this group achieved
. . . . . measureScoreQuantity Quantity
. . . . . measureScoreDateTime dateTime
. . . . . measureScoreCodeableConcept CodeableConcept
. . . . . measureScorePeriod Period
. . . . . measureScoreRange Range
. . . . . measureScoreDuration Duration
..... measureScoreBoolean Duration boolean
. . . . stratifier C 0..* BackboneElement Stratification results

. . . . . linkId 0..1 string Pointer to specific stratifier from Measure
. . . . . code 0..1 CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example ( Example )
. . . . . description 0..1 markdown The human readable description of this stratifier
. . . . . stratum C 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components

. . . . . . value[x] C 0..1 The stratum value, e.g. male
Binding: Measure Report Stratifier Value Example ( Example )
. . . . . . . valueCodeableConcept CodeableConcept
. . . . . . . valueBoolean boolean
. . . . . . . valueQuantity Quantity
. . . . . . . valueRange Range
. . . . . . . valueReference Reference ()
. . . . . . component C 0..* BackboneElement Stratifier component values

. . . . . . . linkId 0..1 string Pointer to specific stratifier component from Measure
. . . . . . . code 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example ( Example )
. . . . . . . description 0..1 markdown The human readable description of this stratifier component
. . . . . . . value[x] 1..1 The stratum component value, e.g. male
Binding: Measure Report Stratifier Value Example ( Example )
. . . . . . . . valueCodeableConcept CodeableConcept
. . . . . . . . valueBoolean boolean
. . . . . . . . valueQuantity Quantity
. . . . . . . . valueRange Range
. . . . . . . . valueReference Reference ()
. . . . . . population C 0..* BackboneElement Population results in this stratum
+ Rule: The count and countQuantity elements for a statum population SHALL be mutually exclusive

. . . . . . . linkId 0..1 string Pointer to specific population from Measure
. . . . . . . code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type MeasurePopulationType icon ( Extensible )
. . . . . . . count C 0..1 integer Size of the population
. . . . . . subjectResults . countQuantity C TU 0..1 Quantity Size of the population as a quantity
....... subjectResults 0..1 Reference ( List ) For subject-list reports, the subject results in this population
. . . . . . . subjectReport 0..* Reference ( MeasureReport ) For subject-list reports, a subject result in this population

. . . . . . . subjects 0..1 Reference ( Group ) What individual(s) in the population
. . . . . . measureScore[x] 0..1 What score this stratum achieved
. . . . . . . measureScoreQuantity Quantity
. . . . . . . measureScoreDateTime dateTime
. . . . . . . measureScoreCodeableConcept CodeableConcept
. . . . . . . measureScorePeriod Period
. . . . . . . measureScoreRange Range
. . . . . . . measureScoreDuration Duration
....... measureScoreBoolean Duration boolean
. . . supplementalData 0..* Reference ( Any ) Additional information collected for the report

. . . evaluatedResource 0..* Reference ( Any ) What data was used to calculate the measure score


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram ( Legend )

MeasureReport ( DomainResource ) 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 identifier : Identifier [0..*] The category of measure report instance this is such as Data Exchange for Quality Measures (DEQM), Risk Adjustment, or Value-Based Performance category : CodeableConcept [0..1] « null (Strength=Extensible) MeasureReportCategory + » A reference to an OperationOutcome that contains any information, warning, and/or error messages that were generated while processing an operation such as $evaluate messages : Reference [0..1] « OperationOutcome » The MeasureReport status. No data will be available until the MeasureReport status is complete (this element modifies the meaning of other elements) status : code [1..1] « The status of the measure report. (Strength=Required) MeasureReportStatus ! » 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 type : code [1..1] « The type of the measure report. (Strength=Required) MeasureReportType ! » « This element has or is affected by some invariants C » Indicates whether the data submitted in a 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 (this element modifies the meaning of other elements) dataUpdateType : code [0..1] « null (Strength=Required) SubmitDataUpdateType ! » A reference to the Measure that was calculated to produce this report measure : canonical [0..1] « Measure » Optional subject identifying the individual or individuals the report is for subject : Reference [0..1] « CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson » The date this measure report was calculated generated date : dateTime [0..1] The individual or organization that is reporting the data reporter : Reference [0..1] « Practitioner | PractitionerRole | Organization | Group » 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 reportingVendor : Reference [0..1] « Organization » A reference to the location for which the data is being reported location : Reference [0..1] [0..*] « Location » The reporting period for which the report was calculated period : Period [1..1] A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report inputParameters : Reference [0..1] « Parameters » Deprecated, use group.scoring. 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 (this element modifies the meaning of other elements) scoring : CodeableConcept [0..1] « null (Strength=Extensible) MeasureScoring + » Deprecated, use group.improvementNotation. Whether improvement in the measure is noted by an increase or decrease in the measure score (this element modifies the meaning of other elements) improvementNotation : CodeableConcept [0..1] « Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. (Strength=Required) MeasureImprovementNotation ! » A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource supplementalData : Reference [0..*] « Any » Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded evaluatedResource : Reference [0..*] « Any » Group The group from the Measure that corresponds to this group in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The date the Measure Report was calculated calculatedDate : dateTime [0..1] The meaning of the population group as defined in the measure definition definition. This element SHALL be populated with at least the codings in the code of the corresponding group in the Measure being reported code : CodeableConcept [0..1] « null (Strength=Example) MeasureGroupExample ?? » The human readable description of this population group. This element SHOULD be populated based on the description of the corresponding group in the Measure being reported description : markdown [0..1] Optional subject identifying the individual or individuals the report is for subject : Reference [0..1] « CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson » 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 (this element modifies the meaning of other elements) scoring : CodeableConcept [0..1] « null (Strength=Extensible) MeasureScoring + » Whether improvement in the measure is noted by an increase or decrease in the measure score. Exercise caution when using any values besides increase or decrease for improvementNotation (this element modifies the meaning of other elements) improvementNotation : CodeableConcept [0..1] « Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. (Strength=Extensible) MeasureImprovementNotation + » Narrative text to explain the improvement notation and how to interpret it improvementNotationGuidance : markdown [0..1] 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 measureScore[x] : DataType [0..1] « Quantity | dateTime | CodeableConcept | Period | Range | Duration | boolean » Population The population from the Measure that corresponds to this population in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population in the Measure group being reported code : CodeableConcept [0..1] « null (Strength=Extensible) MeasurePopulationType + » The human readable description of this population criteria. This element SHOULD be populated based on the description element of the corresponding population in the Measure group being reported description : markdown [0..1] The number of members of the population count : integer [0..1] « This element has or is affected by some invariants C » The number of members of the population, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value countQuantity : Quantity [0..1] « This element has or is affected by some invariants C » This element refers to a List of individual level MeasureReport resources, one for each subject in this population subjectResults : Reference [0..1] « List » A reference to an individual level MeasureReport resource for a member of the population subjectReport : Reference [0..*] « MeasureReport » Optional Group identifying the individuals that make up the population subjects : Reference [0..1] « Group » Stratifier The stratifier from the Measure that corresponds to this stratifier in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The meaning of this stratifier, as defined in the measure definition definition. This element SHALL be populated with at least the codings in the code element of the corresponding stratifier in the Measure group being reported code : CodeableConcept [0..1] « null (Strength=Example) MeasureStratifierExample ?? » The human readable description of this stratifier criteria. This element SHOULD be populated with the description element of the corresponding stratifier in the Measure group being reported description : markdown [0..1] StratifierGroup 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 value[x] : DataType [0..1] « CodeableConcept | boolean | Quantity | Range | Reference ; null (Strength=Example) MeasureReportStratifierValueE... ?? » « This element has or is affected by some invariants C » 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 measureScore[x] : DataType [0..1] « Quantity | dateTime | CodeableConcept | Period | Range | Duration | boolean » Component The stratifier component from the Measure that corresponds to this stratifier component in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The code for the stratum component value value. This element SHALL be populated with at least the codings in the code element of the corresponding component of the stratifier being reported code : CodeableConcept [1..1] « null (Strength=Example) MeasureStratifierExample ?? » The human readable description of this stratifier criteria component. This element MAY be populated with the description of the corresponding component of the stratifier being reported description : markdown [0..1] The stratum component value value[x] : DataType [1..1] « CodeableConcept | boolean | Quantity | Range | Reference ; null (Strength=Example) MeasureReportStratifierValueE... ?? » StratifierGroupPopulation The population from the Measure that corresponds to this population in the MeasureReport resource resource. This element SHALL be populated with the linkId corresponding to the population being reported linkId : string [0..1] The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population being reported code : CodeableConcept [0..1] « null (Strength=Extensible) MeasurePopulationType + » The number of members of the population in this stratum count : integer [0..1] « This element has or is affected by some invariants C » The number of members of the population in this stratum, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value countQuantity : Quantity [0..1] « This element has or is affected by some invariants C » This element refers to a List of individual level MeasureReport resources, one for each subject in this population in this stratum subjectResults : Reference [0..1] « List » A reference to an individual level MeasureReport resource for a member of the population subjectReport : Reference [0..*] « MeasureReport » Optional Group identifying the individuals that make up the population subjects : Reference [0..1] « Group » The populations that make up the population group, one for each type of population appropriate for the measure measure. Each group in the MeasureReport SHALL have populations as defined in the corresponding group of the Measure being reported population [0..*] A stratifier component value component [0..*] The populations that make up the stratum, one for each type of population appropriate to the measure measure. For each stratifier, systems MAY provide population breakdowns in addition to the stratified scores population [0..*] 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 stratum [0..*] When a measure includes multiple stratifiers, there will be a stratifier group The stratification results for each stratifier this measure group, calculated as defined by the stratifier element of the measure being reported. Each group in the MeasureReport SHALL have stratifiers as defined in the corresponding group of the Measure being reported stratifier [0..*] The results of the calculation, one for each population group in the measure measure. A MeasureReport SHALL have a group element corresponding to each group element defined in the Measure being reported group [0..*]

