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type: resourceresource: MeasureReport

MeasureReport

Introduction

Scope and Usage

The MeasureReport resource represents the results of calculating a measure for a specific subject or group of subjects. The $evaluate operation of the Measure resource is defined to return a MeasureReport. The resource 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) Release 1 STU5.3 (US Realm) and the HL7 Implementation Guide for CDA Release 2: Quality Reporting Document Architecture - Category III (QRDA III), 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.

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 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.

Background and Context

Provides additional detail on exactly how the resource is to be used

Notes

Although the MeasureReport resource does define search parameters, it is up to the individual measure evaluation service whether 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.

StructureDefinition

Elements (Simplified)

Mappings

Resource Packs

list-MeasureReport-packs.xml

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

<List xmlns="http://hl7.org/fhir">
  <id value="MeasureReport-packs"/>
  <status value="current"/>
  <mode value="working"/>
</List>

Search Parameters

Full Search Parameters

Examples

Full Examples

Mapping Exceptions

measurereport-fivews-mapping-exceptions.xml

Unmapped Elements