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

Operation-measure-evaluate-measure.xml

Example OperationDefinition/Measure-evaluate-measure (XML)

Clinical Quality Information Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any defined compartments

Raw XML ( canonical form + also see XML Format Specification )

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Operation Definition

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
      
      
      
      
      
        

      
      
      
      
      
        
          
            
          
          
            
          
          
            
          
          
            
          
          
            
          
          
            
          
        
        
          
          
          
          
            
          
          
          
            
              The start of the measurement period. In keeping with the semantics of the date parameter
                 used in the FHIR search operation, the period will start at the beginning of the period
                 implied by the supplied timestamp. E.g. a value of 2014 would set the period start to
                 be 2014-01-01T00:00:00 inclusive

            
          
        
        
          
          
          
          
            
          
          
          
            
              The end of the measurement period. The period will end at the end of the period implied
                 by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59
                 inclusive

            
          
        
        
          
          
          
          
            
            (
            )
          
          
          
            
              The measure to evaluate. This parameter is only required when the operation is invoked
                 on the resource type, it is not used when invoking the operation on a Measure instance

            
          
        
        
          
          
          
          
            
          
          
          
            
              The type of measure report: subject, subject-list, or population. If not specified, a
                 default value of subject will be used if the subject parameter is supplied, otherwise,
                 population will be used

            
          
        
        
          
          
          
          
            
            (
            )
          
          
          
            
              Subject for which the measure will be calculated. If not specified, the measure will be
                 calculated for all subjects that meet the requirements of the measure. If specified, the
                 measure will only be calculated for the referenced subject(s)

            
          
        
        
          
          
          
          
            
            (
            )
          
          
          
            
              Practitioner for which the measure will be calculated. If specified, the measure will
                 be calculated only for subjects that have a primary relationship to the identified practitioner

            
          
        
        
          
          
          
          
            
          
          
          
            
              The date the results of this measure were last received. This parameter is only valid
                 for patient-level reports and is used to indicate when the last time a result for this
                 patient was received. This information can be used to limit the set of resources returned
                 for a patient-level report

            
          
        
        
          
          
          
          
            
          
          
          
            
              The results of the measure calculation. See the MeasureReport resource for a complete
                 description of the output of this operation. Note that implementations may choose to return
                 a MeasureReport with a status of pending to indicate that the report is still being generated.
                 In this case, the client can use a polling method to continually request the MeasureReport
                 until the status is updated to complete

            
          
        
      
      
        The effect of invoking this operation is to calculate the measure for the given subject,
           or all subjects if no subject is supplied, and return the results as a MeasureReport resource
           of the appropriate type. Note that whether or not this operation affects the state of
           the server depends on whether the server persists the generated MeasureReport. If the
           MeasureReport is not persisted, this operation can be invoked with GET

      
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
  
    
      
      
    
    
      
      
    
  
  
  
  The effect of invoking this operation is to calculate the measure for the given subject,
   or all subjects if no subject is supplied, and return the results as a MeasureReport resource
   of the appropriate type. Note that whether or not this operation affects the state of
   the server depends on whether the server persists the generated MeasureReport. If the
   MeasureReport is not persisted, this operation can be invoked with GET
  
  
  
  
  
    
    
    
    
    The start of the measurement period. In keeping with the semantics of the date parameter
     used in the FHIR search operation, the period will start at the beginning of the period
     implied by the supplied timestamp. E.g. a value of 2014 would set the period start to
     be 2014-01-01T00:00:00 inclusive
    
  
  
    
    
    
    
    The end of the measurement period. The period will end at the end of the period implied
     by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59
     inclusive
    
  
  
    
    
    
    
    The measure to evaluate. This parameter is only required when the operation is invoked
     on the resource type, it is not used when invoking the operation on a Measure instance
    
    
  
  
    
    
    
    
    The type of measure report: subject, subject-list, or population. If not specified, a
     default value of subject will be used if the subject parameter is supplied, otherwise,
     population will be used
    
  
  
    
    
    
    
    Subject for which the measure will be calculated. If not specified, the measure will be
     calculated for all subjects that meet the requirements of the measure. If specified, the
     measure will only be calculated for the referenced subject(s)
    
    
  
  
    
    
    
    
    Practitioner for which the measure will be calculated. If specified, the measure will
     be calculated only for subjects that have a primary relationship to the identified practitioner
    
    
  
  
    
    
    