XML Template 

<MeasureReport xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Additional identifier for the MeasureReport --></identifier>
 <category><!-- 0..1 CodeableConcept The category of measure report instance this is (example codes include deqm, ra, vbp) --></category>
 <messages><!-- 0..1 Reference(OperationOutcome) Evaluation messages --></messages>

 <status value="[code]"/><!-- 1..1 complete | pending | error -->
 <type value="[code]"/><!-- I 1..1 individual | subject-list | summary | data-exchange -->
 <dataUpdateType value="[code]"/><!-- 0..1 incremental | snapshot -->
 <measure><!-- 0..1 canonical(Measure) What measure was calculated --></measure>
 <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
 <
 <</reporter>

 <date value="[dateTime]"/><!-- 0..1 When the measure report was generated -->
 <reporter><!-- 0..1 Reference(Organization|Practitioner|PractitionerRole) Who is reporting the data --></reporter>

 <reportingVendor><!-- 0..1 Reference(Organization) What vendor prepared the data --></reportingVendor>
 <</location>

 <location><!-- 0..* Reference(Location) Where the reported data is from --></location>

 <period><!-- 1..1 Period What period the report covers --></period>
 <inputParameters><!-- 0..1 Reference(Parameters) What parameters were provided to the report --></inputParameters>
 <</scoring>
 <</improvementNotation>
 <
  <
  <</code>

 <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring) icon --></scoring>
 <improvementNotation><!-- 0..1 CodeableConcept increase | decrease icon --></improvementNotation>
 <group>  <!-- I 0..* Measure results for each group -->
  <linkId value="[string]"/><!-- 0..1 Pointer to specific group from Measure -->
  <calculatedDate value="[dateTime]"/><!-- 0..1 The date the Measure Report was calculated -->
  <code><!-- 0..1 CodeableConcept Meaning of the group --></code>
  <description value="[markdown]"/><!-- 0..1 Summary description -->

  <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
  <
   <
   <</code>
   <

  <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) icon --></scoring>
  <improvementNotation><!-- 0..1 CodeableConcept increase | decrease icon --></improvementNotation>
  <improvementNotationGuidance value="[markdown]"/><!-- 0..1 Explanation of improvement notation -->
  <population>  <!-- 0..* The populations in the group -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
   <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon --></code>
   <description value="[markdown]"/><!-- 0..1 The human readable description of this population criteria -->
   <count value="[integer]"/><!-- I 0..1 Size of the population -->
   <countQuantity><!-- I 0..1 Quantity Size of the population as a quantity --></countQuantity>

   <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
   <</subjectReport>

   <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, references to the individual reports for subjects in this population --></subjectReport>

   <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
  </population>
  <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
    </measureScore[x]>
  <
   <
   <</code>
   <
    <</value[x]>
    <
     <
     <</code>

    Duration|boolean What score this group achieved --></measureScore[x]>
  <stratifier>  <!-- I 0..* Stratification results -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier from Measure -->
   <code><!-- 0..1 CodeableConcept What stratifier of the group --></code>
   <description value="[markdown]"/><!-- 0..1 The human readable description of this stratifier -->
   <stratum>  <!-- I 0..* Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components -->
    <value[x]><!-- I 0..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum value, e.g. male --></value[x]>
    <component>  <!-- I 0..* Stratifier component values -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier component from Measure -->
     <code><!-- 1..1 CodeableConcept What stratifier component of the group --></code>
     <description value="[markdown]"/><!-- 0..1 The human readable description of this stratifier component -->

     <value[x]><!-- 1..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum component value, e.g. male --></value[x]>
    </component>
    <
     <
     <</code>
     <

    <population>  <!-- 0..* Population results in this stratum -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
     <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon --></code>
     <count value="[integer]"/><!-- I 0..1 Size of the population -->
     <countQuantity><!-- I 0..1 Quantity Size of the population as a quantity --></countQuantity>

     <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
     <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
     <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
    </population>
    <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
      </measureScore[x]>

      Duration|boolean What score this stratum achieved --></measureScore[x]>
   </stratum>
  </stratifier>
 </group>
 <supplementalData><!-- 0..* Reference(Any) Additional information collected for the report --></supplementalData>
 <evaluatedResource><!-- 0..* Reference(Any) What data was used to calculate the measure score --></evaluatedResource>
</MeasureReport>

JSON Template 

{doco
  "resourceType" : "MeasureReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Additional identifier for the MeasureReport
  "category" : { CodeableConcept }, // The category of measure report instance this is (example codes include deqm, ra, vbp)
  "messages" : { Reference(OperationOutcome) }, // Evaluation messages

  "status" : "<code>", // R!  complete | pending | error
  "type" : "<code>", // I R!  individual | subject-list | summary | data-exchange
  "dataUpdateType" : "<code>", // incremental | snapshot
  "measure" : "<canonical(Measure)>", // What measure was calculated
  "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
  "
  "

  "date" : "<dateTime>", // When the measure report was generated
  "reporter" : { Reference(Organization|Practitioner|PractitionerRole) }, // Who is reporting the data

  "reportingVendor" : { Reference(Organization) }, // What vendor prepared the data
  "

  "location" : [{ Reference(Location) }], // Where the reported data is from

  "period" : { Period }, // R!  What period the report covers
  "inputParameters" : { Reference(Parameters) }, // What parameters were provided to the report
  "
  "
  "
    "
    "

