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  1. FHIR Specification Feedback
  2. FHIR-34351

MeasureReport.group.population.subjectList should be 0..* (MeasureReport)

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R4
    • Clinical Quality Information
    • MeasureReport
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      Notes from 12/17/21 CQI discussion with Bryn

       Add elements where there is a subjectResults element:

      subjectReport 0..* Reference(MeasureReport) For subject-list reports, references to the individual reports for subjects in this population

      These elements would be exclusive with the subjectResults elements and would allow Implementers the option of providing references to the individual MeasureReport resources directly, rather than through the indirection of the list. Note that this introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects.

      Add an example of the new subjectReport element for clarity.

      Update example for subject-list report. https://www.hl7.org/fhir/measurereport-cms146-cat2-example.html

      Update the clinical reasoning quality reporting topic to describe this use case

      https://www.hl7.org/fhir/measurereport.html 

       

      Note that there is a typo in the tracker, it should be subjectResults not subjectList. 

       

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      Notes from 12/17/21 CQI discussion with Bryn  Add elements where there is a subjectResults element: subjectReport 0..* Reference(MeasureReport) For subject-list reports, references to the individual reports for subjects in this population These elements would be exclusive with the subjectResults elements and would allow Implementers the option of providing references to the individual MeasureReport resources directly, rather than through the indirection of the list. Note that this introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects. Add an example of the new subjectReport element for clarity. Update example for subject-list report. h ttps://www.hl7.org/fhir/measurereport-cms146-cat2-example.html Update the clinical reasoning quality reporting topic to describe this use case https://www.hl7.org/fhir/measurereport.html     Note that there is a typo in the tracker, it should be subjectResults not subjectList.   
    • Bryn Rhodes/ Howard Strasberg: 15-0-0
    • Enhancement
    • Compatible, substantive

    Description

      Currently subjectList is 0..1 pointing to List, with an assumption that the List contains individual MeasureReport resoruces. 

      This just adds a level of unnecessary indirection and could result in subjectList pointing to a List containing other resource types. 

      Suggest changing subjectList to 0..* and have it reference MeasureReport directly. 

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            rgeimer Rick Geimer
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