This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Detailed Descriptions for the elements in the Measure resource.
Measure | |
Definition | The Measure resource provides the definition of a quality measure. |
Control | 1..1 |
Measure.url | |
Definition | An absolute URL that is used to identify this measure when it is referenced. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this measure is (or will be) published. |
Control | 0..1 |
Type | uri |
Requirements | Allows the measure to be referenced by a single globally unique identifier. |
Summary | true |
Measure.identifier | |
Definition | A logical identifier for the measure such as the CMS or NQF identifier. Note that at least one identifier is required for non-experimental active artifacts. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Allows external business identifiers to be easily associated with the measure. |
Summary | true |
To Do | Add constraint to require identifier for non-experimental active artifacts. |
Measure.version | |
Definition | The version of the measure, if any. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Requirements | Allows for versioning of the content of the measure. |
Summary | true |
To Do | Add constraint to require a version for non-experimental active artifacts. |
Measure.name | |
Definition | A machine-friendly name for the measure. This name should be usable as an identifier for the measure by machine processing applications such as code generation. |
Control | 0..1 |
Type | string |
Requirements | Simplifies machine-processing tasks related to the measure such as code-generation or logging. |
Summary | true |
Comments | This identifier for the measure should be unique within the intended scope of use, and should conform to the traditional syntactic definition of an identifier within most programming languages. regex: ([A-Za-z][A-Za-z0-9]*). |
Measure.title | |
Definition | A short, descriptive, user-friendly title for the measure. |
Control | 0..1 |
Type | string |
Summary | true |
Measure.status | |
Definition | The status of the measure. |
Control | 1..1 |
Binding | LibraryStatus: The status of the measure (Required) |
Type | code |
Is Modifier | true |
Requirements | Enables tracking the life-cycle of the content of the measure. |
Summary | true |
Measure.experimental | |
Definition | Determines whether the measure was developed for testing purposes (or education/evaluation/marketing), and is not intended to be used in production environments. |
Control | 0..1 |
Type | boolean |
Is Modifier | true |
Requirements | Enables experimental content to be developed following the same life-cycle as a production-level measure would. |
Summary | true |
Measure.description | |
Definition | A free text natural language description of the measure from the consumer's perspective. |
Control | 0..1 |
Type | string |
Comments | This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context. |
Measure.purpose | |
Definition | A brief description of the purpose of the measure. |
Control | 0..1 |
Type | string |
Comments | This description should address the question of why this measure was built, though not necessarily in as much detail as the justification, rationale, or clinical recommendation statement of a measure would. That information would typically be provided in the related resource element. |
Measure.usage | |
Definition | A detailed description of how the measure is used from a clinical perspective. |
Control | 0..1 |
Type | string |
Measure.publicationDate | |
Definition | The date on which the measure was published. |
Control | 0..1 |
Type | date |
Measure.lastReviewDate | |
Definition | The date on which the measure content was last reviewed. |
Control | 0..1 |
Type | date |
Measure.effectivePeriod | |
Definition | The period during which the measure content is effective. |
Control | 0..1 |
Type | Period |
Comments | The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015. |
Measure.coverage | |
Definition | Specifies various attributes of the patient population for whom and/or environment of care in which, the measure is applicable. |
Control | 0..* |
Type | UsageContext |
Requirements | Consumers of the measure must be able to determine the intended applicability for the measure. Ideally, this information would be used programmatically to determine when and how it should be incorporated or exposed. |
Measure.topic | |
Definition | Clinical topics related to the content of the measure. |
Control | 0..* |
Type | CodeableConcept |
Requirements | Repositories must be able to determine how to categorize the measure so that it can be found by topical searches. |
Measure.contributor | |
Definition | A contributor to the content of the measure, including authors, editors, reviewers, and endorsers. |
Control | 0..* |
Type | Contributor |
Requirements | Consumers of the content must be able to quickly determine who contributed to the content of the measure. |
Measure.publisher | |
Definition | The name of the individual or organization that published the measure (also known as the steward for the measure). This information is required for non-experimental active artifacts. |
Control | 0..1 |
Type | string |
Requirements | Consumers of the measure must be able to determine where to obtain support in the use of this measure, as well as where to direct questions and concerns about the content. |
Comments | The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. |
To Do | Add constraint to require a publisher for non-experimental active artifacts. |
Measure.contact | |
