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I think the fix is to ignore SDE Observation type evaluatedResources. They do not have an existence outside the MeasureReport and should not be included in a $collect-data result.
When calling the $collect-data operation with a valid measure, period, and subject we get an error
Example Call - https://cloud.alphora.com/sandbox/r4/cqm/fhir/Measure/BreastCancerScreeningsFHIR/$collect-data?periodStart=2019-01-01&periodEnd=2019-12-31&subject=numer-EXM125
Result-
{
"resourceType": "OperationOutcome",
"text": {
"status": "generated",
"div": "<div xmlns="http://www.w3.org/1999/xhtml\">
Operation Outcome
<table border="0"><td style="font-weight: bold;">ERROR[] \n\t\t\t\n\t\t\n\t"},
"issue": [
{
"severity": "error",
"code": "processing",
"diagnostics": "Unable to process request, this server does not know how to handle resources of type null - Can handle: [Account, ActivityDefinition, AdverseEvent, AllergyIntolerance, Appointment, AppointmentResponse, AuditEvent, Basic, Binary, BiologicallyDerivedProduct, BodyStructure, Bundle, CapabilityStatement, CarePlan, CareTeam, CatalogEntry, ChargeItem, ChargeItemDefinition, Claim, ClaimResponse, ClinicalImpression, CodeSystem, Communication, CommunicationRequest, CompartmentDefinition, Composition, ConceptMap, Condition, Consent, Contract, Coverage, CoverageEligibilityRequest, CoverageEligibilityResponse, DetectedIssue, Device, DeviceDefinition, DeviceMetric, DeviceRequest, DeviceUseStatement, DiagnosticReport, DocumentManifest, DocumentReference, EffectEvidenceSynthesis, Encounter, Endpoint, EnrollmentRequest, EnrollmentResponse, EpisodeOfCare, EventDefinition, Evidence, EvidenceVariable, ExampleScenario, ExplanationOfBenefit, FamilyMemberHistory, Flag, Goal, GraphDefinition, Group, GuidanceResponse, HealthcareService, ImagingStudy, Immunization, ImmunizationEvaluation, ImmunizationRecommendation, ImplementationGuide, InsurancePlan, Invoice, Library, Linkage, List, Location, Measure, MeasureReport, Media, Medication, MedicationAdministration, MedicationDispense, MedicationKnowledge, MedicationRequest, MedicationStatement, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductIngredient, MedicinalProductInteraction, MedicinalProductManufactured, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, MessageDefinition, MessageHeader, MolecularSequence, NamingSystem, NutritionOrder, Observation, ObservationDefinition, OperationDefinition, OperationOutcome, Organization, OrganizationAffiliation, Parameters, Patient, PaymentNotice, PaymentReconciliation, Person, PlanDefinition, Practitioner, PractitionerRole, Procedure, Provenance, Questionnaire, QuestionnaireResponse, RelatedPerson, RequestGroup, ResearchDefinition, ResearchElementDefinition, ResearchStudy, ResearchSubject, RiskAssessment, RiskEvidenceSynthesis, Schedule, SearchParameter, ServiceRequest, Slot, Specimen, SpecimenDefinition, StructureDefinition, StructureMap, Subscription, Substance, SubstanceNucleicAcid, SubstancePolymer, SubstanceProtein, SubstanceReferenceInformation, SubstanceSourceMaterial, SubstanceSpecification, SupplyDelivery, SupplyRequest, Task, TerminologyCapabilities, TestReport, TestScript, ValueSet, VerificationResult, VisionPrescription]"
}
]
}
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