CMS Hospital Quality Reporting FHIR Implementation Guide
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CMS Hospital Quality Reporting FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HQR Submission MeasureReport (DRAFT)

Official URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-submission-measurereport Version: 0.1.0
Draft as of 2026-10-07 Computable Name: HQRSubmissionMeasureReport

DRAFT, measure-independent constraint of the DEQM Data Exchange MeasureReport profile for CMS Hospital Quality Reporting submissions (built against DEQM US Realm STU5 in version 0.1.0; this guide targets DEQM Universal Realm by version 1.0.0). Placeholder for Connectathon scaffolding only.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
Constraints: mrp-1, mrp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor S 0..1 Reference(QICore Organization) Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
.... extension:location 0..* Reference(QICore Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
Fixed Value: data-collection
... measure SΣ 1..1 canonical(Measure) What measure and version was calculated
... subject SΣ 1..1 Reference(QICore Patient) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(HQR Reporting Organization (DRAFT)) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... extension:group 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group C 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension Content/Rules for all slices
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DEQMDataExchangeMeasureReportProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:vendor S 0..1 DEQMreportingVendorExtension Vendor information
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... subject 1..1 Reference(QICore Patient) What individual(s) the report is for

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
Constraints: mrp-1, mrp-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor S 0..1 Reference(QICore Organization) Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
.... extension:location 0..* Reference(QICore Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required)
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
Fixed Value: data-collection
... measure SΣ 1..1 canonical(Measure) What measure and version was calculated
... subject SΣ 1..1 Reference(QICore Patient) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(HQR Reporting Organization (DRAFT)) The organization where the measure was completed
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:group 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group C 0..* BackboneElement Measure results for each group
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..1 CodeableConcept Meaning of the group
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
..... count 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MeasureReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.reporter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
MeasureReport.group.​population.code Base extensible MeasurePopulationType 📦4.0.1 FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code Base extensible MeasurePopulationType 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DEQMDataExchangeMeasureReportProfile

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
Constraints: mrp-1, mrp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor S 0..1 Reference(QICore Organization) Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
.... extension:location 0..* Reference(QICore Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
Fixed Value: data-collection
... measure SΣ 1..1 canonical(Measure) What measure and version was calculated
... subject SΣ 1..1 Reference(QICore Patient) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(HQR Reporting Organization (DRAFT)) The organization where the measure was completed
.... Slices for extension Content/Rules for all slices
..... extension:group 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group C 0..* BackboneElement Measure results for each group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population 0..* BackboneElement The populations in the group
..... Slices for extension Content/Rules for all slices
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from DEQMDataExchangeMeasureReportProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:vendor S 0..1 DEQMreportingVendorExtension Vendor information
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... subject 1..1 Reference(QICore Patient) What individual(s) the report is for

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MeasureReport C 0..* DEQMDataExchangeMeasureReportProfile Results of a measure evaluation
Constraints: mrp-1, mrp-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:updatetype S 1..1 code Optional Extensions Element
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType
Binding: DEQM Update Type Value Set (required)
.... extension:measurereport-category S 0..1 CodeableConcept What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
Binding: MeasureReportCategory (extensible)
.... extension:software 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... extension:vendor S 0..1 Reference(QICore Organization) Vendor information
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor
.... extension:location 0..* Reference(QICore Location) Location(s) from which reported data was gathered
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-dataLocation
.... extension:message 0..1 Reference(OperationOutcome) Messages encountered while creating the report
URL: http://hl7.org/fhir/StructureDefinition/cqf-messages
.... extension:inputParameters 0..1 Reference(Parameters) What parameters
URL: http://hl7.org/fhir/StructureDefinition/cqf-inputParameters
.... extension:programYear S 1..1 integer CMS reporting/program year for this submission (DRAFT placement)
URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-program-year
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required)
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.
Fixed Value: data-collection
... measure SΣ 1..1 canonical(Measure) What measure and version was calculated
... subject SΣ 1..1 Reference(QICore Patient) What individual(s) the report is for
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(HQR Reporting Organization (DRAFT)) The organization where the measure was completed
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:group 0..1 Reference(Group) Group of practitioners responsible for a report
URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period SΣC 1..1 Period What period the report covers
Constraints: deqm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... improvementNotation ?!Σ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... group C 0..* BackboneElement Measure results for each group
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..1 CodeableConcept Meaning of the group
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:description S 0..1 markdown Description of the population
URL: http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
..... count 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
... evaluatedResource S 0..* Reference(Resource) What data was used to calculate the measure score

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MeasureReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
MeasureReport.status Base required MeasureReportStatus 📦4.0.1 FHIR Std.
MeasureReport.type Base required MeasureReportType 📍4.0.1 FHIR Std.
MeasureReport.reporter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
MeasureReport.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
MeasureReport.group.​population.code Base extensible MeasurePopulationType 📦4.0.1 FHIR Std.
MeasureReport.group.​stratifier.stratum.population.​code Base extensible MeasurePopulationType 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DEQMDataExchangeMeasureReportProfile

 

Other representations of profile: CSV, Excel, Schematron