Definition | Contact details to assist a user in finding and communicating with the publisher. |
Control | 0..* |
Type | ContactDetail |
Measure.copyright | |
Definition | A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure. |
Control | 0..1 |
Type | string |
Requirements | Consumers of the measure must be able to determine any legal restrictions on the use of the measure and/or its content. |
Measure.relatedResource | |
Definition | Related resources such as additional documentation, justification, or bibliographic references. |
Control | 0..* |
Type | RelatedResource |
Requirements | Measures must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. |
Comments | Each related resource is either an attachment, or a reference to another resource, but not both. |
Measure.library | |
Definition | A reference to a Library resource containing the formal logic used by the measure. |
Control | 0..* |
Type | Reference(Library) |
Measure.disclaimer | |
Definition | A disclaimer for the use of the measure. |
Control | 0..1 |
Type | markdown |
Measure.scoring | |
Definition | The measure scoring type, e.g. proportion, CV. |
Control | 0..1 |
Binding | MeasureScoring: The scoring type of the measure (Required) |
Type | code |
Measure.type | |
Definition | The measure type, e.g. process, outcome. |
Control | 0..* |
Binding | MeasureType: The type of measure (Required) |
Type | code |
Measure.riskAdjustment | |
Definition | A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results. |
Control | 0..1 |
Type | string |
Measure.rateAggregation | |
Definition | A description of the rate aggregation for the measure. |
Control | 0..1 |
Type | string |
Measure.rationale | |
Definition | The rationale for the measure. |
Control | 0..1 |
Type | markdown |
Measure.clinicalRecommendationStatement | |
Definition | The clinical recommendation statement for the measure. |
Control | 0..1 |
Type | markdown |
Measure.improvementNotation | |
Definition | Improvement notation for the measure, e.g. higher score indicates better quality. |
Control | 0..1 |
Type | string |
Measure.definition | |
Definition | A narrative description of the complete measure calculation. |
Control | 0..1 |
Type | markdown |
Measure.guidance | |
Definition | Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure. |
Control | 0..1 |
Type | markdown |
Measure.set | |
Definition | The measure set, e.g. Preventive Care and Screening. |
Control | 0..1 |
Type | string |
Measure.group | |
Definition | A group of population criteria for the measure. |
Control | 0..* |
Measure.group.identifier | |
Definition | A unique identifier for the group. This identifier will used to report data for the group in the measure report. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 1..1 |
Type | Identifier |
Measure.group.name | |
Definition | Optional name or short description of this group. |
Control | 0..1 |
Type | string |
Measure.group.description | |
Definition | The human readable description of this population group. |
Control | 0..1 |
Type | string |
Measure.group.population | |
Definition | A population criteria for the measure. |
Control | 0..* |
Measure.group.population.type | |
Definition | The type of population criteria. |
Control | 1..1 |
Binding | MeasurePopulationType: The type of population (Required) |
Type | code |
Measure.group.population.identifier | |
Definition | A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 1..1 |
Type | Identifier |
Measure.group.population.name | |
Definition | Optional name or short description of this population. |
Control | 0..1 |
Type | string |
Measure.group.population.description | |
Definition | The human readable description of this population criteria. |
Control | 0..1 |
Type | string |
Measure.group.population.criteria | |
Definition | The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria. |
Control | 1..1 |
Type | string |
Measure.group.stratifier | |
Definition | The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library, or a valid FHIR Resource Path. |
Control | 0..* |
Measure.group.stratifier.identifier | |
Definition | The identifier for the stratifier used to coordinate the reported data back to this stratifier. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 1..1 |
Type | Identifier |
Measure.group.stratifier.criteria | |
Definition | The criteria for the stratifier. This must be the name of an expression defined within a referenced library. |
Control | 0..1 |
Type | string |
Measure.group.stratifier.path | |
Definition | The path to an element that defines the stratifier, specified as a valid FHIR resource path. |
Control | 0..1 |
Type | string |
Measure.supplementalData | |
Definition | The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path. |
Control | 0..* |
Measure.supplementalData.identifier | |
Definition | An identifier for the supplemental data. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 1..1 |
Type | Identifier |
Measure.supplementalData.usage | |
Definition | An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation. |
Control | 0..* |
Binding | MeasureDataUsage: The intended usage for supplemental data elements in the measure (Required) |
Type | code |
Measure.supplementalData.criteria | |
Definition | The criteria for the supplemental data. This must be the name of a valid expression defined within a referenced library, and defines the data to be returned for this element. |
Control | 0..1 |
Type | string |
Measure.supplementalData.path | |
Definition | The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Path. |
Control | 0..1 |
Type | string |