$evaluate-measure returns count: 0 for all report types

[moniquemurphy]

I've used the Postman collection in bundles/cms-connectathon-2023 to successfully POST the Measure, Terminology, and Patients A bundles to my local server. However, whenever I run the $evaluate-measure queries, I receive count: 0 for all numerators, denominators, etc.

Summary Report response:

{
    "resourceType": "MeasureReport",
    "language": "en",
    "extension": [
        {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
            "valueString": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
        }
    ],
    "status": "complete",
    "type": "summary",
    "measure": "http://ecqi.healthit.gov/ecqms/Measure/DischargedonAntithromboticTherapyQICore4|2.0.012",
    "date": "2024-05-03T21:51:39+00:00",
    "period": {
        "start": "2022-01-01T00:00:00+00:00",
        "end": "2022-12-31T23:59:59+00:00"
    },
    "improvementNotation": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code": "increase"
            }
        ]
    },
    "group": [
        {
            "extension": [
                {
                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                    "valueString": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
                },
                {
                    "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-cqfm-denominator-membership",
                    "valueString": "0"
                },
                {
                    "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-cqfm-numerator-membership",
                    "valueString": "0"
                }
            ],
            "population": [
                {
                    "id": "3461E500-1396-4E0C-B6C7-5B5C7B024765",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients age 18 and older, discharged from inpatient care (non-elective admissions) with a principal diagnosis of ischemic or hemorrhagic stroke and a length of stay less than or equal to 120 days that ends during the measurement period"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "initial-population",
                                "display": "Initial Population"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "D8C1DE16-6CC9-4B90-B1A9-E635665B36CA",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients with a principal diagnosis of Ischemic stroke"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator",
                                "display": "Denominator"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "874052F5-D503-4C5C-A436-05900B0967E3",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.\nInpatient hospitalizations for patients discharged to another hospital\nInpatient hospitalizations for patients who left against medical advice\nInpatient hospitalizations for patients who expired\nInpatient hospitalizations for patients discharged to home for hospice care\nInpatient hospitalizations for patients discharged to a health care facility for hospice care\nInpatient hospitalizations for patients with comfort measures documented"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator-exclusion",
                                "display": "Denominator Exclusion"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "0BFADF64-121B-47BA-A02F-EE5F433B8C7D",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients with a documented reason for not prescribing antithrombotic therapy at discharge.\nInpatient hospitalizations for patients who receive Ticagrelor or Prasugrel as an antithrombotic therapy at discharge."
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator-exception",
                                "display": "Denominator Exception"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "1AA9F20D-3A56-400C-A53E-0D8CE2BC6C83",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "numerator",
                                "display": "Numerator"
                            }
                        ]
                    },
                    "count": 0
                }
            ]
        }
    ]
}

Individual report response:

{
    "resourceType": "MeasureReport",
    "language": "en",
    "extension": [
        {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
            "valueString": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
        }
    ],
    "status": "complete",
    "type": "summary",
    "measure": "http://ecqi.healthit.gov/ecqms/Measure/DischargedonAntithromboticTherapyQICore4|2.0.012",
    "date": "2024-05-03T21:52:16+00:00",
    "period": {
        "start": "2022-01-01T00:00:00+00:00",
        "end": "2022-12-31T23:59:59+00:00"
    },
    "improvementNotation": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code": "increase"
            }
        ]
    },
    "group": [
        {
            "extension": [
                {
                    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                    "valueString": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
                },
                {
                    "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-cqfm-denominator-membership",
                    "valueString": "0"
                },
                {
                    "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-cqfm-numerator-membership",
                    "valueString": "0"
                }
            ],
            "population": [
                {
                    "id": "3461E500-1396-4E0C-B6C7-5B5C7B024765",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients age 18 and older, discharged from inpatient care (non-elective admissions) with a principal diagnosis of ischemic or hemorrhagic stroke and a length of stay less than or equal to 120 days that ends during the measurement period"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "initial-population",
                                "display": "Initial Population"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "D8C1DE16-6CC9-4B90-B1A9-E635665B36CA",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients with a principal diagnosis of Ischemic stroke"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator",
                                "display": "Denominator"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "874052F5-D503-4C5C-A436-05900B0967E3",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.\nInpatient hospitalizations for patients discharged to another hospital\nInpatient hospitalizations for patients who left against medical advice\nInpatient hospitalizations for patients who expired\nInpatient hospitalizations for patients discharged to home for hospice care\nInpatient hospitalizations for patients discharged to a health care facility for hospice care\nInpatient hospitalizations for patients with comfort measures documented"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator-exclusion",
                                "display": "Denominator Exclusion"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "0BFADF64-121B-47BA-A02F-EE5F433B8C7D",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients with a documented reason for not prescribing antithrombotic therapy at discharge.\nInpatient hospitalizations for patients who receive Ticagrelor or Prasugrel as an antithrombotic therapy at discharge."
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator-exception",
                                "display": "Denominator Exception"
                            }
                        ]
                    },
                    "count": 0
                },
                {
                    "id": "1AA9F20D-3A56-400C-A53E-0D8CE2BC6C83",
                    "extension": [
                        {
                            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
                            "valueString": "Inpatient hospitalizations for patients prescribed or continuing to take antithrombotic therapy at hospital discharge"
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "numerator",
                                "display": "Numerator"
                            }
                        ]
                    },
                    "count": 0
                }
            ]
        }
    ]
}

Any guidance is appreciated.