  "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring) icon
  "improvementNotation" : { CodeableConcept }, // increase | decrease icon
  "group" : [{ // I Measure results for each group
    "linkId" : "<string>", // Pointer to specific group from Measure
    "calculatedDate" : "<dateTime>", // The date the Measure Report was calculated
    "code" : { CodeableConcept }, // Meaning of the group
    "description" : "<markdown>", // Summary description

    "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
    "
      "
      "
      "

    "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) icon
    "improvementNotation" : { CodeableConcept }, // increase | decrease icon
    "improvementNotationGuidance" : "<markdown>", // Explanation of improvement notation
    "population" : [{ // The populations in the group
      "linkId" : "<string>", // Pointer to specific population from Measure
      "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon
      "description" : "<markdown>", // The human readable description of this population criteria
      "count" : <integer>, // I Size of the population
      "countQuantity" : { Quantity }, // I Size of the population as a quantity

      "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
      "

      "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, references to the individual reports for subjects in this population

      "subjects" : { Reference(Group) } // What individual(s) in the population
    }],
    

    // measureScore[x]: What score this group achieved. One of these 7:
    "measureScoreQuantity" : { Quantity },
    "measureScoreDateTime" : "<dateTime>",
    "measureScoreCodeableConcept" : { CodeableConcept },
    "measureScorePeriod" : { Period },
    "measureScoreRange" : { Range },
    "measureScoreDuration" : { Duration },
    "
      "
      "
      "

    "measureScoreBoolean" : <boolean>,
    "stratifier" : [{ // I Stratification results
      "linkId" : "<string>", // Pointer to specific stratifier from Measure
      "code" : { CodeableConcept }, // What stratifier of the group
      "description" : "<markdown>", // The human readable description of this stratifier
      "stratum" : [{ // I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components

        // value[x]: The stratum value, e.g. male. One of these 5:
        "valueCodeableConcept" : { CodeableConcept },
        "valueBoolean" : <boolean>,
        "valueQuantity" : { Quantity },
        "valueRange" : { Range },
        "valueReference" : { Reference },
        "
          "
          "

        "component" : [{ // I Stratifier component values
          "linkId" : "<string>", // Pointer to specific stratifier component from Measure
          "code" : { CodeableConcept }, // R!  What stratifier component of the group
          "description" : "<markdown>", // The human readable description of this stratifier component

          // value[x]: The stratum component value, e.g. male. One of these 5:
          "valueCodeableConcept" : { CodeableConcept },
          "valueBoolean" : <boolean>,
          "valueQuantity" : { Quantity },
          "valueRange" : { Range },
          "valueReference" : { Reference }
        }],
        "
          "
          "
          "

        "population" : [{ // Population results in this stratum
          "linkId" : "<string>", // Pointer to specific population from Measure
          "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon
          "count" : <integer>, // I Size of the population
          "countQuantity" : { Quantity }, // I Size of the population as a quantity

          "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
          "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
          "subjects" : { Reference(Group) } // What individual(s) in the population
        }],
        

        // measureScore[x]: What score this stratum achieved. One of these 7:
        "measureScoreQuantity" : { Quantity },
        "measureScoreDateTime" : "<dateTime>",
        "measureScoreCodeableConcept" : { CodeableConcept },
        "measureScorePeriod" : { Period },
        "measureScoreRange" : { Range },
        " }

        "measureScoreDuration" : { Duration },
        "measureScoreBoolean" : <boolean>

      }]
    }]
  }],
  "supplementalData" : [{ Reference(Any) }], // Additional information collected for the report
  "evaluatedResource" : [{ Reference(Any) }] // What data was used to calculate the measure score
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:MeasureReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the MeasureReport
  fhir:category [ CodeableConcept ] ; # 0..1 The category of measure report instance this is (example codes include deqm, ra, vbp)
  fhir:messages [ Reference(OperationOutcome) ] ; # 0..1 Evaluation messages

  fhir:status [ code ] ; # 1..1 complete | pending | error
  fhir:type [ code ] ; # 1..1 I individual | subject-list | summary | data-exchange
  fhir:dataUpdateType [ code ] ; # 0..1 incremental | snapshot
  fhir:measure [ canonical(Measure) ] ; # 0..1 What measure was calculated
  fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
  fhir:
  fhir:

  fhir:date [ dateTime ] ; # 0..1 When the measure report was generated
  fhir:reporter [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Who is reporting the data

  fhir:reportingVendor [ Reference(Organization) ] ; # 0..1 What vendor prepared the data
  fhir:

  fhir:location  ( [ Reference(Location) ] ... ) ; # 0..* Where the reported data is from

  fhir:period [ Period ] ; # 1..1 What period the report covers
  fhir:inputParameters [ Reference(Parameters) ] ; # 0..1 What parameters were provided to the report
  fhir:
  fhir:
  fhir:
    fhir:
    fhir:

  fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring)
  fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
  fhir:group ( [ # 0..* I Measure results for each group
    fhir:linkId [ string ] ; # 0..1 Pointer to specific group from Measure
    fhir:calculatedDate [ dateTime ] ; # 0..1 The date the Measure Report was calculated
    fhir:code [ CodeableConcept ] ; # 0..1 Meaning of the group
    fhir:description [ markdown ] ; # 0..1 Summary description

    fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
    fhir:
      fhir:
      fhir:
      fhir:

    fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable)
    fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
    fhir:improvementNotationGuidance [ markdown ] ; # 0..1 Explanation of improvement notation
    fhir:population ( [ # 0..* The populations in the group
      fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:description [ markdown ] ; # 0..1 The human readable description of this population criteria
      fhir:count [ integer ] ; # 0..1 I Size of the population
      fhir:countQuantity [ Quantity ] ; # 0..1 I Size of the population as a quantity

      fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
      fhir:

      fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, references to the individual reports for subjects in this population

      fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
    ] ... ) ;
    # . One of these 6

    # measureScore[x] : 0..1 What score this group achieved. One of these 7

      fhir:measureScore [  a fhir:Quantity ; Quantity ]
      fhir:measureScore [  a fhir:dateTime ; dateTime ]
      fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:measureScore [  a fhir:Period ; Period ]
      fhir:measureScore [  a fhir:Range ; Range ]
      fhir:measureScore [  a fhir:Duration ; Duration ]
    fhir:
      fhir:
      fhir:
      fhir:
        # . One of these 5

      fhir:measureScore [  a fhir:boolean ; boolean ]
    fhir:stratifier ( [ # 0..* I Stratification results
      fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 What stratifier of the group
      fhir:description [ markdown ] ; # 0..1 The human readable description of this stratifier
      fhir:stratum ( [ # 0..* I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        # value[x] : 0..1 I The stratum value, e.g. male. One of these 5

          fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:value [  a fhir:boolean ; boolean ]
          fhir:value [  a fhir:Quantity ; Quantity ]
          fhir:value [  a fhir:Range ; Range ]
          fhir:value [  a fhir:Reference ; Reference ]
        fhir:
          fhir:
          fhir:

        fhir:component ( [ # 0..* I Stratifier component values
          fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier component from Measure
          fhir:code [ CodeableConcept ] ; # 1..1 What stratifier component of the group
          fhir:description [ markdown ] ; # 0..1 The human readable description of this stratifier component

          # value[x] : 1..1 The stratum component value, e.g. male. One of these 5
            fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
            fhir:value [  a fhir:boolean ; boolean ]
            fhir:value [  a fhir:Quantity ; Quantity ]
            fhir:value [  a fhir:Range ; Range ]
            fhir:value [  a fhir:Reference ; Reference ]
        ] ... ) ;
        fhir:
          fhir:
          fhir:
          fhir:

        fhir:population ( [ # 0..* Population results in this stratum
          fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
          fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          fhir:count [ integer ] ; # 0..1 I Size of the population
          fhir:countQuantity [ Quantity ] ; # 0..1 I Size of the population as a quantity

          fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
          fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
          fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
        ] ... ) ;
        # . One of these 6