    
    The date the results of this measure were last received. This parameter is only valid
     for patient-level reports and is used to indicate when the last time a result for this
     patient was received. This information can be used to limit the set of resources returned
     for a patient-level report
    
  
  
    
    
    
    
    The results of the measure calculation. See the MeasureReport resource for a complete
     description of the output of this operation. Note that implementations may choose to return
     a MeasureReport with a status of pending to indicate that the report is still being generated.
     In this case, the client can use a polling method to continually request the MeasureReport
     until the status is updated to complete
    
  

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Measure-evaluate-measure"/> 
  <text> 
    <status value="extensions"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> URL: [base]/Measure/$evaluate-measure</p> 
      <p> URL: [base]/Measure/[id]/$evaluate-measure</p> 
      <p> Parameters</p> 
      <table class="grid">
        <tr> 
          <td> 
            <b> Use</b> 
          </td> 
          <td> 
            <b> Name</b> 
          </td> 
          <td> 
            <b> Scope</b> 
          </td> 
          <td> 
            <b> Cardinality</b> 
          </td> 
          <td> 
            <b> Type</b> 
          </td> 
          <td> 
            <b> Binding</b> 
          </td> 
          <td> 
            <b> Documentation</b> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> measure</td> 
          <td> type</td> 
          <td> 0..1</td> 
          <td> 
            <a href="measure.html">Measure</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The measure to evaluate. If the operation is invoked at the instance level, this
                 parameter is not allowed; if the operation is invoked at the type level, this parameter
                 is required, or a url (and optionally version) must be supplied.</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> url</td>           <td> type</td>           <td> 0..1</td>           <td>             <a href="datatypes.html#canonical">canonical</a>           </td>           <td/>            <td>             <div>               <p> The url of the plan measure to be applied. If the operation is invoked at the instance

                 level, this parameter is not allowed; if the operation is invoked at the type level,
                 this parameter (and optionally the version), or the measure parameter must be supplied</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> version</td>           <td> type</td>           <td> 0..1</td>           <td>             <a href="datatypes.html#string">string</a>           </td>           <td/>            <td>             <div>               <p> The version of the measure to be applied. If the operation is invoked at the instance

                 level, this parameter is not allowed; if the operation is invoked at the type level,
                 this parameter may only be used if the url parameter is supplied.</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> subject</td>           <td/>            <td> 0..1</td>           <td>             <a href="datatypes.html#string">string</a>             <br/>  (            <a href="search.html#reference">reference</a> )          </td>           <td/>            <td>             <div>               <p> Subject for which the measure will be calculated. The subject may be a Patient,

                 Practitioner, PractitionerRole, Organization, Location, Device, or Group. Subjects
                 provided in this parameter will be resolved as the subject of the measure based
                 on the type of the subject. If multiple subjects of the same type are provided,
                 the behavior is implementation-defined</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> periodStart</td>           <td/>            <td> 1..1</td>           <td>             <a href="datatypes.html#date">date</a>           </td>           <td/>            <td>             <div>               <p> The start of the measurement period. In keeping with the semantics of the date

                 parameter used in the FHIR search operation, the period will start at the beginning
                 of the period implied by the supplied timestamp. E.g. a value of 2014 would set
                 the period start to be 2014-01-01T00:00:00 inclusive</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> periodEnd</td>           <td/>            <td> 1..1</td>           <td>             <a href="datatypes.html#date">date</a>           </td>           <td/>            <td>             <div>               <p> The end of the measurement period. The period will end at the end of the period

                 implied by the supplied timestamp. E.g. a value of 2014 would set the period end
                 to be 2014-12-31T23:59:59 inclusive</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> reportType</td>           <td/>            <td> 0..1</td>           <td>             <a href="datatypes.html#code">code</a>           </td>           <td/>            <td>             <div>               <p> The type of measure report: individual, subject-list, or summary. If not specified,

                 a default value of individual will be used if the subject parameter is supplied,
                 otherwise, summary will be used. NOTE: Implementations should support the use of
                 
                <code> subject</code>  for individual and                 <code> population</code>  for summary for backwards compatibility with existing implementations.              </p>             </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> provider</td>           <td/>            <td> 0..1</td>           <td>             <a href="datatypes.html#string">string</a>             <br/>  (            <a href="search.html#reference">reference</a> )          </td>           <td/>            <td>             <div>               <p> The provider for which the report will be run. This may be a reference to a Practitioner,

