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Packagehl7.fhir.us.davinci-deqm.stu3
Resource TypeStructureDefinition
IdStructureDefinition-measurereport-deqm.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/us/davinci-deqm/2018Sep/STU3/StructureDefinition-measurereport-deqm.html
URLhttp://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/measurereport-deqm
Version0.1.0
Statusactive
Date2018-06-19T00:00:00+10:00
Nameprofile-measurereport-deqm
Realmus
Authorityhl7
DescriptionThe DEQM MeasureReport Profile represents the quality measure results that the practitioner's organization convey to the payer. It contains the references to other profiles needed to attest to the measure.
TypeMeasureReport
Kindresource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
extension-referenceAnyReference Any
organization-deqmDEQM Organization Profile

Narrative

Note: links and images are rebased to the (stated) source

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..*
... status S1..1codeBinding: MeasureReportStatus (required)
... type S1..1codeFixed Value: individual
... measure S1..1Reference(Measure)Da Vinci Measures
... patient S1..1Reference(http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient)
... date S1..1dateTime
... reportingOrganization S1..1Reference(DEQM Organization Profile)The organization where the measure was completed
... period S1..1Period
... evaluatedResources S0..1Reference(Bundle)
.... extension-referenceAny S1..*Reference(Resource)A reference to any of resources used in the evaluation of a MeasureReport.
URL: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "measurereport-deqm",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/measurereport-deqm",
  "version": "0.1.0",
  "name": "profile-measurereport-deqm",
  "status": "active",
  "date": "2018-06-19T00:00:00+10:00",
  "publisher": "Da Vinci Project",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://github.com/Healthedata1/DaVinci"
        }
      ]
    }
  ],
  "description": "The DEQM MeasureReport Profile represents the quality measure results that  the practitioner's organization convey to the payer.  It contains the references to other profiles  needed to attest to the measure.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "MeasureReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MeasureReport",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "MeasureReport",
        "path": "MeasureReport",
        "short": "Results of a measure evaluation",
        "definition": "The MeasureReport resource contains the results of evaluating a measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "DomainResource"
          },
          {
            "key": "dom-1",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression": "contained.text.empty()",
            "xpath": "not(parent::f:contained and f:text)",
            "source": "DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
            "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source": "DomainResource"
          }
        ],
        "mustSupport": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "w5",
            "map": "clinical.general"
          }
        ]
      },
      {
        "id": "MeasureReport.id",
        "path": "MeasureReport.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.meta",
        "path": "MeasureReport.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.implicitRules",
        "path": "MeasureReport.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "isModifier": true,
        "isSummary": true
      },
      {
        "id": "MeasureReport.language",
        "path": "MeasureReport.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference": {
                "reference": "http://hl7.org/fhir/ValueSet/all-languages"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "extensible",
          "description": "A human language.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages"
          }
        }
      },
      {
        "id": "MeasureReport.text",
        "path": "MeasureReport.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "dom-1"
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "MeasureReport.contained",
        "path": "MeasureReport.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.extension",
        "path": "MeasureReport.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.modifierExtension",
        "path": "MeasureReport.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.identifier",
        "path": "MeasureReport.identifier",
        "short": "Additional identifier for the Report",
        "definition": "A formal identifier that is used to identify this report when it is represented in other formats, or referenced in a specification, model, design or an instance.",
        "comment": "Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
        "requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "id": "MeasureReport.status",
        "path": "MeasureReport.status",
        "short": "complete | pending | error",
        "definition": "The report status. No data will be available until the report status is complete.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "status"
          }
        ]
      },
      {
        "id": "MeasureReport.type",
        "path": "MeasureReport.type",
        "short": "individual | patient-list | summary",
        "definition": "The type of measure report. This may be an individual report, which provides a single patient's score for the measure; a patient listing, which returns the list of patients that meet the various criteria in the measure; or a summary report, which returns a population count for each of the criteria in the measure.",
        "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "requirements": "For individual quality meaure reporting, this report is constrained to reporting on an individual.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "individual",
        "mustSupport": true,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MeasureReportType"
            }
          ],
          "strength": "required",
          "description": "The type of the measure report",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/measure-report-type"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "MeasureReport.measure",
        "path": "MeasureReport.measure",
        "short": "Da Vinci Measures",
        "definition": "A reference to the Measure that was evaluated to produce this report.",
        "requirements": "This will indicate the measure being reported on. For example,  the cannonical uri location for the MRP measure.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.measure",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Measure"
          }
        ],