        # measureScore[x] : 0..1 What score this stratum achieved. One of these 7

          fhir:measureScore [  a fhir:Quantity ; Quantity ]
          fhir:measureScore [  a fhir:dateTime ; dateTime ]
          fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:measureScore [  a fhir:Period ; Period ]
          fhir:measureScore [  a fhir:Range ; Range ]
          fhir:measureScore [  a fhir:Duration ; Duration ]
          fhir:measureScore [  a fhir:boolean ; boolean ]

      ] ... ) ;
    ] ... ) ;
  ] ... ) ;
  fhir:supplementalData  ( [ Reference(Any) ] ... ) ; # 0..* Additional information collected for the report
  fhir:evaluatedResource  ( [ Reference(Any) ] ... ) ; # 0..* What data was used to calculate the measure score
]

Changes from both R4 and R4B

MeasureReport
MeasureReport.category
  • Added Element
MeasureReport.messages
  • Added Element
MeasureReport.type
  • Remove code data-collection
  • Add code data-exchange
MeasureReport.dataUpdateType
  • Added Element
MeasureReport.measure
  • Min Cardinality changed from 1 to 0
MeasureReport.subject
  • Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter
  • Type Reference: Added Target Type Group Type Reference: Removed Target Type Location
MeasureReport.reportingVendor
  • Added Element
MeasureReport.location
  • Added Element
MeasureReport.inputParameters
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.improvementNotation
MeasureReport.group.linkId
  • Added Element
MeasureReport.group.calculatedDate
  • Added Element
MeasureReport.group.description
  • Added Element
MeasureReport.group.subject
  • Added Element
MeasureReport.group.scoring
  • Added Element
MeasureReport.group.improvementNotation
  • Added Element
MeasureReport.group.population.linkId MeasureReport.group.improvementNotationGuidance
  • Added Element
MeasureReport.group.population.linkId
  • Added Element
MeasureReport.group.population.code
MeasureReport.group.population.subjectReport MeasureReport.group.population.description
  • Added Element
MeasureReport.group.population.countQuantity
  • Added Element
MeasureReport.group.population.subjectReport
  • Added Element
MeasureReport.group.population.subjects
  • Added Element
MeasureReport.group.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration Duration, boolean
MeasureReport.group.stratifier.linkId
  • Added Element
MeasureReport.group.stratifier.code
  • Max Cardinality changed from * to 1
MeasureReport.group.stratifier.description
  • Added Element
MeasureReport.group.stratifier.stratum.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.component.description
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.population.code
MeasureReport.group.stratifier.stratum.population.subjectReport MeasureReport.group.stratifier.stratum.population.countQuantity
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjects
  • Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration Duration, boolean
MeasureReport.supplementalData
  • Added Element

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON .

See R4 <--> R5 Conversion Maps (status = See Conversions Summary .)

Structure

Name Flags Card. Type Description & Constraints doco
. . MeasureReport TU DomainResource Results of a measure evaluation
+ Rule: Measure Reports used for data collection SHALL NOT communicate group and score information
+ Rule: Stratifiers SHALL be either a single criteria element or a set of criteria components

Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier Σ 0..* Identifier Additional identifier for the MeasureReport

. . . category 0..1 CodeableConcept The category of measure report instance this is (example codes include deqm, ra, vbp)
Binding: Measure Report Category VS ( Extensible )
... messages 0..1 Reference ( OperationOutcome ) Evaluation messages
. . . type Σ C 1..1 code individual | subject-list | summary | data-exchange
Binding: Measure Report Type ( Required )
. . . dataUpdateType ?! Σ 0..1 code incremental | snapshot
Binding: Submit Data Update Type ( Required )
. . . measure Σ 0..1 canonical ( Measure ) What measure was calculated
. . . subject Σ 0..1 Reference ( CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson ) What individual(s) the report is for
. . . date Σ 0..1 dateTime When the measure report was calculated generated
. . . reporter Σ 0..1 Reference ( Practitioner | PractitionerRole | Organization | Group ) Who is reporting the data
. . . reportingVendor 0..1 Reference ( Organization ) What vendor prepared the data
. . . location 0..1 0..* Reference ( Location ) Where the reported data is from

. . . period Σ 1..1 Period What period the report covers
. . . inputParameters 0..1 Reference ( Parameters ) What parameters were provided to the report
. . . scoring ?! Σ XD 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring)
Binding: MeasureScoring Measure Scoring icon ( Extensible )
. . . improvementNotation ?! Σ XD 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation MeasureImprovementNotation icon ( Required )
. . . group C 0..* BackboneElement Measure results for each group

. . . . linkId 0..1 string Pointer to specific group from Measure
. . . code . calculatedDate 0..1 dateTime The date the Measure Report was calculated
.... code Σ 0..1 CodeableConcept Meaning of the group
Binding: Measure Group Example ( Example )
. . . . description 0..1 markdown Summary description
. . . . subject Σ 0..1 Reference ( CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson ) What individual(s) the report is for
. . . . scoring ?! Σ 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable)
Binding: Measure Scoring icon ( Extensible )
.... improvementNotation ?! Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation icon ( Extensible )
.... improvementNotationGuidance Σ 0..1 markdown Explanation of improvement notation
. . . . population C 0..* BackboneElement The populations in the group
+ Rule: The count and countQuantity elements SHALL be mutually exclusive

. . . . . linkId 0..1 string Pointer to specific population from Measure
. . . . . code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type MeasurePopulationType icon ( Extensible )
. . . . . description 0..1 markdown The human readable description of this population criteria
. . . . . count C 0..1 integer Size of the population
. . . . subjectResults . countQuantity C TU 0..1 Quantity Size of the population as a quantity
..... subjectResults 0..1 Reference ( List ) For subject-list reports, the subject results in this population
. . . . . subjectReport 0..* Reference ( MeasureReport ) For subject-list reports, a subject result references to the individual reports for subjects in this population

. . . . . subjects 0..1 Reference ( Group ) What individual(s) in the population
. . . . measureScore[x] Σ 0..1 What score this group achieved
. . . . . measureScoreQuantity Quantity
. . . . . measureScoreDateTime dateTime
. . . . . measureScoreCodeableConcept CodeableConcept
. . . . . measureScorePeriod Period
. . . . . measureScoreRange Range
. . . . . measureScoreDuration Duration
..... measureScoreBoolean Duration boolean
. . . . stratifier C 0..* BackboneElement Stratification results

. . . . . linkId 0..1 string Pointer to specific stratifier from Measure
. . . . . code 0..1 CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example ( Example )
. . . . . description 0..1 markdown The human readable description of this stratifier
. . . . . stratum C 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components

. . . . . . value[x] C 0..1 The stratum value, e.g. male
Binding: Measure Report Stratifier Value Example ( Example )
. . . . . . . valueCodeableConcept CodeableConcept
. . . . . . . valueBoolean boolean
. . . . . . . valueQuantity Quantity
. . . . . . . valueRange Range
. . . . . . . valueReference Reference ()
. . . . . . component C 0..* BackboneElement Stratifier component values

. . . . . . . linkId 0..1 string Pointer to specific stratifier component from Measure
. . . . . . . code 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example ( Example )
. . . . . . . description 0..1 markdown The human readable description of this stratifier component
. . . . . . . value[x] 1..1 The stratum component value, e.g. male
Binding: Measure Report Stratifier Value Example ( Example )
. . . . . . . . valueCodeableConcept CodeableConcept
. . . . . . . . valueBoolean boolean
. . . . . . . . valueQuantity Quantity
. . . . . . . . valueRange Range
. . . . . . . . valueReference Reference ()
. . . . . . population C 0..* BackboneElement Population results in this stratum
+ Rule: The count and countQuantity elements for a statum population SHALL be mutually exclusive

