Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MeasureReport 0..* PublicHealthMeasureReport Results of a measure evaluation text S 0..1 Narrative Text summary of the resource, for human interpretation reporter S 1..1 Reference(TW Core Organization Hospital Department) Who is reporting the data group population code 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: 床位測量類別值集 (required) <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Measure Reports used for data collection SHALL NOT communicate group and score information
(type != 'data-collection') or group.exists().not()
not(f:kind/@value='data-collection') or not(exists(f:group))
Stratifiers SHALL be either a single criteria or a set of criteria components
group.stratifier.stratum.all(value.exists() xor component.exists())
A reporter must be present in a complete report.
MeasureReport.status != 'completed' or MeasureReport.reporter.exists()
/f:MeasureReport/f:status != 'completed' or /f:MeasureReport/f:reporter
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can 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.
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 information is added later.
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.
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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Additional identifier for the MeasureReport
A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.
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.
Allows externally provided and/or usable business identifiers to be easily associated with the module.
The MeasureReport status. No data will be available until the MeasureReport status is complete.
complete - The MeasureReport is complete and can be transmitted to others. pending - The MeasureReport is a partial report, and must be aggregated with other information into a new report in order to be complete. error - MeasureReport was determined to be in error.
This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
MeasureReports generated conforming to this profile are always summary reports
The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.
Other profiles may support collection of subject-list data (e.g., for contact tracing)
Each MeasureReport resource must document the measure it is reporting for.
A reference to the Measure that was calculated to produce this report.
The subject of a report is a location, e.g., a facility, region, service area, state or other geographic region
Optional subject identifying the individual or individuals the report is for.
The report is about a site or larger geographic region. Individual measures within the report may be related to other subjects, but the report itself describes information about a location.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Extension Attributes to associate with a Location Reference to simplify Geographic search
This is essentially a database denormalization that facilitates search by Geographics coordinates on a location. It enables a FHIR Server to implement search on a MeasureReport by GeoLocation using an extension. The extension is purposefully designed to duplicate the existing [FHIR GeoLocation Extension](http://hl7.org/fhir/StructureDefinition/geolocation) in the hope that it could eventually be absorbed by that extension.
Literal reference, Relative, internal or absolute URL
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.
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.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
The subject shall have an identifier which uniquely identifies the subject to the recepient.
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents 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.
Requiring subject.identifier allows reports to be queried by locations using a well-known identifier.
Plain text narrative that identifies the resource in addition to the resource reference.
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.
The date the report was generated must be specified, and must be precise to the second
A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.
Since report generation is being automated, reporting to the second should not be a significant burden
The individual, location, or organization that is reporting the data.
The reporting period for which the report was calculated.
The end time of the period must be present, be precise to the second, and have a time zone
If the low element is missing, the meaning is that the low boundary is not known.
The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Whether improvement in the measure is noted by an increase or decrease in the measure score.
This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score.
Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)
Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
The results of the calculation, one for each population group in the measure.
Extensions that cannot be ignored even if unrecognized
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The code for each group must be present to enable matching to the measure, and a value must be present that matches the required binding codes in the Measure
The meaning of the population group as defined in the measure definition.
The populations that make up the population group, one for each type of population appropriate for the measure.
A population.count must have a value, or .extension.url = 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'
count.exists() or extension.url = 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'
f:count or f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason']
概念（Concept）— 參照一個專門術語或只是文字表述
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
fhir:CodeableConcept rdfs:subClassOf dt:CD
A count must be present for each population. Unknown values may be reported using the http://hl7.org/fhir/StructureDefinition/data-absent-reason extension.
The number of members of the population.
For subject-list reports, the subject results in this population
This element refers to a List of subject level MeasureReport resources, one for each subject in this population.
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.
When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.
A stratifier must have a code when present
The meaning of this stratifier, as defined in the measure definition.
There must be at least one stratum reported
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.
Strata are not identified using value, see stratum.component below
The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.
The code for the stratum component value.
At least one stratum population must be present
The populations that make up the stratum, one for each type of population appropriate to the measure.
The type of population (e.g. initial, numerator, denominator, etc.).
The number of members of the population in this stratum.
This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum.
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.
Include references to MeasureReport or QuestionnaireResponse resources used to compute an aggregated report
A reference to a Bundle containing the Resources that were used in the calculation of this measure.
When a MeasureReport is prepared by translation of a QuestionnaireReponse, or through aggregation of other MeasureReports (e.g., over time, or geographic area), this element can be used to include references to the resources used to create the aggregated or translated MeasureReeport.