        "mustSupport": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.definition"
          },
          {
            "identity": "w5",
            "map": "what"
          }
        ]
      },
      {
        "id": "MeasureReport.patient",
        "path": "MeasureReport.patient",
        "short": "What patient the report is for",
        "definition": "Optional Patient if the report was requested for a single patient.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.patient",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"
          }
        ],
        "mustSupport": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "who.focus"
          }
        ]
      },
      {
        "id": "MeasureReport.date",
        "path": "MeasureReport.date",
        "short": "When the report was generated",
        "definition": "The date this measure report was generated.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.date",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrenceDateTime"
          },
          {
            "identity": "w5",
            "map": "when.recorded"
          }
        ]
      },
      {
        "id": "MeasureReport.reportingOrganization",
        "path": "MeasureReport.reportingOrganization",
        "short": "The organization where the measure was completed",
        "definition": "The organization where the measure was completed.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.reportingOrganization",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/organization-deqm"
          }
        ],
        "mustSupport": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "who.source"
          }
        ]
      },
      {
        "id": "MeasureReport.period",
        "path": "MeasureReport.period",
        "short": "What period the report covers",
        "definition": "The reporting period for which the report was calculated.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.period",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true,
        "isSummary": true
      },
      {
        "id": "MeasureReport.group",
        "path": "MeasureReport.group",
        "short": "Measure results for each group",
        "definition": "The results of the calculation, one for each population group in the measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport.group",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.id",
        "path": "MeasureReport.group.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.extension",
        "path": "MeasureReport.group.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.modifierExtension",
        "path": "MeasureReport.group.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.group.identifier",
        "path": "MeasureReport.group.identifier",
        "short": "What group of the measure",
        "definition": "The identifier of the population group as defined in the measure definition.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.identifier",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.population",
        "path": "MeasureReport.group.population",
        "short": "The populations in the group",
        "definition": "The populations that make up the population group, one for each type of population appropriate for the measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport.group.population",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.population.id",
        "path": "MeasureReport.group.population.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.population.extension",
        "path": "MeasureReport.group.population.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.population.modifierExtension",
        "path": "MeasureReport.group.population.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.group.population.identifier",
        "path": "MeasureReport.group.population.identifier",
        "short": "Population identifier as defined in the measure",
        "definition": "The identifier of the population being reported, as defined by the population element of the measure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.population.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.group.population.code",
        "path": "MeasureReport.group.population.code",
        "short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
        "definition": "The type of the population.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.population.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MeasurePopulation"
            }
          ],
          "strength": "extensible",
          "description": "The type of population (e.g. initial, numerator, denominator, etc.)",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/measure-population"
          }
        }
      },
      {
        "id": "MeasureReport.group.population.count",
        "path": "MeasureReport.group.population.count",
        "short": "Size of the population",
        "definition": "The number of members of the population.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.population.count",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.population.patients",
        "path": "MeasureReport.group.population.patients",
        "short": "For patient-list reports, the patients in this population",
        "definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.population.patients",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.measureScore",
        "path": "MeasureReport.group.measureScore",
        "short": "What score this group achieved",
        "definition": "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.measureScore",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.group.stratifier",
        "path": "MeasureReport.group.stratifier",
        "short": "Stratification results",
        "definition": "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport.group.stratifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.id",
        "path": "MeasureReport.group.stratifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.extension",
        "path": "MeasureReport.group.stratifier.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.modifierExtension",
        "path": "MeasureReport.group.stratifier.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.identifier",
        "path": "MeasureReport.group.stratifier.identifier",
        "short": "What stratifier of the group",
        "definition": "The identifier of this stratifier, as defined in the measure definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "StratifierGroup"
          }
        ],
        "path": "MeasureReport.group.stratifier.stratum",
        "short": "Stratum results, one for each unique value in the stratifier",
        "definition": "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.id",