. . . . . . . linkId 0..1 string Pointer to specific population from Measure
. . . . . . . code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type MeasurePopulationType icon ( Extensible )
. . . . . . . count C 0..1 integer Size of the population
. . . . . . subjectResults . countQuantity C TU 0..1 Quantity Size of the population as a quantity
....... subjectResults 0..1 Reference ( List ) For subject-list reports, the subject results in this population
. . . . . . . subjectReport 0..* Reference ( MeasureReport ) For subject-list reports, a subject result in this population

. . . . . . . subjects 0..1 Reference ( Group ) What individual(s) in the population
. . . . . . measureScore[x] 0..1 What score this stratum achieved
. . . . . . . measureScoreQuantity Quantity
. . . . . . . measureScoreDateTime dateTime
. . . . . . . measureScoreCodeableConcept CodeableConcept
. . . . . . . measureScorePeriod Period
. . . . . . . measureScoreRange Range
. . . . . . . measureScoreDuration Duration
... . . . . measureScoreBoolean Duration boolean
. . . supplementalData 0..* Reference ( Any ) Additional information collected for the report

. . . evaluatedResource 0..* Reference ( Any ) What data was used to calculate the measure score


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram ( Legend )

MeasureReport ( DomainResource ) 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 identifier : Identifier [0..*] The category of measure report instance this is such as Data Exchange for Quality Measures (DEQM), Risk Adjustment, or Value-Based Performance category : CodeableConcept [0..1] « null (Strength=Extensible) MeasureReportCategory + » A reference to an OperationOutcome that contains any information, warning, and/or error messages that were generated while processing an operation such as $evaluate messages : Reference [0..1] « OperationOutcome » The MeasureReport status. No data will be available until the MeasureReport status is complete (this element modifies the meaning of other elements) status : code [1..1] « The status of the measure report. (Strength=Required) MeasureReportStatus ! » 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 type : code [1..1] « The type of the measure report. (Strength=Required) MeasureReportType ! » « This element has or is affected by some invariants C » Indicates whether the data submitted in a 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 (this element modifies the meaning of other elements) dataUpdateType : code [0..1] « null (Strength=Required) SubmitDataUpdateType ! » A reference to the Measure that was calculated to produce this report measure : canonical [0..1] « Measure » Optional subject identifying the individual or individuals the report is for subject : Reference [0..1] « CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson » The date this measure report was calculated generated date : dateTime [0..1] The individual or organization that is reporting the data reporter : Reference [0..1] « Practitioner | PractitionerRole | Organization | Group » 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 reportingVendor : Reference [0..1] « Organization » A reference to the location for which the data is being reported location : Reference [0..1] [0..*] « Location » The reporting period for which the report was calculated period : Period [1..1] A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report inputParameters : Reference [0..1] « Parameters » Deprecated, use group.scoring. 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 (this element modifies the meaning of other elements) scoring : CodeableConcept [0..1] « null (Strength=Extensible) MeasureScoring + » Deprecated, use group.improvementNotation. Whether improvement in the measure is noted by an increase or decrease in the measure score (this element modifies the meaning of other elements) improvementNotation : CodeableConcept [0..1] « Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. (Strength=Required) MeasureImprovementNotation ! » A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource supplementalData : Reference [0..*] « Any » Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded evaluatedResource : Reference [0..*] « Any » Group The group from the Measure that corresponds to this group in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The date the Measure Report was calculated calculatedDate : dateTime [0..1] The meaning of the population group as defined in the measure definition definition. This element SHALL be populated with at least the codings in the code of the corresponding group in the Measure being reported code : CodeableConcept [0..1] « null (Strength=Example) MeasureGroupExample ?? » The human readable description of this population group. This element SHOULD be populated based on the description of the corresponding group in the Measure being reported description : markdown [0..1] Optional subject identifying the individual or individuals the report is for subject : Reference [0..1] « CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson » 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 (this element modifies the meaning of other elements) scoring : CodeableConcept [0..1] « null (Strength=Extensible) MeasureScoring + » Whether improvement in the measure is noted by an increase or decrease in the measure score. Exercise caution when using any values besides increase or decrease for improvementNotation (this element modifies the meaning of other elements) improvementNotation : CodeableConcept [0..1] « Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. (Strength=Extensible) MeasureImprovementNotation + » Narrative text to explain the improvement notation and how to interpret it improvementNotationGuidance : markdown [0..1] 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 measureScore[x] : DataType [0..1] « Quantity | dateTime | CodeableConcept | Period | Range | Duration | boolean » Population The population from the Measure that corresponds to this population in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population in the Measure group being reported code : CodeableConcept [0..1] « null (Strength=Extensible) MeasurePopulationType + » The human readable description of this population criteria. This element SHOULD be populated based on the description element of the corresponding population in the Measure group being reported description : markdown [0..1] The number of members of the population count : integer [0..1] « This element has or is affected by some invariants C » The number of members of the population, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value countQuantity : Quantity [0..1] « This element has or is affected by some invariants C » This element refers to a List of individual level MeasureReport resources, one for each subject in this population subjectResults : Reference [0..1] « List » A reference to an individual level MeasureReport resource for a member of the population subjectReport : Reference [0..*] « MeasureReport » Optional Group identifying the individuals that make up the population subjects : Reference [0..1] « Group » Stratifier The stratifier from the Measure that corresponds to this stratifier in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The meaning of this stratifier, as defined in the measure definition definition. This element SHALL be populated with at least the codings in the code element of the corresponding stratifier in the Measure group being reported code : CodeableConcept [0..1] « null (Strength=Example) MeasureStratifierExample ?? » The human readable description of this stratifier criteria. This element SHOULD be populated with the description element of the corresponding stratifier in the Measure group being reported description : markdown [0..1] StratifierGroup 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 value[x] : DataType [0..1] « CodeableConcept | boolean | Quantity | Range | Reference ; null (Strength=Example) MeasureReportStratifierValueE... ?? » « This element has or is affected by some invariants C » 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 measureScore[x] : DataType [0..1] « Quantity | dateTime | CodeableConcept | Period | Range | Duration | boolean » Component The stratifier component from the Measure that corresponds to this stratifier component in the MeasureReport resource resource. This element SHALL be populated based on the corresponding element in the Measure being reported linkId : string [0..1] The code for the stratum component value value. This element SHALL be populated with at least the codings in the code element of the corresponding component of the stratifier being reported code : CodeableConcept [1..1] « null (Strength=Example) MeasureStratifierExample ?? » The human readable description of this stratifier criteria component. This element MAY be populated with the description of the corresponding component of the stratifier being reported description : markdown [0..1] The stratum component value value[x] : DataType [1..1] « CodeableConcept | boolean | Quantity | Range | Reference ; null (Strength=Example) MeasureReportStratifierValueE... ?? » StratifierGroupPopulation The population from the Measure that corresponds to this population in the MeasureReport resource resource. This element SHALL be populated with the linkId corresponding to the population being reported linkId : string [0..1] The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population being reported code : CodeableConcept [0..1] « null (Strength=Extensible) MeasurePopulationType + » The number of members of the population in this stratum count : integer [0..1] « This element has or is affected by some invariants C » The number of members of the population in this stratum, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value countQuantity : Quantity [0..1] « This element has or is affected by some invariants C » This element refers to a List of individual level MeasureReport resources, one for each subject in this population in this stratum subjectResults : Reference [0..1] « List » A reference to an individual level MeasureReport resource for a member of the population subjectReport : Reference [0..*] « MeasureReport » Optional Group identifying the individuals that make up the population subjects : Reference [0..1] « Group » The populations that make up the population group, one for each type of population appropriate for the measure measure. Each group in the MeasureReport SHALL have populations as defined in the corresponding group of the Measure being reported population [0..*] A stratifier component value component [0..*] The populations that make up the stratum, one for each type of population appropriate to the measure measure. For each stratifier, systems MAY provide population breakdowns in addition to the stratified scores population [0..*] 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 stratum [0..*] When a measure includes multiple stratifiers, there will be a stratifier group The stratification results for each stratifier this measure group, calculated as defined by the stratifier element of the measure being reported. Each group in the MeasureReport SHALL have stratifiers as defined in the corresponding group of the Measure being reported stratifier [0..*] The results of the calculation, one for each population group in the measure measure. A MeasureReport SHALL have a group element corresponding to each group element defined in the Measure being reported group [0..*]