                 PractitionerRole, or Organization. If specified, the measure will be calculated
                 for subjects that have a primary relationship to the identified provider. How this
                 relationship is determined is implementation-specific.</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> location</td>           <td/>            <td> 0..1</td>           <td>             <a href="datatypes.html#string">string</a>             <br/>  (            <a href="search.html#reference">reference</a> )          </td>           <td/>            <td>             <div>               <p> The location for which the report will be run.</p>             </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> lastReceivedOn</td>           <td/>            <td> 0..1</td>           <td>             <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td/>            <td>             <div>               <p> The date the results of this measure were last received. This parameter is only

                 valid for patient-level reports and is used to indicate when the last time a result
                 for this patient was received. This information can be used to limit the set of
                 resources returned for a patient-level report</p> 
            </div>           </td>         </tr>         <tr>           <td> IN</td>           <td> parameters</td>           <td/>            <td> 0..1</td>           <td>             <a href="parameters.html">Parameters</a>           </td>           <td/>            <td>             <div>               <p> Any input parameters for the evaluation. Parameters defined in this input will

                 be made available by name to the CQL expression. Parameter types are mapped to
                 CQL as specified in the Using CQL topic of the Clinical Reasoning Module. If a
                 parameter appears more than once in the input Parameters resource, it is represented
                 with a List in the input CQL. If a parameter has parts, it is represented as a
                 Tuple in the input CQL.</p> 
            </div>           </td>         </tr>         <tr>           <td> OUT</td>           <td> return</td>           <td/>            <td> 0..*</td>           <td>             <a href="bundle.html">Bundle</a>           </td>           <td/>            <td>             <div>               <p> The results of the measure calculation. The result of this operation will be a

                 Bundle for each input subject, where the first entry of the Bundle is a MeasureReport
                 representing the results of the calculation, and subsequent entries in the Bundle
                 are resources created and/or evaluated as part of the calculation. See the MeasureReport
                 resource for a complete description of the output of this operation. Note that
                 implementations may choose to return a MeasureReport with a status of pending to
                 indicate that the report is still being generated. In this case, the client can
                 use a polling method to continually request the MeasureReport until the status
                 is updated to complete</p> 
            </div>           </td>         </tr>       </table>       <div>         <p> The effect of invoking this operation is to calculate the measure for the given

           subject(s), or all subjects if no subject is supplied. For individual and subject-list
           reports, the result is a set of Bundles, one for each evaluated subject, where
           the first entry in each bundle is a MeasureReport resource, and subsequent entries
           in the Bundle are resources evaluated or created as part of the measure evaluation.
           For the summary report, the result of this operation is a single bundle with a
           single MeasureReport of type summary. Note that whether or not this operation affects
           the state of the server depends on whether the server persists the generated MeasureReport.
           If the MeasureReport is not persisted, this operation can be invoked with GET</p> 
      </div>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="3"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="trial-use"/>   </extension>   <url value="http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"/>   <version value="5.0.0"/>   <name value="EvaluateMeasure"/>   <title value="Evaluate Measure"/>   <status value="draft"/>   <kind value="operation"/>   <experimental value="false"/>   <date value="2023-03-26T15:21:02+11:00"/>   <publisher value="HL7 (FHIR Project)"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://hl7.org/fhir"/>     </telecom>     <telecom>       <system value="email"/>       <value value="fhir@lists.hl7.org"/>     </telecom>   </contact>   <description value="The evaluate-measure operation is used to calculate an eMeasure and obtain the

   results"/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <affectsState value="false"/>   <code value="evaluate-measure"/>   <comment value="The effect of invoking this operation is to calculate the measure for the given

   subject(s), or all subjects if no subject is supplied. For individual and subject-list
   reports, the result is a set of Bundles, one for each evaluated subject, where
   the first entry in each bundle is a MeasureReport resource, and subsequent entries
   in the Bundle are resources evaluated or created as part of the measure evaluation.
   For the summary report, the result of this operation is a single bundle with a
   single MeasureReport of type summary. Note that whether or not this operation affects
   the state of the server depends on whether the server persists the generated MeasureReport.
   If the MeasureReport is not persisted, this operation can be invoked with GET"/> 
  <resource value="Measure"/>   <system value="false"/>   <type value="true"/>   <instance value="true"/>   <parameter>     <name value="measure"/>     <use value="in"/>     <scope value="type"/>     <min value="0"/>     <max value="1"/>     <documentation value="The measure to evaluate. If the operation is invoked at the instance level, this

