Create an OperationDefinition for $evaluate-measure that changes the out parameter type to Bundle and cardinality 0..*. Do not use OperationDefinition.outputProfile, instead add text explaining that the Bundle is expected to have MeasureReport conforming to DEQM Individual or Summary MeasureReport profiles. Refer to https://build.fhir.org/operations.html#response for use of Parameters resource in the return. If a single bundle is returned, then a Parameters resource is not used. If multiple Bundles are returned, each bundle is placed within Parameters.parameter.resource. (Note http://hl7.org/fhir/2022Sep/measure-operation-evaluate-measure.html#examples is not a valid Parameters; Parameters.Bundle is not allowed, should be Parameters.parameter.resource.Bundle.) The first entry of the Bundle is a MeasureReport conforming to either the DEQM summary or individual MeaasureReport profile representing the results of the calculation, and subsequent entries in the Bundle are resources created and/or evaluated as part of the calculation. Update the list of operations @ FHIR Artifacts/Operations https://github.com/HL7/davinci-deqm/blob/2023-Jan-Ballot/input/pagecontent/operations.md Also add discussion of $submit-data and $collect-data on that page saying that DEQM profiles are used, but do not add OperationDefinition for the ballot. Additional trackers will be entered to create operations for $collect-data, and $submit-data in DEQM.