XML Template 

<MeasureReport xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Additional identifier for the MeasureReport --></identifier>
 <category><!-- 0..1 CodeableConcept The category of measure report instance this is (example codes include deqm, ra, vbp) --></category>
 <messages><!-- 0..1 Reference(OperationOutcome) Evaluation messages --></messages>

 <status value="[code]"/><!-- 1..1 complete | pending | error -->
 <type value="[code]"/><!-- I 1..1 individual | subject-list | summary | data-exchange -->
 <dataUpdateType value="[code]"/><!-- 0..1 incremental | snapshot -->
 <measure><!-- 0..1 canonical(Measure) What measure was calculated --></measure>
 <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
 <
 <</reporter>

 <date value="[dateTime]"/><!-- 0..1 When the measure report was generated -->
 <reporter><!-- 0..1 Reference(Organization|Practitioner|PractitionerRole) Who is reporting the data --></reporter>

 <reportingVendor><!-- 0..1 Reference(Organization) What vendor prepared the data --></reportingVendor>
 <</location>

 <location><!-- 0..* Reference(Location) Where the reported data is from --></location>

 <period><!-- 1..1 Period What period the report covers --></period>
 <inputParameters><!-- 0..1 Reference(Parameters) What parameters were provided to the report --></inputParameters>
 <</scoring>
 <</improvementNotation>
 <
  <
  <</code>

 <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring) icon --></scoring>
 <improvementNotation><!-- 0..1 CodeableConcept increase | decrease icon --></improvementNotation>
 <group>  <!-- I 0..* Measure results for each group -->
  <linkId value="[string]"/><!-- 0..1 Pointer to specific group from Measure -->
  <calculatedDate value="[dateTime]"/><!-- 0..1 The date the Measure Report was calculated -->
  <code><!-- 0..1 CodeableConcept Meaning of the group --></code>
  <description value="[markdown]"/><!-- 0..1 Summary description -->

  <subject><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) What individual(s) the report is for --></subject>
  <
   <
   <</code>
   <

  <scoring><!-- 0..1 CodeableConcept What scoring method (e.g. proportion, ratio, continuous-variable) icon --></scoring>
  <improvementNotation><!-- 0..1 CodeableConcept increase | decrease icon --></improvementNotation>
  <improvementNotationGuidance value="[markdown]"/><!-- 0..1 Explanation of improvement notation -->
  <population>  <!-- 0..* The populations in the group -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
   <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon --></code>
   <description value="[markdown]"/><!-- 0..1 The human readable description of this population criteria -->
   <count value="[integer]"/><!-- I 0..1 Size of the population -->
   <countQuantity><!-- I 0..1 Quantity Size of the population as a quantity --></countQuantity>

   <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
   <</subjectReport>

   <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, references to the individual reports for subjects in this population --></subjectReport>

   <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
  </population>
  <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
    </measureScore[x]>
  <
   <
   <</code>
   <
    <</value[x]>
    <
     <
     <</code>

    Duration|boolean What score this group achieved --></measureScore[x]>
  <stratifier>  <!-- I 0..* Stratification results -->
   <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier from Measure -->
   <code><!-- 0..1 CodeableConcept What stratifier of the group --></code>
   <description value="[markdown]"/><!-- 0..1 The human readable description of this stratifier -->
   <stratum>  <!-- I 0..* Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components -->
    <value[x]><!-- I 0..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum value, e.g. male --></value[x]>
    <component>  <!-- I 0..* Stratifier component values -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific stratifier component from Measure -->
     <code><!-- 1..1 CodeableConcept What stratifier component of the group --></code>
     <description value="[markdown]"/><!-- 0..1 The human readable description of this stratifier component -->

     <value[x]><!-- 1..1 CodeableConcept|boolean|Quantity|Range|Reference The stratum component value, e.g. male --></value[x]>
    </component>
    <
     <
     <</code>
     <

    <population>  <!-- 0..* Population results in this stratum -->
     <linkId value="[string]"/><!-- 0..1 Pointer to specific population from Measure -->
     <code><!-- 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon --></code>
     <count value="[integer]"/><!-- I 0..1 Size of the population -->
     <countQuantity><!-- I 0..1 Quantity Size of the population as a quantity --></countQuantity>

     <subjectResults><!-- 0..1 Reference(List) For subject-list reports, the subject results in this population --></subjectResults>
     <subjectReport><!-- 0..* Reference(MeasureReport) For subject-list reports, a subject result in this population --></subjectReport>
     <subjects><!-- 0..1 Reference(Group) What individual(s) in the population --></subjects>
    </population>
    <measureScore[x]><!-- 0..1 Quantity|dateTime|CodeableConcept|Period|Range|
      </measureScore[x]>

      Duration|boolean What score this stratum achieved --></measureScore[x]>
   </stratum>
  </stratifier>
 </group>
 <supplementalData><!-- 0..* Reference(Any) Additional information collected for the report --></supplementalData>
 <evaluatedResource><!-- 0..* Reference(Any) What data was used to calculate the measure score --></evaluatedResource>
</MeasureReport>

JSON Template 

{doco
  "resourceType" : "MeasureReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Additional identifier for the MeasureReport
  "category" : { CodeableConcept }, // The category of measure report instance this is (example codes include deqm, ra, vbp)
  "messages" : { Reference(OperationOutcome) }, // Evaluation messages

  "status" : "<code>", // R!  complete | pending | error
  "type" : "<code>", // I R!  individual | subject-list | summary | data-exchange
  "dataUpdateType" : "<code>", // incremental | snapshot
  "measure" : "<canonical(Measure)>", // What measure was calculated
  "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
  "
  "

  "date" : "<dateTime>", // When the measure report was generated
  "reporter" : { Reference(Organization|Practitioner|PractitionerRole) }, // Who is reporting the data

  "reportingVendor" : { Reference(Organization) }, // What vendor prepared the data
  "

  "location" : [{ Reference(Location) }], // Where the reported data is from

  "period" : { Period }, // R!  What period the report covers
  "inputParameters" : { Reference(Parameters) }, // What parameters were provided to the report
  "
  "
  "
    "
    "

  "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring) icon
  "improvementNotation" : { CodeableConcept }, // increase | decrease icon
  "group" : [{ // I Measure results for each group
    "linkId" : "<string>", // Pointer to specific group from Measure
    "calculatedDate" : "<dateTime>", // The date the Measure Report was calculated
    "code" : { CodeableConcept }, // Meaning of the group
    "description" : "<markdown>", // Summary description

    "subject" : { Reference(CareTeam|Device|Group|HealthcareService|Location|
    Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // What individual(s) the report is for
    "
      "
      "
      "