     parameter is not allowed; if the operation is invoked at the type level, this parameter
     is required, or a url (and optionally version) must be supplied."/> 
    <type value="Measure"/>   </parameter>   <parameter>     <name value="url"/>     <use value="in"/>     <scope value="type"/>     <min value="0"/>     <max value="1"/>     <documentation value="The url of the plan measure to be applied. If the operation is invoked at the instance

     level, this parameter is not allowed; if the operation is invoked at the type level,
     this parameter (and optionally the version), or the measure parameter must be supplied"/> 
    <type value="canonical"/>     <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>   </parameter>   <parameter>     <name value="version"/>     <use value="in"/>     <scope value="type"/>     <min value="0"/>     <max value="1"/>     <documentation value="The version of the measure to be applied. If the operation is invoked at the instance

     level, this parameter is not allowed; if the operation is invoked at the type level,
     this parameter may only be used if the url parameter is supplied."/> 
    <type value="string"/>   </parameter>   <parameter>     <name value="subject"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="Subject for which the measure will be calculated. The subject may be a Patient,

     Practitioner, PractitionerRole, Organization, Location, Device, or Group. Subjects
     provided in this parameter will be resolved as the subject of the measure based
     on the type of the subject. If multiple subjects of the same type are provided,
     the behavior is implementation-defined"/> 
    <type value="string"/>     <searchType value="reference"/>   </parameter>   <parameter>     <name value="periodStart"/>     <use value="in"/>     <min value="1"/>     <max value="1"/>     <documentation value="The start of the measurement period. In keeping with the semantics of the date

     parameter used in the FHIR search operation, the period will start at the beginning
     of the period implied by the supplied timestamp. E.g. a value of 2014 would set
     the period start to be 2014-01-01T00:00:00 inclusive"/> 
    <type value="date"/>   </parameter>   <parameter>     <name value="periodEnd"/>     <use value="in"/>     <min value="1"/>     <max value="1"/>     <documentation value="The end of the measurement period. The period will end at the end of the period

     implied by the supplied timestamp. E.g. a value of 2014 would set the period end
     to be 2014-12-31T23:59:59 inclusive"/> 
    <type value="date"/>   </parameter>   <parameter>     <name value="reportType"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="The type of measure report: individual, subject-list, or summary. If not specified,

     a default value of individual will be used if the subject parameter is supplied,
     otherwise, summary will be used. NOTE: Implementations should support the use of
     `subject` for individual and `population` for summary for backwards compatibility
     with existing implementations."/> 
    <type value="code"/>   </parameter>   <parameter>     <name value="provider"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="The provider for which the report will be run. This may be a reference to a Practitioner,

     PractitionerRole, or Organization. If specified, the measure will be calculated
     for subjects that have a primary relationship to the identified provider. How this
     relationship is determined is implementation-specific."/> 
    <type value="string"/>     <searchType value="reference"/>   </parameter>   <parameter>     <name value="location"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="The location for which the report will be run."/>     <type value="string"/>     <searchType value="reference"/>   </parameter>   <parameter>     <name value="lastReceivedOn"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="The date the results of this measure were last received. This parameter is only

     valid for patient-level reports and is used to indicate when the last time a result
     for this patient was received. This information can be used to limit the set of
     resources returned for a patient-level report"/> 
    <type value="dateTime"/>   </parameter>   <parameter>     <name value="parameters"/>     <use value="in"/>     <min value="0"/>     <max value="1"/>     <documentation value="Any input parameters for the evaluation. Parameters defined in this input will

     be made available by name to the CQL expression. Parameter types are mapped to
     CQL as specified in the Using CQL topic of the Clinical Reasoning Module. If a
     parameter appears more than once in the input Parameters resource, it is represented
     with a List in the input CQL. If a parameter has parts, it is represented as a
     Tuple in the input CQL."/> 
    <type value="Parameters"/>   </parameter>   <parameter>     <name value="return"/>     <use value="out"/>     <min value="0"/>     <max value="*"/>     <documentation value="The results of the measure calculation. The result of this operation will be a

     Bundle for each input subject, where the first entry of the Bundle is a MeasureReport
     representing the results of the calculation, and subsequent entries in the Bundle
     are resources created and/or evaluated as part of the calculation. See the MeasureReport
     resource for a complete description of the output of this operation. Note that
     implementations may choose to return a MeasureReport with a status of pending to
     indicate that the report is still being generated. In this case, the client can
     use a polling method to continually request the MeasureReport until the status
     is updated to complete"/> 
    <type value="Bundle"/>   </parameter> 


</

OperationDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.