        "path": "MeasureReport.group.stratifier.stratum.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.extension",
        "path": "MeasureReport.group.stratifier.stratum.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.modifierExtension",
        "path": "MeasureReport.group.stratifier.stratum.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.value",
        "path": "MeasureReport.group.stratifier.stratum.value",
        "short": "The stratum value, e.g. male",
        "definition": "The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "StratifierGroupPopulation"
          }
        ],
        "path": "MeasureReport.group.stratifier.stratum.population",
        "short": "Population results in this stratum",
        "definition": "The populations that make up the stratum, one for each type of population appropriate to the measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.population",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.id",
        "path": "MeasureReport.group.stratifier.stratum.population.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.extension",
        "path": "MeasureReport.group.stratifier.stratum.population.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
        "path": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.identifier",
        "path": "MeasureReport.group.stratifier.stratum.population.identifier",
        "short": "Population identifier as defined in the measure",
        "definition": "The identifier of the population being reported, as defined by the population element of the measure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.population.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.code",
        "path": "MeasureReport.group.stratifier.stratum.population.code",
        "short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
        "definition": "The type of the population.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.population.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MeasurePopulation"
            }
          ],
          "strength": "extensible",
          "description": "The type of population (e.g. initial, numerator, denominator, etc.)",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/measure-population"
          }
        }
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.count",
        "path": "MeasureReport.group.stratifier.stratum.population.count",
        "short": "Size of the population",
        "definition": "The number of members of the population in this stratum.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.population.count",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.population.patients",
        "path": "MeasureReport.group.stratifier.stratum.population.patients",
        "short": "For patient-list reports, the patients in this population",
        "definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.population.patients",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
          }
        ],
        "isSummary": false
      },
      {
        "id": "MeasureReport.group.stratifier.stratum.measureScore",
        "path": "MeasureReport.group.stratifier.stratum.measureScore",
        "short": "What score this stratum achieved",
        "definition": "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.group.stratifier.stratum.measureScore",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ],
        "isSummary": true
      },
      {
        "id": "MeasureReport.evaluatedResources",
        "path": "MeasureReport.evaluatedResources",
        "short": "What data was evaluated to produce the measure score",
        "definition": "A reference to a Bundle containing the Resources that were used in the evaluation of this report.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MeasureReport.evaluatedResources",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Bundle"
          }
        ],
        "mustSupport": true,
        "isSummary": false
      },
      {
        "id": "MeasureReport.evaluatedResources.id",
        "path": "MeasureReport.evaluatedResources.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.evaluatedResources.extension",
        "path": "MeasureReport.evaluatedResources.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MeasureReport.evaluatedResources.extension:refany",
        "path": "MeasureReport.evaluatedResources.extension",
        "sliceName": "refany",
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.evaluatedResources.reference",
        "path": "MeasureReport.evaluatedResources.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MeasureReport.evaluatedResources.identifier",
        "path": "MeasureReport.evaluatedResources.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "MeasureReport.evaluatedResources.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MeasureReport.evaluatedResources.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "MeasureReport",
        "path": "MeasureReport",
        "mustSupport": false,
        "isModifier": false
      },
      {
        "id": "MeasureReport.status",
        "path": "MeasureReport.status",
        "mustSupport": true,
        "isModifier": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
          }
        }
      },
      {
        "id": "MeasureReport.type",
        "path": "MeasureReport.type",
        "requirements": "For individual quality meaure reporting, this report is constrained to reporting on an individual.",
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "individual",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.measure",
        "path": "MeasureReport.measure",
        "short": "Da Vinci Measures",
        "requirements": "This will indicate the measure being reported on. For example,  the cannonical uri location for the MRP measure.",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.patient",
        "path": "MeasureReport.patient",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.date",
        "path": "MeasureReport.date",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.reportingOrganization",
        "path": "MeasureReport.reportingOrganization",
        "short": "The organization where the measure was completed",
        "definition": "The organization where the measure was completed.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/organization-deqm"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.period",
        "path": "MeasureReport.period",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.evaluatedResources",
        "path": "MeasureReport.evaluatedResources",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "MeasureReport.evaluatedResources.extension:refany",
        "path": "MeasureReport.evaluatedResources.extension",
        "sliceName": "refany",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      }
    ]
  }
}