    "scoring" : { CodeableConcept }, // What scoring method (e.g. proportion, ratio, continuous-variable) icon
    "improvementNotation" : { CodeableConcept }, // increase | decrease icon
    "improvementNotationGuidance" : "<markdown>", // Explanation of improvement notation
    "population" : [{ // The populations in the group
      "linkId" : "<string>", // Pointer to specific population from Measure
      "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon
      "description" : "<markdown>", // The human readable description of this population criteria
      "count" : <integer>, // I Size of the population
      "countQuantity" : { Quantity }, // I Size of the population as a quantity

      "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
      "

      "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, references to the individual reports for subjects in this population

      "subjects" : { Reference(Group) } // What individual(s) in the population
    }],
    

    // measureScore[x]: What score this group achieved. One of these 7:
    "measureScoreQuantity" : { Quantity },
    "measureScoreDateTime" : "<dateTime>",
    "measureScoreCodeableConcept" : { CodeableConcept },
    "measureScorePeriod" : { Period },
    "measureScoreRange" : { Range },
    "measureScoreDuration" : { Duration },
    "
      "
      "
      "

    "measureScoreBoolean" : <boolean>,
    "stratifier" : [{ // I Stratification results
      "linkId" : "<string>", // Pointer to specific stratifier from Measure
      "code" : { CodeableConcept }, // What stratifier of the group
      "description" : "<markdown>", // The human readable description of this stratifier
      "stratum" : [{ // I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components

        // value[x]: The stratum value, e.g. male. One of these 5:
        "valueCodeableConcept" : { CodeableConcept },
        "valueBoolean" : <boolean>,
        "valueQuantity" : { Quantity },
        "valueRange" : { Range },
        "valueReference" : { Reference },
        "
          "
          "

        "component" : [{ // I Stratifier component values
          "linkId" : "<string>", // Pointer to specific stratifier component from Measure
          "code" : { CodeableConcept }, // R!  What stratifier component of the group
          "description" : "<markdown>", // The human readable description of this stratifier component

          // value[x]: The stratum component value, e.g. male. One of these 5:
          "valueCodeableConcept" : { CodeableConcept },
          "valueBoolean" : <boolean>,
          "valueQuantity" : { Quantity },
          "valueRange" : { Range },
          "valueReference" : { Reference }
        }],
        "
          "
          "
          "

        "population" : [{ // Population results in this stratum
          "linkId" : "<string>", // Pointer to specific population from Measure
          "code" : { CodeableConcept }, // initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation icon
          "count" : <integer>, // I Size of the population
          "countQuantity" : { Quantity }, // I Size of the population as a quantity

          "subjectResults" : { Reference(List) }, // For subject-list reports, the subject results in this population
          "subjectReport" : [{ Reference(MeasureReport) }], // For subject-list reports, a subject result in this population
          "subjects" : { Reference(Group) } // What individual(s) in the population
        }],
        

        // measureScore[x]: What score this stratum achieved. One of these 7:
        "measureScoreQuantity" : { Quantity },
        "measureScoreDateTime" : "<dateTime>",
        "measureScoreCodeableConcept" : { CodeableConcept },
        "measureScorePeriod" : { Period },
        "measureScoreRange" : { Range },
        " }

        "measureScoreDuration" : { Duration },
        "measureScoreBoolean" : <boolean>

      }]
    }]
  }],
  "supplementalData" : [{ Reference(Any) }], // Additional information collected for the report
  "evaluatedResource" : [{ Reference(Any) }] // What data was used to calculate the measure score
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:MeasureReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the MeasureReport
  fhir:category [ CodeableConcept ] ; # 0..1 The category of measure report instance this is (example codes include deqm, ra, vbp)
  fhir:messages [ Reference(OperationOutcome) ] ; # 0..1 Evaluation messages

  fhir:status [ code ] ; # 1..1 complete | pending | error
  fhir:type [ code ] ; # 1..1 I individual | subject-list | summary | data-exchange
  fhir:dataUpdateType [ code ] ; # 0..1 incremental | snapshot
  fhir:measure [ canonical(Measure) ] ; # 0..1 What measure was calculated
  fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
  fhir:
  fhir:

  fhir:date [ dateTime ] ; # 0..1 When the measure report was generated
  fhir:reporter [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Who is reporting the data

  fhir:reportingVendor [ Reference(Organization) ] ; # 0..1 What vendor prepared the data
  fhir:

  fhir:location  ( [ Reference(Location) ] ... ) ; # 0..* Where the reported data is from

  fhir:period [ Period ] ; # 1..1 What period the report covers
  fhir:inputParameters [ Reference(Parameters) ] ; # 0..1 What parameters were provided to the report
  fhir:
  fhir:
  fhir:
    fhir:
    fhir:

  fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable) (deprecated, use group.scoring)
  fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
  fhir:group ( [ # 0..* I Measure results for each group
    fhir:linkId [ string ] ; # 0..1 Pointer to specific group from Measure
    fhir:calculatedDate [ dateTime ] ; # 0..1 The date the Measure Report was calculated
    fhir:code [ CodeableConcept ] ; # 0..1 Meaning of the group
    fhir:description [ markdown ] ; # 0..1 Summary description

    fhir:subject [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient|
  Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 What individual(s) the report is for
    fhir:
      fhir:
      fhir:
      fhir:

    fhir:scoring [ CodeableConcept ] ; # 0..1 What scoring method (e.g. proportion, ratio, continuous-variable)
    fhir:improvementNotation [ CodeableConcept ] ; # 0..1 increase | decrease
    fhir:improvementNotationGuidance [ markdown ] ; # 0..1 Explanation of improvement notation
    fhir:population ( [ # 0..* The populations in the group
      fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:description [ markdown ] ; # 0..1 The human readable description of this population criteria
      fhir:count [ integer ] ; # 0..1 I Size of the population
      fhir:countQuantity [ Quantity ] ; # 0..1 I Size of the population as a quantity

      fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
      fhir:

      fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, references to the individual reports for subjects in this population

      fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
    ] ... ) ;
    # . One of these 6

    # measureScore[x] : 0..1 What score this group achieved. One of these 7

      fhir:measureScore [  a fhir:Quantity ; Quantity ]
      fhir:measureScore [  a fhir:dateTime ; dateTime ]
      fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:measureScore [  a fhir:Period ; Period ]
      fhir:measureScore [  a fhir:Range ; Range ]
      fhir:measureScore [  a fhir:Duration ; Duration ]
    fhir:
      fhir:
      fhir:
      fhir:
        # . One of these 5

      fhir:measureScore [  a fhir:boolean ; boolean ]
    fhir:stratifier ( [ # 0..* I Stratification results
      fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier from Measure
      fhir:code [ CodeableConcept ] ; # 0..1 What stratifier of the group
      fhir:description [ markdown ] ; # 0..1 The human readable description of this stratifier
      fhir:stratum ( [ # 0..* I Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
        # value[x] : 0..1 I The stratum value, e.g. male. One of these 5

          fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:value [  a fhir:boolean ; boolean ]
          fhir:value [  a fhir:Quantity ; Quantity ]
          fhir:value [  a fhir:Range ; Range ]
          fhir:value [  a fhir:Reference ; Reference ]
        fhir:
          fhir:
          fhir:

        fhir:component ( [ # 0..* I Stratifier component values
          fhir:linkId [ string ] ; # 0..1 Pointer to specific stratifier component from Measure
          fhir:code [ CodeableConcept ] ; # 1..1 What stratifier component of the group
          fhir:description [ markdown ] ; # 0..1 The human readable description of this stratifier component

          # value[x] : 1..1 The stratum component value, e.g. male. One of these 5
            fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
            fhir:value [  a fhir:boolean ; boolean ]
            fhir:value [  a fhir:Quantity ; Quantity ]
            fhir:value [  a fhir:Range ; Range ]
            fhir:value [  a fhir:Reference ; Reference ]
        ] ... ) ;
        fhir:
          fhir:
          fhir:
          fhir:

        fhir:population ( [ # 0..* Population results in this stratum
          fhir:linkId [ string ] ; # 0..1 Pointer to specific population from Measure
          fhir:code [ CodeableConcept ] ; # 0..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
          fhir:count [ integer ] ; # 0..1 I Size of the population
          fhir:countQuantity [ Quantity ] ; # 0..1 I Size of the population as a quantity

          fhir:subjectResults [ Reference(List) ] ; # 0..1 For subject-list reports, the subject results in this population
          fhir:subjectReport  ( [ Reference(MeasureReport) ] ... ) ; # 0..* For subject-list reports, a subject result in this population
          fhir:subjects [ Reference(Group) ] ; # 0..1 What individual(s) in the population
        ] ... ) ;
        # . One of these 6

        # measureScore[x] : 0..1 What score this stratum achieved. One of these 7

          fhir:measureScore [  a fhir:Quantity ; Quantity ]
          fhir:measureScore [  a fhir:dateTime ; dateTime ]
          fhir:measureScore [  a fhir:CodeableConcept ; CodeableConcept ]
          fhir:measureScore [  a fhir:Period ; Period ]
          fhir:measureScore [  a fhir:Range ; Range ]
          fhir:measureScore [  a fhir:Duration ; Duration ]
          fhir:measureScore [  a fhir:boolean ; boolean ]

      ] ... ) ;
    ] ... ) ;
  ] ... ) ;
  fhir:supplementalData  ( [ Reference(Any) ] ... ) ; # 0..* Additional information collected for the report
  fhir:evaluatedResource  ( [ Reference(Any) ] ... ) ; # 0..* What data was used to calculate the measure score
]

Changes from both R4 and R4B

MeasureReport
MeasureReport.category
  • Added Element
MeasureReport.messages
  • Added Element
MeasureReport.type
  • Remove code data-collection
  • Add code data-exchange
MeasureReport.dataUpdateType
  • Added Element
MeasureReport.measure
  • Min Cardinality changed from 1 to 0
MeasureReport.subject
  • Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter
  • Type Reference: Added Target Type Group Type Reference: Removed Target Type Location
MeasureReport.reportingVendor
  • Added Element
MeasureReport.location
  • Added Element
MeasureReport.inputParameters
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.improvementNotation
MeasureReport.group.linkId
  • Added Element
MeasureReport.group.calculatedDate
  • Added Element
MeasureReport.group.description
  • Added Element
MeasureReport.group.subject
  • Added Element
MeasureReport.group.scoring
  • Added Element
MeasureReport.group.improvementNotation
  • Added Element
MeasureReport.group.population.linkId MeasureReport.group.improvementNotationGuidance
  • Added Element
MeasureReport.group.population.linkId
  • Added Element
MeasureReport.group.population.code
MeasureReport.group.population.subjectReport MeasureReport.group.population.description
  • Added Element
MeasureReport.group.population.countQuantity
  • Added Element
MeasureReport.group.population.subjectReport
  • Added Element
MeasureReport.group.population.subjects
  • Added Element
MeasureReport.group.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration Duration, boolean
MeasureReport.group.stratifier.linkId
  • Added Element
MeasureReport.group.stratifier.code
  • Max Cardinality changed from * to 1
MeasureReport.group.stratifier.description
  • Added Element
MeasureReport.group.stratifier.stratum.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.component.description
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.population.code
MeasureReport.group.stratifier.stratum.population.subjectReport MeasureReport.group.stratifier.stratum.population.countQuantity
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjects
  • Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration Duration, boolean
MeasureReport.supplementalData
  • Added Element

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON .

See R4 <--> R5 Conversion Maps (status = See Conversions Summary .)

 

Additional definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis

14.19.4.1 14.18.4.1 Terminology Bindings

MeasureReport.group.population.code
Path ValueSet Type Documentation
MeasureReport.category MeasureReportCategory (a valid code from Measure Report Category CS ) Extensible

Measure report categories

MeasureReport.status MeasureReportStatus Required

The status of the measure report.

MeasureReport.type MeasureReportType Required

The type of the measure report.

MeasureReport.dataUpdateType SubmitDataUpdateType Required

Concepts for how a measure report consumer and receiver coordinate data exchange updates. The choices are snapshot or incremental updates

MeasureReport.scoring MeasureScoring icon Extensible

The scoring type of the measure.

MeasureReport.improvementNotation MeasureImprovementNotation icon 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.

MeasureReport.group.code MeasureGroupExample Example

Example Measure Groups for the Measure Resource.

MeasureReport.group.scoring MeasurePopulationType MeasureScoring icon Extensible

The scoring type of the measure.

MeasureReport.group.improvementNotation MeasureImprovementNotation icon Extensible

Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

MeasureReport.group.population.code MeasurePopulationType icon Extensible

The type of population.

MeasureReport.group.stratifier.code MeasureStratifierExample Example

Identifier subgroups in a population for measuring purposes.

MeasureReport.group.stratifier.stratum.value[x] MeasureReportStratifierValueExample Example

Example Measure Stratification Value for MeasureReports Resource.

MeasureReport.group.stratifier.stratum.component.code MeasureStratifierExample Example

Identifier subgroups in a population for measuring purposes.

MeasureReport.group.stratifier.stratum.component.value[x] MeasureReportStratifierValueExample Example

Example Measure Stratification Value for MeasureReports Resource.

MeasureReport.group.stratifier.stratum.population.code MeasurePopulationType icon Extensible

The type of population.

14.19.4.2 14.18.4.2 Constraints

UniqueKey Level Location Description Expression
img  mrp-1 Rule (base) Measure Reports used for data collection SHALL NOT communicate group and score information (type != 'data-exchange') or group.exists().not()
img  mrp-2 Rule (base) Stratifiers SHALL be either a single criteria element or a set of criteria components group.stratifier.stratum.all(value.exists() xor component.exists())
img  mrp-3 Rule MeasureReport.group.population The count and countQuantity elements SHALL be mutually exclusive count.exists() xor countQuantity.exists()
img  mrp-4 Rule MeasureReport.group.stratifier.stratum.population The count and countQuantity elements for a statum population SHALL be mutually exclusive count.exists() xor countQuantity.exists()

14.19.5 14.18.5 MeasureReport Search

Although the MeasureReport resource does define search parameters, it is up to the individual measure evaluation service whether or not historical records of measure evaluation requests are preserved. A service might not support searching on MeasureReports at all, or it may support searching only for a pre-defined expiration period. The search parameters are defined to provide consumers with a consistent interface to searching if it is available for a specific service implementation. In any case, services should detail the support they do provide using a CapabilityStatement.

14.19.6 14.18.6 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource , and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
date date The date of the measure report MeasureReport.date 27 25 Resources
evaluated-resource reference An evaluated resource referenced by the measure report MeasureReport.evaluatedResource
(Any)
identifier token External identifier of the measure report to be returned MeasureReport.identifier 65 64 Resources
location reference The location to return measure report results for MeasureReport.location
( Location )
measure reference The measure to return measure report results for MeasureReport.measure
( Measure )
patient reference The identity of a patient to search for individual measure report results for MeasureReport.subject.where(resolve() is Patient)
( Patient ) 		66 64 Resources
period date The period of the measure report MeasureReport.period
reporter reference The reporter to return measure report results for MeasureReport.reporter
( Practitioner , Group , Organization , PractitionerRole )
status token The status of the measure report MeasureReport.status
subject reference The identity of a subject to search for individual measure report results for MeasureReport.subject
( Practitioner , Group , Organization , CareTeam , Device , Patient , HealthcareService , PractitionerRole , RelatedPerson , Location )